Diccionario
Physical Examination due to Sneezing
The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 a 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 a 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood pressure (Normal: ≤ 120/80 mmHg)
Examination of the nose:
Observation of the nose with a Rhinoscopy (instrument with a light used by the doctor to see the interior of the nose)
Examination of the throat:
Observation (or Inspection)
Examination of the Thorax:
Observation (or Inspection)
Palpation (or touching)
Auscultation (hearing): the noises/sounds produced by the lungs and the heart.
Percussion (giving repetitive taps): to know how each part of the thorax sounds like.
Physical Examination due to suspcicion of apnoea-hypopnoea
The doctor may perform the following examination or exploration:
.Control of the Heart Rate (Normal: 60 to 100 beats/minute)
.Control of the Respiration Rate (Normal: 16 to 20 respiratory cycles/minute).
.Control of Temperature (Normal: 36,5 - 37 °C).
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg).
Nose Examination: Observation seeking for nasal obstruction or deviation of the septum.
Throat Examination: Observation seeking for alterations in the tongue, palate or the tonsils.
Neck Examination: -Observation.
-Palpation.
Physical Examination due to suspicion of Acute Otitis Media
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
--Examination of the fauces (mouth and throat)
-Palpation of the neck
-Palpation of the face (sore spots)
-Ear examination: palpation of parts of the outer ear and pneumatic otoscopy.
Physical Examination due to suspicion of Acute otitis media
Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
Control of Body Temperature (Normal: 36,5 - 37 °C)
Control of Blood Pressure (Normal: ≤ 120/80 mmHg).
-Examination of the fauces (mouth and throat)
-Palpation of neck
-Palpation of face (sore spots)
-Examination of the ear: palpation of parts of the pinna (outer ear) and pneumatic otoscopy
Physical Examination due to suspicion of Acute Sinusitis
The doctor may perform the following exam
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
--Examination of the fauces (mouth and throat)
-Palpation of the neck
-Palpation of the face (sore spots)
Transillumination: In a dark room, both sides of the face are illuminated with a torch, below the eyes, you being with your mouth open. It allows to see the presence of mucus in the paranasal sinuses.
Physical Examination due to suspicion of Aortic Aneurysm
The doctor may perform the following examination or exploration:
Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
Control of Temperature (Normal: 36,5 - 37 °C)
Control of Blood Pressure (Normal: ≤ 120/80 mmHg).
Examination of the abdomen:
Observation (or Inspection)
Palpation (or touching) to know if any spot causes you pain and to recognise whether there is any injury perceptible through touch.
The sound of the abdomen are heard (bowel sounds).
Percussion (to give repetitive taps) to know how each part of the abdomen sounds like.
Evaluate the presence or absence of abdominal pulse
Examination of the skin and mucous membranes (of the mouth): it is evaluated whether they are pale, dried or not.
Physical Examination due to suspicion of apnea-hypopnea
The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Nose examination: Observation in search of nasal obstruction or septum deviation.
Throat Examination: Observation in search of tongue, palate or tonsils alterations.
Neck examination: -Observation.
-Palpation.
Physical Examination due to suspicion of biliary colic
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Abdomen Examination: Obsevation (or Inspection)
Palpation (or touching) to know if there is any area causing pain and to recognize the presence of an injury that can be perceived by touching.
Hear the sounds of the abdomen (Hydro-aerial sounds)
Percussion (repetitive taps) to know how each part of the abdomen sounds like.
Skin and mucous examination (of the mouth):evaluate changes in color and hydration
Physical Examination due to suspicion of Cystic fibrosis
The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency: Norma values:
Newborn: 120 to 160 beats/minute,
1 and 2 years 110-120 beats/minute,
3 to 12 years 100 beats/minute,
13 years onward 75/80 beats/minute.
.Control of Breathing Frequency Normal values:
Newborn 30 to 60 breathing cycles/minute,
1 and 2 years 20 to 40 breathing cycles/minute,
3 years onward 15/25 breathing cycles/minute.
.Control of Temperature (Normal: 36,4 - 37 °C)
.Abdominal examination:
Observation (or Inspection)
Palpation (or touching)
Hearing the sounds of the abdomen (hydro-aerial sounds)
Percussion (give repetitive blows): to know how every part of the abdomen sounds like.
.Thorax Examination:
Observation (or Inspection)
Palpation (or touching)
Auscultation (hearing): hearing the sounds/noises produced by the lungs and heart
Percussion (give repetitive blows): to know how every part of the thorax sounds like.
Examination of skin and mucous membranes (of the mouth): if they are pale, dry or not.
Physical Examination due to suspicion of Fibromyalgia
The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Spine examination:
Observation (or Inspection)
Palpation (or touching) to know if there is any place causing pain.
Percussion (repetitive taps) on the spine, which may cause you pain.
Examination of all the places the patient points as painful (painful pints), among them: neck, nape, back, elbows, knees. etc.
In these areas evaluate:
- Presence or absence of pain when touching
-Presence of nodule in the soreness area.
Physical Examination due to suspicion of Fibromyalgia
The doctor may perform the following examination or exploration:
Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
Control of Temperature (Normal: 36,5 - 37 °C)
Control of Blood Pressure (Normal: ≤ 120/80 mmHg).
Spine examination:
Observation (or inspection)
Palpation (or touching) to know if any spot causes you pain
Percussion (give repetitive taps) over the spine, which may cause you pain.
Examination of every spot the patient refers as painful (tender points), among them: neck, nape, shoulders, back, elbows, hip, knees, etc. In this spots, evaluate:
- Presence or absence of tenderness
- Presence of nodules in the site of pain
Physical Examination due to suspicion of Gastroesophageal Reflux Disease
The doctor may perform the following exam or exploration
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Abdomen examination:
Observation (or inspection)
Palpation (or touch) to know if any zone gives yourself pain and to recognise any injury that could be noticed by touch.
Listen to the abdominal sounds (bowel sounds).
Percussion (give repetitive blows): to know how every part of the thorax sounds like.
Throat examination:
Observation (or inspection)
Physical Examination due to suspicion of Giant cell arteritis
The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Palpation of head, face and muscles of neck and back
Neck mobility examination
Examination of muscle strength of arms and legs
Examination of both eyes:
.Evaluate field of vision and acumen
.Examination of pupil, eye movement and reflex
.Examination with an Ophthalmoscope (instrument with a light the doctor uses to evaluate red reflex, the retina and optic nerve)
.Examination of eyelids (through aversion of them) and conjunctiva
Physical Examination due to suspicion of Heart Failure in children
The doctor may perform the following exam or exploration:
.Control of Cardiac Frequency: Norma values: Newborn: 120 to 160 beats/minute, 1 and 2 years 110-120 beats/minute, 3 to 12 years 100 beats/minute, 13 years onward 75/80 beats/minute.
.Control of Breathing Frequency Normal values: Newborn 30 to 60 breathing cycles/minute, 1 and 2 years 20 to 40 breathing cycles/minute, 3 years onward 15/25 breathing cycles/minute.
.Control of Temperature (Normal: 36,4 - 37 °C)
Control of weight and height
Thorax examination:
Observation (or Inspection)
Palpation (or touching)
Auscultation (hearing): the noises/sounds produced by lungs and heart
Percussion (repetitive taps): to know how each part of the thorax sounds like
Neck Examination:
Observation
Palpation of neck vessels
Examination of both legs and feet:
Observation
Palpation
Feet pulse
Examination of skin and mucous (of mouth): evaluate changes in color
Physical Examination due to suspicion of Herniated Disk
The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg) .
Spine examination:
Observation (or Inspection)
Palpation (or touching) to know if there is any place causing pain.
Percussion (give repetitive taps) on the spine, which may cause pain.
Mobility evaluation: to see if it is or not restringed.
Examine if there is or not neurological compromise through:
. Achilles reflex (of the ankle): it may be diminished.
. Knee reflex (patellar): it may be diminished.
. Evaluate sensitivity of the foot: if it stops feeling or not, and how much it feels.
.Dorsiflextion of the foot (movement that reduces the angle between the foot and leg): it may be diminished.
. Evaluate if you stop feeling or not the genital area and inne thigh (it determines the presence of the Cauda Equina Syndrome)