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Physical Examination for snakebite

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)
Examination of the bitten area:
. Observation (or inspection)
. Palpation (or feeling)
Skin and mucosa examination
Thorax examination
. Observation (or inspection)
. Palpation (or feeling)
. Auscultation (listening): from noises / sounds produced by the lungs and heart.
Neurological examination

Physical Examination for Sore Throat

The doctor may perform the following exam or exploration:
.Control of Cardiac Frequency: Norma valuesl: 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)
Throat Examination:

Observation (or inspection)

Examination of Paranasal sinuses:

Palpation (or touching): to know if any zone causes pain when touched

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)

Ear[s] Examination:

Observation of the ears with an otoscope (instrument with light that the doctor uses to see de auditive conduct and eardrum)


Thorax Examination:

Observation (or inspection)

Palpation (or touching)

Auscultation (listening): of the noises/sounds produced by the lungs and heart.

Percussion (give repetitive blows): to know how every part of the thorax sounds like.

Physical Examination for Sore Throat (pediatric)

The doctor may perform the following exam or exploration:
.Control of Cardiac Frequency: Norma valuesl: 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)
Throat Examination:

Observation (or inspection)

Examination of Paranasal sinuses:

Palpation (or touching): to know if any zone causes pain when touched

Lymph node examination (for example, neck, armpit, and other areas):
Observation (or Inspection)
Palpation (or touching)

Ear[s] Examination:

Observation of the ears with an otoscope (instrument with light that the doctor uses to see de auditive conduct and eardrum)


Thorax Examination:

Observation (or inspection)

Palpation (or touching)

Auscultation (listening): of the noises/sounds produced by the lungs and heart.

Percussion (give repetitive blows): to know how every part of the thorax sounds like.

Physical Examination for suspected myocardial infarction

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)
Thorax and chest area Examination:
Observation (or Inspection)
Palpation (or touching)
Auscultation (listening): the noises/sounds produced by the lungs and heart.
Percussion(repetitive taps): to know how each part of the thorax sounds like.
Skin Examination: color, temperature.

Physical Examination for suspicion of Acute Sinusitis

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)
.Skin and mucous Examination (of mouth and eyes)
-Fauces Examination (mouth and throat)
-Neck palpation
-Face palpation (painful areas)
Transillumination: In a dark room with a torch both sides of the face are illuminated, below the eyes, and with the mouth open. It is possible to see the presence of mucus in the paranasal sinuses.

Physical Examination for suspicion of Acute Sinusitis

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)
.Skin and mucous Examination (of mouth and eyes)
-Fauces Examination (mouth and throat)
-Neck palpation
-Face palpation (painful areas)
Transillumination: In a dark room with a torch both sides of the face are illuminated, below the eyes, and with the mouth open. It is possible to see the presence of mucus in the paranasal sinuses.

Physical Examination for Swollen eyes

.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)
Eye examination:
.Examination of eyelids
.Examination of conjunctiva
.Evaluate visual acuity and field of vision
.Examination of pupil, eye movement and reflex
.Examination with Ophthalmoscopy (instrument with a light the doctor uses to evaluate red reflex, retina and optic nerve)
.Examination of periorbital area
.Color
.Temperature
.Palpation: to evaluate the presence or absence of pain

Physical Examination for Syncope

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) and take it with the patient laying down and standing up.
Heart and vessels examination:
.Palpation of neck veins and arteries.
.Ausculatation (or hearing) the heart
Neurological examination:
.Conscience level.
.Evaluate the presence of involuntary movements of arms and legs
.Mobility and stability
.Arm or legs weakness
.Evaluate senses

Physical Examination for Urinary Incontinence in children

The doctor may perform the following exam or exploration:
.Control of Cardiac Frequency: Norma valuesl: 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)
Evaluate the march: in search for neurologic disorders
Abdomen examination: (in search of masses)
Observation (or Inspection)
Palpation (or touching)
Hearing the sounds of the abdomen (hydro-aerial sounds)
Percussion (repetitive taps) to know how each part of the abdomen sounds like.

Examination of the sacral area: (to detec asymmetries) lipoma, angioma that may be a sign of spinal injury.
.Observation (or Inspection)
.Palpation (or touching): if needed, based on the case.

Physical Examination for Urinary incontinence or Urine loss

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)

Abdomen Examination: Observation (or Inspection)
Palpation (or touching) to know if any spot causes you pain and to recognise if there is any lesion perceptible to touch.
Listening the sounds of the abdomen (bowel sounds).
Percussion (give repetitive blows) to know how every part of the abdomen sounds like.
Digital rectal examination (in men) and Vaginal tactus (in women): according to the case
Examination in the genital area:
Observation (or Inspection): to evaluate the urine loss when coughing and whether prolapse (falling of organs, such as the bladder, out of their normal location) is present
Examination of neurological integrity:
Evaluate the tone (contraction) of the anal sphincter, and sensitivity of the genital area, according to the case.

Physical Examination for Urine incontinence or Urine loss

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)

Abdomen Examination: Observation (or Inspection)
Palpation (or touching) to know if any spot causes you pain and to recognise if there is any lesion perceptible to touch.
Listening the sounds of the abdomen (bowel sounds).
Percussion (give repetitive blows) to know how every part of the abdomen sounds like.
Digital rectal examination (in men) and Vaginal tactus (in women): according to the case
Examination in the genital area:
Observation (or Inspection): to evaluate the urine loss when coughing and whether prolapse (falling of organs, such as the bladder, out of their normal location) is present
Examination of neurological integrity:
Evaluate the tone (contraction) of the anal sphincter, and sensitivity of the genital area, according to the case.

Physical Examination for Vaginal Discharge

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).
Pelvis examination: Vulva (lips, clitoris, vagina)and Cervix
.Observation (or Inspection):
-Of the skin and mucous: If there are changes in color or presence of injuries.
-Of discharge (or secretion) and evaluate its characteristics:
.Amount
.Color
.Smell
.Consistency
Vaginal touch: according to the case
Abdomen examination: Observation (or Inspection)
Palpation(or touching) to know if there is any place causing pain or to recognise any injury that can be perceived by touching.
Hearing abdomen sound: (Hydro-aerial sounds)
Percussion (repetitive taps) to know how each part of the abdomen sounds like.

Physical Examination for Vaginal Discharge

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).
Pelvis examination: Examen de la pelvis: Vulva (lips, clitoris, vagina)and Cervix
.Observatiob (or Inspection):
-Of the skin and mucous: If there are changes in colour or presence of injuries.
-Of discharge (or secretion) and evaluate its characteristics:
.Amount
.Colour
.Smell
.Consistency
Vagina touch: according to the case
Abdomen examination: Observation (or Inspection)
Palpation(or touching) to know if there is any place causing pain or to recognise any injury that can be perceived by touching.
Hearing abdomen sound: (Hydro-aerial sounds)
Percussion (repetitive taps) to know how each part of the abdomen sounds like.

Physical Examination for Vertigo and Dizziness

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)
Ear examination:
- Ear observation with an Otoscope (instrument with a light the doctor uses to see the hearing channe and the eardrum)
-Evaluate of audition: with fingerboard, whispering or hair rubbing near the ear.
Eyes examination:
-Pupil reflex
-Eyes movement
-Presence or absence of Nistagmus (involuntary eyes movement)
Neurological Examination:
-Evaluate marchEvaluar la marcha
-Different test or manoeuvres that will help to know the cause of your symptoms.
Evaluate balance

Physical Examination for waist pain

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.
Evaluation of the mobility: whether it is limited or not
Evaluation of: .Achilles reflex (of the ankle): the reaction of the ankle is evaluated giving the aforementioned soft taps with a hammer or other item.
.Patellar reflex (of the knee): the reaction of the knee is evaluated giving the aforementioned soft taps with a hammer or other item.

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