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Clinical Phase I
Clinical Phase I- UWS Quarter 7 -General Physical Exam Flow
Patient/Doc Positions | Exam Procedures |
---|---|
Seated Vitals | Temp, Pulse, Respiration rate, Bi-lat BP |
Standing (outside of exam room) | Height, Weight, Snellen Chart, Gait |
Standing (inside exam room) | Heel/toe walk, Squat and rise, posture, waist and hip circumference, Romberg, Single-leg stand/rotation, finger to nose, AROM |
Seated (stand in front of patient) | Cervical/shoulder/elbow/wrist/TMJ ROM and palpation, inspect head/neck, palpate thyroid/submental/submandibular nodes, Cranial nerves, Ophthalmo-/oto-/rhinoscope, Neuro (sensory, DTR, Motor C5-T1) |
Seated (stand behind patient) | Lung exam, Cervical palpation/orthopedics |
Seated (patient straddles the table) | Spinal percussion, Kemp's, Lumbar and thoracic motion palp |
Supine (stand or sit at head of table) | Active cervical flexion, Jull, Cervical PROM, Cervical motion palp |
Supine (stand or sit near patient's abdomen) | Abdominal Exam, Check ASIS height |
Supine (stand at foot of table) | Feet- inspect, palp temp, dorsal pedial and post tib pulses, dorsi flexion, eversion Hip- int/ext rotation, Leg length, Allis, Neuro (Lumb/Sac plexus and cord) |
Supine (stand near patient's thigh) | Low back and pelvis orthopedics |
Side Posture | Active hip ABDuction, Ober's test |
Prone (stand at foot of table) | Leg length, internal rot with knees bent, palp calf for tenderness |
Prone (stand at side of table near thigh) | Low back/Pelvis orthopedics, Soft tissue/osseous/joint evaluations |