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Patient Intake Form: #5 Physical Exam General: Weight, height, blood pressure, pulse rate, respiration rate, temperature Skin: Color & appearance, texture, lesions, nails, scalp Head: Skull, scalp Eyes: Visual acuity, color blindness, range of motion, visual fields, conjuntiva, sclera, lens, cornea, pupils, fundi Ears: Hearing, canals, drums, rhinne, webber Nose: Shape, mucosa, turbinates, sinuses Mouth & Throat: Lips, oral cavity, teeth, gums, pharynx, tonsils Neck: Shape, range of motion, trachea, thyroid Breasts: hair, nodularity, Breast Self Exam? Lymph Nodes: occipital, epitrochlear, anterior cervial, inguinal Chest: shape, motion Lungs: Respiration, breath sounds, extra sounds Heart: S1, S2, systole, diastole, apex beat, percussion, rate & rhythm, blood pressure: L & R, pulses: L & R Pulses: Carotid, radial, femoral, poplitial, femoral, popliteal, dorsalis pedis Reflexes: Biceps, triceps, brachioradialis, patellar, ankle, abdominal Abdomen: Palpation (superficial & deep), liver, spleen, bowel sounds, anus, Fecal Occult Blood Test Muskuloskeletal: Spine, back, muscles, joints, supraclavicular, axillary Genitalia - Male Penis, scrotum, testes, spermatic cord, prostate inguinal hernia Genitalia - Female: Vulva, vagina, cervix, adnexa |
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Intake Questionnaires | Home Page | Homeopathic Intake | General Intake 1 | Nutritional Assessment Questionnaire | Review of Systems | Laboratory Tests | Informed Consent  | ||
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