537 - Unintentional ASMR - Assessment / Exam / Head to Toe

Added: 2026-05-13

[00:00:00]Yeah.

[00:00:01]Okay, hi, my name's Alana. I'm going to be your nurse practitioner doing your full physical exam today. I'm going to start by examining your head.

[00:00:09]I'm just going to look at your scalp for any unevenness, bumps, or lesions.

[00:00:17]Okay, now I'm going to start by I'm going to assess your submandibular joint. Open your mouth. Now close. Okay, no clicks.

[00:00:26]Any pain? No. Okay, I'm going to do your cranial nerves. I'll have you raise your eyebrows.

[00:00:31]Okay, now close your eyes tight.

[00:00:33]Make a frown.

[00:00:35]Okay, you can open your eyes. Now puff your cheeks out.

[00:00:38]Okay, relax. And this is called the cotton whisp test. I'm going to have you close your eyes. When you feel it on your face, say now, okay?

[00:00:48]Now.

[00:00:49]Yes.

[00:00:50]Yes.

[00:00:51]Yes. Okay, I'm going to assess some of your lymph nodes. I'm going to do your preauricular, your postauricular, your submental, mandibular, your subclavicular, and your occipital.

[00:01:12]Okay, I'm going to do your eye exam.

[00:01:21]Okay, first I'm going to have you cover your right eye.

[00:01:28]I'm sorry. Can you take your glasses off? Okay, I'm going to have you follow my finger.

[00:01:34]Okay, I'm done.

[00:01:37]Okay, very good.

[00:01:56]Okay, I'm going to dim the lights. I'm going to have you cover your right eye.

[00:02:02]Assess the pupil.

[00:02:04]Getting smaller. Okay, now cover your left side.

[00:02:07]Same thing.

[00:02:10]Okay, I'm going to have Now I'm going to do it again and watch the other eye.

[00:02:15]See their accommodation.

[00:02:19]Good.

[00:02:20]Now I'm going to assess some of the inner structures of your eye.

[00:02:26]We go immediately for the cup and the disc.

[00:02:30]Laterally for the macula and fovea. See the red light reflex.

[00:02:35]Same thing on your right eye.

[00:02:37]Medially for the cup and the disc.

[00:02:39]Laterally macula fovea.

[00:02:43]See the red light reflex.

[00:02:47]Okay, now we're going to do I'm going to assess some of your ears.

[00:02:52]Feel any pain or discomfort?

[00:02:54]Okay, this is called the whisper test.

[00:02:56]I'm going to whisper three words in your ear. Repeat after me, okay?

[00:03:01]Boat, chair, couch.

[00:03:06]Table, pillow, blanket.

[00:03:07]>> Okay. Now I'm going to take a look at the inner structures of your I'm going to pull up, back, and out.

[00:03:15]Okay.

[00:03:16]Tympanic membrane intact.

[00:03:20]Pearly gray, no cerumen.

[00:03:22]Same thing on the other side. Pull up, back, and out.

[00:03:27]Pearly gray.

[00:03:30]Tympanic membrane intact. No cerumen.

[00:03:34]Okay.

[00:03:36]Now I'm going to assess your nose. I'm going to occlude one side and have you sniff.

[00:03:42]Okay, other side sniff.

[00:03:44]Okay.

[00:03:46]Now I'm going to have you tilt your head up. I'm going to take a look inside.

[00:03:52]Your mouth and your nose. Ah.

[00:03:56]Okay, the turbinates are not red or inflamed.

[00:04:01]Okay, and then I'm going to have you assess your mouth. Do a big smile.

[00:04:06]Okay.

[00:04:08]Relax.

[00:04:10]Come inside tap and then pull your tongue back.

[00:04:14]I'm going to have you stick your tongue out.

[00:04:21]Stick your tongue out.

[00:04:22]And get a deep breath.

[00:04:24]Okay.

[00:04:27]And one more thing with the cranial nerves and then have you shrug your shoulders.

[00:04:32]Okay, good. Now I'm going to take a look at your neck.

[00:04:36]Tracheal No tracheal deviation observed.

[00:04:42]Can you hold this?

[00:04:47]And I'm going to have you just trachea to the left. Tilt your head to the right a little.

[00:04:55]Okay, now take a sip of water.

[00:05:01]Okay.

[00:05:08]And I'm going to assess your chest. I see you have a two to one AP diameter.

[00:05:15]Okay.

[00:05:19]I'm going to have you do a deep inhale and exhale every time I move position through your mouth, okay?

[00:05:39]Go ahead. Breathe.

[00:06:05]>> Okay, the same thing on your back.

[00:06:07]This way a little bit.

[00:06:51]Okay.

[00:06:54]And what I was supposed to do before that stuff was stuff was percuss percuss your chest, so.

[00:07:13]Face this way.

[00:07:28]Okay, now we're going to assess your heart.

[00:07:32]I'm going to do that again.

[00:07:36]Okay.

[00:07:38]Aortic side.

[00:07:41]Pulmonic.

[00:07:44]Herbs.

[00:07:51]Tricuspid.

[00:07:53]And mitral.

[00:07:56]Same thing with the bell.

[00:08:13]Okay, I'm sorry. Can you lay down?

[00:08:15]Lay down? That's fine.

[00:08:44]Okay, I'm going to need you to lay on the couch.

[00:08:55]Okay. So, I'm going to put my head down?

[00:08:56]I'm going to do it now. I'm going to do the uh abdominal assessing it now.

[00:09:03]I'm going to and first inspect your abdomen.

[00:09:08]Okay, now I'm going to auscultate in all four quadrants.

[00:09:28]Okay, now I'm going to percuss in all four quadrants.

[00:09:36]Okay, now I'm going to palpate.

[00:09:38]Palpated all four quadrants. Light and deep.

[00:09:47]And now I'm going to go up to the liver border right under last rib. Take an inhale.

[00:09:56]And exhale.

[00:09:58]Okay.

[00:09:59]Okay, now I'm going to do your vascular assessment.

[00:10:03]I'm going to look at both of your upper extremities for color, feel for temperature.

[00:10:10]I'm going to feel the radial pulses.

[00:10:14]Brachial.

[00:10:16]Brachial and radial.

[00:10:18]Same thing with your legs.

[00:10:20]I'm going to feel for temperature.

[00:10:23]Pulses. I'm going to feel down the tibia for edema.

[00:10:28]Okay, I'm going to feel for the femoral pulse.

[00:10:33]Bend at a 30-degree angle for the popliteal pulses.

[00:10:39]And Okay.

[00:10:48]And I'm going to do the cap refill.

[00:10:56]Okay. Now for the final part, I'm going to have you stand up.

[00:11:03]And I'm going to have you bend forward.

[00:11:10]Okay, I'm going to observe that the spine is straight.

[00:11:13]Okay, now I'm going to have you face me.

[00:11:15]Put your hands on your hips. I'm going to have you twist right to left.

[00:11:22]Okay, now bend right and left.

[00:11:25]Okay, great. Thank you.