A systematic physical examination follows a head-to-toe approach, beginning with baseline vital signs (blood pressure, pulse, respiration) and progressing through systematic assessment of each body system including head, ears, eyes, sinuses, thyroid, lungs, heart, and abdomen, with the healthcare provider adapting techniques based on patient history and findings.
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Deep Dive
510 - Unintentional ASMR - Assessment / Exam / Head to ToeAdded:
Hi, I'm Sarah. I'll be your midwife. Hi, Sarah. All right. So, we're going to go ahead and get started with a physical exam. So, I'm going to go ahead and wash my hands first before we get started, okay? Okay. Good.
All right. So, we're going to go ahead and get started with some of your baseline vitals.
>> Okay. So, I'm going to go ahead and take your blood pressure real quick.
Good.
All right.
Got 110 over 75, which is normal.
And I'm going to go ahead and I'm going to take your pulse.
Okay, and put your hand down.
All right. So, I've got a pulse of 80, respiration of 16, which is completely normal.
That's good.
So, I'm going to go ahead and I'm going to check your hands real quick.
All right. We're just looking here on the capillary refill, which you have nail polish. Just makes that a little bit difficult, but we'll go ahead and look at your hydration here with your skin turgor.
Yeah, and that's a normal response there.
And then, I'm going to go ahead and I'm going to start with your head, okay? So, we're going to I'm just feeling your scalp for any bumps, bruises, anything like that. Have you had any sores or any pain on your head at all? No. Okay. So, I'm going to go ahead and get started.
Okay, I'm just going to feel your Just going to feel your lymph nodes here.
Did you do what?
Oh god.
Okay.
And I'm just feeling your jaw, so go ahead and open and close for me. And do you have any pain, any pressure with that? No?
>> Mhm. Okay. And can you go ahead and open your mouth? Let me just looking at your teeth, looking at your mouth here. Looks good. And do you see a dentist regularly? Yes. Good. Perfect. All right.
So, I'm going to go ahead and I'm going to look [snorts] at your eyes for uh your ears and your eyes real quick. So, for the ears, we're just looking for the tympanic membrane, just making sure it's all healthy and gray.
All right.
Yeah, that looks great.
Mhm.
All right, and that also looks good as well.
I'm going to go ahead and change the adjustment on here, so that way I can look at your eyes next.
There we go.
Okay.
So, go ahead and I'm going to have you look right in that corner of that room right there. I'm going to go ahead and look at your eyes, Sarah.
>> [laughter] >> So, we're going to go ahead and do your eye exam, so if you could go ahead and focus in that corner of the room right there.
>> Gotcha. All right. So, I'm going to do this eye first.
All right. We're just checking for that red reflex.
Should everything's normal.
All right. And that looks good.
So, I'm going to go ahead and I'm going to feel your sinuses. Have you been experiencing any sinus issues?
>> Yes, I have lots of snot. Okay. So, I'll be extra careful then when I'm feeling for your sinuses, okay? So, let me know if you feel any pain.
That hurts. Yeah? Okay. And do you see a a primary care physician? I do. Okay.
So, just keep an eye on things for sure.
So, I'm going to go ahead and I'm going to feel your thyroid next, so I'm going to come around to your neck here.
So, if you could go ahead and put your head down to the left. Go ahead and swallow.
Okay. And go ahead and down to the right and swallow.
Okay, great. So, I'm going to go ahead and I'm going to feel your back. Let me know if you feel any tenderness, okay?
Okay.
All right. And then, we're just feeling your spine here. Make sure everything's aligned.
All right, great. So, next we're going to go ahead and we're going to listen to your lungs.
All right. So, go ahead and take a deep breath.
Okay.
Yeah, I'll be hearing a little bit better if we go ahead and do it under the shirt.
>> Okay. Okay, go ahead.
Yeah, that sounds much better.
Okay.
All right. I'm going to go ahead and I'm going to listen under your shirt on this right hand side, okay?
Okay, go ahead.
Breathe.
Can you breathe one more time?
Okay, great.
I'm going to also listen I'm going to listen to your lungs and your heart.
Okay, from here, okay.
So, go ahead and take a deep breath.
Okay.
All right. And then, I'm going to go ahead and go from under the shirt to feel the rest of your lungs if you feel okay. All right.
All right. And then, this side.
Okay. So, I'm going to go ahead and I'm going to listen to your heart. So, there's different locations I'm going to listen to. So, one of them since we're right there, I'm going to go ahead and listen to that corner there.
Okay, go ahead. No don't need to take deep breaths. Okay.
Okay. I'm going to go ahead and listen to it up here again, okay?
All right.
And that all sounds wonderful.
So, one last thing to do your abdominal exam, I'm going to just going to test your reflex on your legs. You know, that thing where you kick out, all right?
All right.
All right. So, I'm going to go ahead and have you lay back.
Is it comfortable for you here? Yeah.
Okay.
Are you are you comfortable with where you're at? Very comfortable. Okay. All right. So, I'm going to go ahead and have you lift your shirt up, okay? So, just under your breasts.
Okay. And go ahead and pull your pants down just a little bit for me, so I can really evaluate your belly there.
All right.
All right. So, I'm going to go ahead and listen for some bowel sounds.
All right. Sounds good. So, I'm going to go ahead and I'm going to repercuss. Let me know if you feel any pain, okay?
All right. And that sounds good. So, I'm going to go ahead and I'm going to press on your belly a little bit, okay? So, go ahead and tell me if you feel any pain, okay?
Okay. And that all felt all right?
Okay. So, I'm going to just push a little bit deeper, so that way I can feel your organs more adequately, okay?
All right. I'm sorry. Are you okay? I'm okay.
You have >> [laughter] >> really strong abdominal muscles.
Thank you. I work out.
And this and that all feels good. We're going to go ahead and feel your I'm going to go ahead and do this side.
All right. And that's all feeling good.
So, I'm going to go ahead and help you up to your I would like to keep my legs up.
Okay.
First, so do you have any questions for me?
Um yeah.
All right, well, everything looks good and normal, so go ahead and make sure you follow up with the sinuses if they get worse, okay? Thank you. Okay.
Fine.
I'm doing an eye exam next, so I appreciate you um helping me.
>> [laughter] >> Okay, so I need I need Okay, we're good.
Great, though. You're just like Um concentrated. Can you like ready?
Okay, so we're going to go ahead and do your eye exam, so I'm going to be looking for your red reflex. So, go ahead and look in that corner of the room over there. Can do.
Okay.
>> [snorts] >> I'm sorry.
Wait.
I'm just going to make up a time.
>> [laughter] >> All right.
It's okay. We're going to get through this.
We're going to get through this. Okay.
Okay.
All right, so this part of this is Okay, so this next part we're going to go ahead and we're going to do it.
Sydney, we're going to do eye exams, so if you could go ahead and look in the corner of the room right there.
Do you need a minute to uh >> [laughter] >> Okay.
>> [snorts] >> Yes, the corner >> This is what happens. Why do you have to do this to me and do it with somebody else?
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