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General Survey

General Appearance

Well
Ambulatr
oy

Acutely Ill
w/
assistance

Body Habitus

Relax
Hyposthe
nic

Rigid
Normosthe
nic

Facies

No charac

Chronicall
y Ill
Wheelchai
r

Stretcher

Bedridd
en

Restless

Pacing

Moonfacies

Tense
Hypersthe
nic
Hyperthy
Stre

Cooperati
ve

Guarded

Suspicious

Evasive

Neutral

Anxious

Fearful

Elated

Hostile
Eyphori
c

Broad

Restricted

Labile

Blunted

Flat

Animated

Slurred

Hoarsene
ss

Pitch

Abn movt

Normal
Grimacin
g

Mannerism

Thought Process

Paranoia

Delusions

Compulsi
ons

Phobias

Ambulatroy Status
Posture and GMA

Dragging
1 ft

Limping

Shuffling

Angry

Depress
ed

Irritable

Illusions

Hallucin
a

Deperso
nal

Inv
movt

Mood Affect
Attittude
Mood Affect
Affect
*Intensity

Seductive

Appropriateness
PA & Speech
Manner

Appropriat
e
Stereotypi
ng
Obsession
s

Level of Comfort
Level of
Conciousness
Skin Color
Body Symmetry
Personal Hygiene
Cognition

HEENT

Dereal
iz

Immobile
parts

Ears
Inspection
Otoscope
Hearing Acuity
Webers Test
Rinnes Test
Nose
Inspection
Nasal Passages
Test of Olfaction
Sinuses
Eyes
Inspection
Visual Acuity
6 cardinal gaze test
Confrontation Method
Direct Pupillary Testing
Swinging Flashlight Test
Consensual Testing
Accomodation Test
Corneal Reflex
Ophthalmoscope
Mouth
Inspection & Palpation
Tongue Movement
Tonsils
Gag Reflex
Face
Faces with Sensation Assessment
Insert TMJ and muscle assessment
Neck
Lymph Nodes
Thyroid Tissue
Swallowing

MUSCULOSKELETAL
Temporomandibular Joints

Opening/Closing
Lateral Movement
Protusion
Retraction
Cervical Spine
Neck Flexion
Neck Extension
Lateral Bending
Rotation
Shoulder Joints
Forward Flexion
Hyperextension
Abduction
Adduction
Internal Rotation
External Rotation
Shoulder Shrug
Elbow Joints
Flexion
Extension
Pronation
Supination
Forearm, Wrist and Hand
Knuckle Flexion
Knuckle Extension
Thumb to each Finger
Fist
Fan
Wrist Flexion
Wrist Extension
Radial Deviation
Ulnar Deviation

3-6cm
1-2cm

45
55
40
70

180
50
180
50
90
90

160
180
90
90

90
30

90
70
20
55

Hips
Hip Flexion, Knee Extended
Hip Flexion, Knee Flexed
Hip Extension, knee extended
Hip Abduction
Hip Adduction
Internal Rotation
External Rotation

90
120
30
45
30
40
45

Knees
Knee Flexion
Knee Extension

130
15

Foot and Ankle


Dorsiflexion
Plantar Flexion
Eversion
Inversion
Abduction
Adduction
Digit Flexion and Extension

20
45
20
30
10
20

Sacroiliac Joints, Spine


Flexion
Extension
Lateral Bending
Rotation

75
30
35

NEUROLOGICAL
Cerebrum
LOC
GCS
MSE

General Behaviour/Appearance
Stream of Thought
Mood and Affect
Thought Content
Intellectual Capacity
Orientation
Memory
Calculation
Insight
Judgement
Impulse Control
Cerebelum
Finger to Nose
Finger to Finger
Supination Pronation
Heel Knee Shin
Rombergs
Tandem
Cranial Nerves
MMT & DTR (+ Pathological Reflexes)
Sensory
Light Touch
Pain
Vibration
Position
Temperature
Two Point Discrimination
Stereognosis
Graphesthesia
Extinction Phenomenon
Monofilament
Kernigs
Brudzinski