INSTITUTO ESPECIALIZADO DE EDUCACION SUPERIOR DE PROFESIONALES DE LA SALUD DE EL

SALVADOR, IEPROES
EXPLORACION FISICA
A. APARIENCIA GENERAL.
Estado nutricional____________________________________________________________________________
postura_______________________________________ Marcha_______________________________________
Forma de vestir_________________________________ Expresin facial_______________________________
Lenguaje_____________________________________ Temperatura____________________________________
Pulso______________________ T/A_________________________ Respiraciones________________________
Peso___________________________________________ Talla_________________________________________
B. CABEZA.
1- Crneo inspeccin.
Brillo y cantidad de cabello_______________________________________________________________
Parsitos______________________ Caspa_____________________ Alopecia_____________________
Forma de cabeza_______________________________________________________________________
Palpacin ndulos__________________________________ Cicatrices_______________________________
reas de sensibilidad_______________________________________________________________________
Implantacin e integridad del cabello__________________________________________________________
2- Cara
a) Ojos______________________ Cejas_______________________ Pestaas_______________________
Conjuntivas_________________________________ Esclerticas________________________________
Cornea_______________________________ Reflejo corneal___________________________________
Reflejo de acomodacin_________________________________________________________________
Movimientos oculares___________________________________________________________________
Glndulas lagrimales____________________________________________________________________
Campimetra____________________________ Agudeza visual_________________________________
Pruebas neurolgicas: fruncir frente, apuas ojos, levantar cejas______________________________
_______________________________________________________________________________________
Tono del globo ocular___________________________________________________________________
b) Odos inspeccin.
Otoscopia conducto auditivo externo______________________________________________________
Tmpano_____________________________ Agudeza auditiva__________________________________
c) Nariz y senos paranasales
Presencia de secresiones________________________________________________________________
Presencia de hemorragia________________________________________________________________
Obstruccin nasal_______________________________________________________________________
Dolor al tacto___________________________________________________________________________
Presencia de masas____________________________________________________________________
Transluminacion del tabique______________________________________________________________
Prueba de los olores____________________________________________________________________
Palpar senos frontales y maxilares________________________________________________________
d) Boca y faringe
Dientes__________________________________ Encas_______________________________________
Labios__________________________________ Mucosas______________________________________
Lengua movimientos____________________________________________________________________
Coloracin________________________________ Ulceraciones_________________________________
Prueba de sabores_____________________________ vula___________________________________
Faringe____________________________________ Paladar____________________________________
Amgdalas_____________________________________________________________________________
e) Cuello
Simetra________________________________ Movimientos___________________________________
Tiraje supraclavicular____________________________________________________________________
Ganglios linfticos______________________________________________________________________
Trquea__________________________________ Tiroides______________________________________
Arterias y venas________________________________________________________________________
C. TORAX
1- Trax y pulmones

Inspeccin
Simetra_________________________________ Retracciones_______________________________________
Tipo de respiracin___________________________________________________________________________
Forma______________________________________________________________________________________
Presencia de secresiones_____________________________________________________________________
Palpacin sensibilidad________________________________________________________________________
Fremitus vocal_______________________________________________________________________________
Movimientos respiratorios_____________________________________________________________________
Masas_______________________________________ Ndulos_______________________________________
Percusin: espacios supraclaviculares (vrtices del pulmn)_________________________________________
___________________________________________________________________________________________
Espacios intercostales________________________________________________________________________
Auscultacin:
Espacios supraclaviculares o intercostales________________________________________________________
____________________________________________________________________________________________
Vesiculares__________________________________________________________________________________
Bronquiales__________________________________________________________________________________
Bronquiales o tubaricos________________________________________________________________________
2- Corazn
Aortica (2 espacio intercostal derecho)________________________________________________________
Pulmonar (2 espacio intercostal izquierdo)_____________________________________________________
Tricuspide (5 espacio intercostal izquierdo junto al esternn)_______________________________________
__________________________________________________________________________________________
Mitral (5 espacio intercostal izquierdo lnea media clavicular)_______________________________________
__________________________________________________________________________________________
3- Mamas
Inspeccin tamao_________________________________ Simetra__________________________________
Aspecto de la piel___________________________________________________________________________
Color____________________________________ Retracciones______________________________________
Edema__________________________________ Dibujo venoso______________________________________
Palpacin consistencia_______________________________________________________________________
Elasticidad_________________________________________________________________________________
Masa_____________________________________________________________________________________
D. ABDOMEN (rganos)
1- Inspeccin
Red venosa____________________________________ Forma_______________________________________
Simetra_______________________________________ Masas_______________________________________
Cicatrices_____________________________________ Estras_______________________________________
2- Palpacin___________________________________________________________________________________
3- Percucion___________________________________________________________________________________
4- Auscultacion_________________________________________________________________________________
E. MIEMBROS
1- Superior
Inspeccin
Simetra, cicatrices, masas, coloracin__________________________________________________________
__________________________________________________________________________________________
Palpacin
Sensibilidad_________________________________ Tono muscular__________________________________
Pulso radial_________________________________ Pulso humeral___________________________________
Articulaciones________________________________ Movimientos____________________________________
Reflejo bicipital_________________________________ Tricipital______________________________________
Prueba de fuerza muscular____________________________________________________________________
2- Inferiores
Inspeccin
Simetra___________________________________ Deformidades_____________________________________
Varices___________________________________ Erupciones_______________________________________
Descamaciones_____________________________________________________________________________
Edema_____________________________________________________________________________________
Palpacin

Tono muscular______________________________ Pulso femoral_____________________________________

Poplteo_________________________ Pedio_________________________ Tibial________________________
Articulaciones__________________________________ Movimientos__________________________________
Pruebas de fuerza muscular___________________________________________________________________
Reflejo rotuliano_________________________________ Arquiliano____________________________________
F. GENITALES (si la persona lo permite)
Inspeccin.
Distribucin del vello pbico____________________________________________________________________
Parsitos_________________________________ Masas_____________________________________________
Secresiones_________________________________________________________________________________
Palpacin (masas, sensibilidad y otros)___________________________________________________________
____________________________________________________________________________________________
G. NEUROLOGICO
Pruebas de funcin sensorial algodn alfiler___________________________________________________
____________________________________________________________________________________________
Estado mental y emocional____________________________________________________________________
____________________________________________________________________________________________
Funcin intelectual___________________________________________________________________________
____________________________________________________________________________________________
Pruebas de equilibrio
Marcha de puntillas_______________________________________________________________________
Marcha dedos talon_______________________________________________________________________
Deslizamiento del taln sobre las piernas____________________________________________________