Medical Sciences 303 Lecture Notes - Lecture 1: Hydrocele, Axillary Lymph Nodes, Stomatitis

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Ask for the patient"s name and age. Wash your hands before and after the examination. Thank the patient & offer to help him get dressed. Temperature, heart rate, blood pressure, respiratory rate, oxygen saturation. General appearance (well or ill, skin color, dysmorphism, tubes) Hands (digits, simian crease, leukonychia, koilonychia, clubbing, erythema, purpura, flapping tremor) Head (size, masses, palpation of sutures and fontanelles) Eyes (jaundice, pallor, periorbital edema, epicanthic folds) Mouth (lips, tongue, palate/tonsils and buccal mucosa) Chest (accessory muscle use, nasal flaring, scars, spider nevi, pectus excavatum, pectus carinatum, barrel chest, harrison sulcus) Abdomen (scars, distention, dilated veins, masses, visible peristalsis) Back (kyphosis, scoliosis, mongolian spot, dimple, spina bifida, hair tuft) Head circumference until 2 years of age. For more details, refer to growth assessment osce file. If the baby is crying, note whether the crying is high pitched or normal: skin color (pallor, cyanosis, rash, dysmorphic features, iv drips, ng tubes and urinary catheters.

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