IV.

Physical Assessment and Review of Systems

PHYSICAL FINDINGS REVIEW OF SYSTEMS

ASSESSMENT
 Skin Inspection:
 Skin is generally fair in
color.
 Presence of blisters on
the skin of the lower
extremities noted.
Palpation:
 Upon palpation, the skin
appeared warm and
higher than the normal
range of temperature
 Hair Inspection: Hair is not visibly
dry or oily, no abnormalities
such as infection or lice
infestation.
 Head Inspection: Head is normal
and symmetrical with no
evident signs of trauma.
Palpation: No abnormal
formations felt upon palpation.
A blister is a small pocket of
body fluid (lymph, serum,
plasma, blood, or pus)
within the upper layers of
the skin, usually caused by
forceful rubbing (friction),
chemical exposure or
infection. Most blisters are
filled with a clear fluid,
either serum or plasma.
Objective Cues:
 T: 38.1 C
 BP: 90/60 mmHg
 Pain Score: 8/10
Subjective Cues:
 “Init akoa lawas”
Elevated skin temperature
often means that the body's
temperature is hotter than
normal. This might be an
indication of infection or
illness.

 Face Inspection: Face is

symmetrical with nose on
midline and eyes positioned
symmetrically.
Palpation: No edema noted.

 Ears Inspection: Ears are

symmetrical with no discharges
Palpation: Abnormal nodes
not noted behind patient’s
ears.

 Eyes Inspection: Normal pupillary

light reflex noted, no signs of
jaundice and other eye
problems.
 Nose Inspection: Nasal structure is
symmetric with no discharges.
 Mouth Inspection: No signs of
inflamed tonsils and no
presence of mouth sores and
lesions.

 Neck Inspection: Trachea is

midline, can move accordingly,
no swelling and tenderness
noted.
 Chest Inspection: Chest is
symmetrical
Auscultation: Chest is clear
with normal respiratory rate
and rhythm.

 Abdomen Inspection: Abdomen not

distended, no presence of scar.
Auscultation: Bowel sounds
heard in four quadrants.
Palpation: No abdominal
masses or tenderness noted.

 Upper Extremities Inspection: Range of motion

is utilized to its extent, fully
capable of carrying objects
with weight.
Palpation: No tenderness
noted.
 Lower Extremities Inspection: Legs are A blister is a small pocket of
symmetrical and even, range body fluid (lymph, serum,
of motion is not completely plasma, blood, or pus)
utilized due to the presence of within the upper layers of
blisters. the skin, usually caused by
Palpation: No tenderness forceful rubbing (friction),
noted. chemical exposure or
Percussion: No positive infection. Most blisters are
Homan’s sign noted. filled with a clear fluid,
either serum or plasma.