Head 2 Toe

Question 0

Head

Answer 0

Check eyes, nose, mouth and ears.
Palpate scalp

Pt do you suffer from headaches,migraines, or seizures?

Have you had a concussion or
A stroke?

Question 1

Intro

Answer 1

Alright pt I’m going to move onto a through body survey, I’ll starting at your head and working my way down to your toes, I’m looking for anything out of place, tenderness,swelling, let me know feel any discomfort. As I go im going to ask you a bunch of questions, try to relax and answer them as best you can.

Question 2

Neck

Answer 2

Palpate neck and look for JVD, TD

Pt you ever gotten wiplash? involved in a car accident?

Been intubated or given a tracheotomy?

Had strep throat? Hep a,b or c?

How are you feeling pt, your doing great?

Question 3

Chest

Answer 3

Auscultate lungs, bi lateral expansion apex to bases. Palpate.

Have you ever fractured or broken any of your ribs?

Do you have angina or copd? Have you ever had a heart attack, do you have a pacemaker or any other cardiac problems? Is there a history of heart problems in your family?

Question 4

Abdomen

Answer 4

Auscultate 4x Palpate.

Pt are you diabetic? 1 or 2, have you hads appendicitis or gastritis? Do you still have all your organs? Do you suffer from abdominal bleeding or ulcers?

Gastric distention.

Question 5

Back

Answer 5

Auscultate back, Palpate back and spine

Pt do you have asthma or emphysema? Have you ever had bronchitis or pneumonia? Received any major trauma to you spine?

Question 6

Pelvis

Answer 6

Palpate and move hip

Is this your hip or a replacement? Do you have austioporosis? Have you dislocated your hip at all?

Hiv or AIDS? Take any edm?

Question 7

Legs and arms

Answer 7

Palpate and check pms/grip strength

Have you broken or fractured any of your long bones? Dislocated any of your joints, sprained your ankles?

Do you suffer from arthritis, carpel tunnel or tendinitis?

Get them to stretch and test pms, check radial and pedal pulses bi laterally.