1. Physical examination 1.Inspection 2.Palpation 3.Percussion 4.Auscultation

2. Inspection The inverted spider net

3. General survey Constitution (e.g. athletic, obese, asthenic) Nutritional status –BMI weight(kg)/height(m) 2 –Underweight < 18.5 –Normal 18.5-24.9 –Overweight 25-29.9 –Obese >30 Biological age

4. General survey Apparent state of health Level of consciousness Facial expression Motor activity

5. Vital signs Blood pressure Heart rate and rhythm Respiratory rate Temperature

6. Investigation of the head and neck Shape of the head Hair Palpebra, periorbital region Eye –Conjunctiva –Sclera –Pupil –Eye movements –Field of vision

7. Investigation of the head and neck Cheek Periauricular region Nose and lips

8. Investigation of the head and neck Mouth –Tongue Fur (coated tongue) Alterations Movements –Mucous membranes Gingiva Bucca Pharynx –Teeth –Tonsils –Uvula

9. Investigation of the head and neck Temporomandibular articulation Lymph nodes (localisation, size, number, consistency, tenderness, moveable or fixed, the skin above the lymph node) –Occipital –Periauriculars –Submandibular –Submental –Cervical (before and behind the sternocleidomastoid muscle) –Supraclavicular –Infraclavicular Thyroid gland –Size, consistency, nodules?