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Abdomen Distention Scaphoid Visible peristaltis
Inspection: Distention Scaphoid Visible peristaltis Umbilical abnormalities Distended bladder
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Shifting dullness fluid wave
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Abdomen Palpation: Tenderness Guarding Tumor Liver Spleen Palpation:
Ascites Hernia Lymph nodes Kidneys Bladder Aortic pulsation
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Abdomen Percussion : Shifting dullness Auscultation: Bowel sound
Stool: Color, consistency,worm,
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Scratch test Put diaphragm above Rt. Costal margin
Scratch skin at mid clavicular line from umbilicus to costal margin You hear change
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Perineum &Genitalia Anus: Fissure , prolapse.. Rectal examination:
Mass ,Stenosis ,blood, Genitalia: Labia adhision ,discharge, Hypospadias ,Phymosis ,balantitis, undescended testis ,hydrocele
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Testis 10 mm width & 15 mm length
Should lie in scrotal sac most of time Differentiate hydrocele from inguinal hernia Delayed puberty in boys:No sighns of puberty by 14 y/o
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Nervous System State of consciousness: Unconsciouness ,aemiconsciouness ,drowsiness, alertness ,hyperexcitibility Posture&Movement:Hypotonia ,Tremor, Tic, Convulsive movements,Abnormal gait,Palsy,Speech Cranial nerve Muscle tone Sensation Reflexes
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Nervous System Cranial nerve
1th=Olphactory 2nd=Optic 3rd=Oculomotor 4th=Trochlear 5th=Trigeminal 6th=Abducens 7th=Facial 8th=Auditory 9th=Glossopharengeal 10th=Vagus 11th=Spinal accessory 12th=Hypoglossal
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Bell's palsy (left seventh nerve weakness)
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Reflexes Biceps C5 Triceps jerk C6-C7 Abdominal Reflex T8-T12
Cremaster reflex L1 Knee jerk L3-L4 Ankle jerk L5-S1 Plantar response S1
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Iliopsoas Test Pain in the pelvis indicates irritation of the iliopsoas
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Obturator Test Pelvic pain indicates an inflamed muscle
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Developmental hip dysplasia
Barlow's test Ortolani's test
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Barlow Maneuver
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Ortolani Maneuver
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Inversion eversion.
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