1. Abdomen Distention Scaphoid Visible peristaltis
Inspection:
Distention Scaphoid
Visible peristaltis
Umbilical abnormalities
Distended bladder

2. Shifting dullness fluid wave

3. Abdomen Palpation: Tenderness Guarding Tumor Liver Spleen Palpation:
Ascites
Hernia
Lymph nodes
Kidneys
Bladder
Aortic pulsation

4. Abdomen Percussion : Shifting dullness Auscultation: Bowel sound
Stool:
Color, consistency,worm,

8. Scratch test Put diaphragm above Rt. Costal margin
Scratch skin at mid clavicular line from umbilicus to costal margin
You hear change

9. Perineum &Genitalia Anus: Fissure , prolapse.. Rectal examination:
Mass ,Stenosis ,blood,
Genitalia:
Labia adhision ,discharge,
Hypospadias ,Phymosis ,balantitis,
undescended testis ,hydrocele

10. 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

11. 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

12. 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

13. Bell's palsy (left seventh nerve weakness)

14. 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

16. Iliopsoas Test
Pain in the pelvis indicates irritation of the iliopsoas

17. Obturator Test
Pelvic pain indicates an inflamed muscle

24. Developmental hip dysplasia
Barlow's test
Ortolani's test

25. Barlow Maneuver

26. Ortolani Maneuver

27. Inversion eversion.