Physical Assessment
1. H&P: How can I help you today?
What symptom is most distressing for you?
Has anyone else you know develop these symptoms?
When did your fatigue tiredness start? Is your fatigue unrelated to physical ettort?
How severe is your fatigue?
When did your cough start coughing up any sputum?
When did your headache start?
How severe is your headache?
What treatments have you had for your headache?
Do you have a sore throat?
Does anything make your sore throat worse or better?
How severe is your sore throat?
What treatments have you had for your sore throat?
Do you have ear pain?
Have you had a flu shot this year? Your immunizations up-to-date?
When was your last physical?
Do you have any other symptoms or concerns we should discuss?
Do you have any allergies?
mailto:https://www.stuvia.com/user/Wisdoms
, 2. physical exam: Temperature
Pulse
Blood pressure
Respiration
Ears and ears with otoscope
Nose, inspect nose, external internal
Mouth inspect mouth and faring
Neck and cervical spine, palpate cervical lymph nodes
Back and thorough lumbar spine, osculate heart
Back and sacral spine osculate lungs
Vitals cognitive status
Vitals SPO2
Vitals height
Vitals weight
mailto:https://www.stuvia.com/user/Wisdoms