PHYSICAL ASSESSMENT EVALUATION TOOL(HEAD TO TOE ASSESSMENT)
VITAL SIGNSBlood Pressure
Respiratory Rate
Pulse Rate
Temperature
ANTHROPOMETRIC MEASUREMENTMeasurement in height
Measurement in weight
Body Mass Index
TechniqueNormal FindingsActual FindingsAnalysis
Level of consciousnessInspectionFully conscious, respond to
questions quickly, perceptive of events
Behavior and appearanceInspectionMakes eye contact with
examiner, hyperactive expresses feelings with response to the
situation
Body PartsTechniqueNormal FindingsActual FindingsAnalysis
Skin
InspectionPalpation
-light to dark brown-no swelling-good skin turgor
Hair and scalpInspection-no lesion-color black
Head
NeckInspection
Inspection-face is symmetrical
-no lesion-no swelling
Eyes
Eye brows
Eye lashes
Eye lids
ScleraPupilInspection
-symmetrically align-blinking symmetrically-Evenly
distributed
-eyelashes are short-eye lid margins are moist-white in
color-equally round and reactivated to light accommodation
EarsPalpationInspection-equal in size-symmetrically align-no
lesion-no swelling
NoseInspection-Symmetric and straight; no discharge or flaring;
Uniform color.
Mouth
Lips
Buccal mucosa
Tongue
Gums
TeethInspectionPalpation
-no lesion-no swelling
-Pink in color, soft, moist, smooth texture, asymmetry of
contour, ability to purse lips- Pink in color, soft, moist, smooth,
glistening, and elastic texture.
-no lesion-no swelling
-pink and moist
-symmetrically align
Upper Extremities
InspectionPalpation
-symmetrically align-no lesion-no swelling-no mumps-light to
dark brown in color
ANTERIOR THORAX
Breathing patternsInspectionQuiet, rhythmic, and effortless
respirations
Anterior Thorax auscultation
Auscultation
Broncho vesicular and vesicular breath sounds
POSTERIOR THORAXAuscultationVesicular andbroncho vesicular
breath sounds
AbdomenInspectionPalpation-smooth to touch-no lesion-no
swelling-no mumps-no redness-warm to touch-round and
symmetrical-abdomen rises with inspiration in synchromy with
chest
Lower ExtremitiesInspection-bilaterally symmetrical and
equal-right foot has complete fingers
-skin color is as same as the other parts of the body
