Physical exam
Kyle Jennar
Facilitator notes
Facilitator, please ask the student/team what examination they want to perform, and provide ONLY the finding of the examination they request, i.e. only one line at a time. Ask the student/team to be specific!
Example vignette
Team – “Measure vital signs.”
Facilitator – “What vital signs would you like?”
Team – “Heart rate.”
General inspection
Kyle appears anxious. He does not have increased work of breathing. He is overweight, particularly around his abdomen.
Vital signs
HR 135 bpm, irregularly irregular
RR: 18/min
BP: 130/75
Temperature: 37.1°C
SatsO2: 98% on room air.
Regional exam
Face examination: well perfused, no conjunctival pallor.
Neck examination: JVP not elevated, irregular waveform. Carotid pulses strong, irregularly irregular. No audible bruits.
Cardac palpation: apex beat palpable, laterally displaced.
Cardiac auscultation: Heart sounds dual with no murmurs appreciated.
Chest auscultation: equal air entry, nil added sounds.
Leg examination: pedal pulses palpable. No pedal oedema.
All other examinations are normal.
