Pediatric Physical Exams

[checkbox memo="Short Version" name="short" value=""][conditional field="short" condition="(short).is('')"][textarea default="General: Appears age appropriate.
Skin: Normal turgor and without lesions.
Head: ***<1 yr - Normocephalic with age appropriate fontanelles./>1 yr - Normocephalic.***
Eyes: Conjunctivae non-injected; sclerae anicteric; extraocular movements intact; pupils equal, round, and reactive to light. ***<1yr - Red reflex present bilaterally./1-4 yr - Red reflex present bilaterally. Symmetric light reflex./>5 yr - Symmetric light reflex, normal fundi.
ENT: Tympanic membranes gray, sharp landmarks. Nose clear. Palate is complete. Tonsils non-inflamed bilaterally.
Lymph Nodes: No significant lymphadenopathy.
Thyroid: No thyromegaly; trachea midline without masses.
Breasts: Without lesions or drainage.
Peripheral Vessels: Normal pulses and perfusion.
Heart: Regular rate and rhythm; normal S1 and S2; no murmurs, gallops, or rubs.
Lungs: Unlabored respirations; symmetric chest expansion; clear breath sounds.
Abdomen: Soft, without organomegaly. Bowel sounds normal. Nontender without rebound. No masses palpable. No distention.
Genitalia: ***Normal male external genitalia; testes descended bilaterally; no hernia./Normal female external genitalia.***
Tanner: Tanner stage ***I/II/III/IV/V***
Spine: Straight with no lesions.
Joints: <4 months - Hips with full range-of-motion; negative Barlow and Ortolani./>4 months - Full range-of-motion about all joints.
Extremities: No clubbing, cyanosis, or edema. Normal upper and lower extremities.
***Gait: Normal and appropriate gait for age.***
Mental Status: Alert, oriented, in no distress. Appropriate for age.
Neuro: Normal reflexes; normal tone; no focal deficits appreciated. Appropriate for age."][/conditional][checkbox memo="Long Version" name="long" value=""][conditional field="long" condition="(long).is('')"][textarea default="General: Appears age appropriate. Alert, oriented, in no distress."]
[textarea default="Skin: Normal turgor and without lesions."]
[textarea default="Head: ***Normocephalic with age appropriate fontanelles.(96% ant font close by 2 years)/Normocephalic.***"]
[textarea default="Eyes: Conjunctivae non-injected; sclerae anicteric; lids without ptosis, edema, or erythema; extraocular movements intact; pupils equal, round, and reactive to light. ***Red reflex present bilaterally. (newborn)/Red reflex present bilaterally. Cover-uncover test shows symmetric light reflex. (1-4 years)/Cover-uncover test shows symmetric light reflex, Normal fundi. (>5 years)"]
[textarea default="ENT: TMs normal Nose clear. Palate is complete. Dentition normal for age. Tonsils small and non-inflamed bilaterally."]
[textarea default="Neck and axillae: No significant lymphadenopathy. No thyromegaly; trachea midline without masses."]
[textarea default="Breasts: Without lumps or drainage."]
[textarea default="Heart: Regular rate and rhythm; normal S1 and S2; no murmurs, gallops, or rubs."]
[textarea default="Lungs: Unlabored respirations; symmetric chest expansion; clear breath sounds; no wheezes, crackles, rales, rhonchi, or retractions."]
[textarea default="Abdomen: Soft, nontender, without organomegaly or masses palpable. Bowel sounds normal. No distention. ***No hernia defects./Small umbilical hernia present.***"]
[textarea default="Genitalia: ***Normal male external genitalia; testes descended bilaterally; no hernia./Normal female external genitalia.***"]
[textarea default="Tanner: Tanner stage ***I/II/III/IV/V***"]
[textarea default="Spine: Straight with no lesions."][/conditional]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference:  This is an online version of a template by Stephen P. Merry, MD, MPH, Consultant, Department of Family Medicine, Mayo Clinic, Rochester, Minnesota[/conditional]