From what you have told me so far, I would like to examine your ... next. This will involve ... is that okay? could i ask you to remove your ... and sit down on the side of the couch. let me know when you are ready.

Wash hands

• WHICH EXAMINATION?

BEFORE ANY EXAMINATION:

Before we start, are you in any pain?

General inspection:

• [ ] I am going to look around the bed
• [ ] Then look at you from the front.
• [ ] Could you raise your arms up for me please so I can look at your sides
• [ ] And from the back

General examination:

• [ ] I am going to have a look at your hands
  • [ ] cyanosis
  • [ ] cap refill
  • [ ] clubbing
  • [ ] encephalopathic flap
  • [ ] hydration status
• [ ] I am going to look at your face, eyes and mouth
  • [ ] jaundice
  • [ ] pallor
  • [ ] cyanosis
• [ ] I am going to stand behind you and feel your glands,
  • [ ] lymphadenopathy
• [ ] now could you swallow for me please
  • [ ] thyroid enlargement
• [ ] Could you lay down for me please, I am going to squeeze your ankles
  • [ ] peripheral oedema
  • [ ] DVT tender calves

Now I will move onto the main examination.

• Mental state examination
• Presenting examination