Comprehensive Medical Examination Checklist
Comprehensive Medical Examination Checklist
General Items
- Ensure confidentiality of patient information
- Prepare examination room and equipment
- Confirm patient’s identity before examination
Pre-Examination Preparation
- Confirm appointment details
- Gather medical history records
- List current medications and allergies
- Prepare a list of symptoms or concerns
- Ensure insurance information is available
Patient Information Collection
- Complete patient registration form
- Update personal information (address, phone, etc.)
- Review and update medical history
- Complete family medical history form
- Document lifestyle factors (smoking, alcohol, diet)
Vital Signs Assessment
- Measure blood pressure
- Record heart rate
- Check respiratory rate
- Measure height and weight
- Calculate body mass index (BMI)
Physical Examination Components
- Conduct general appearance assessment
- Examine head, eyes, ears, nose, and throat (HEENT)
- Perform cardiovascular examination
- Assess respiratory system
- Examine abdomen and gastrointestinal system
- Perform musculoskeletal examination
- Conduct neurological assessment
- Check skin and integumentary system
Laboratory and Diagnostic Tests
- Order complete blood count (CBC)
- Request metabolic panel
- Schedule cholesterol and lipid profile
- Consider additional tests (e.g., urinalysis, ECG)
Post-Examination Procedures
- Discuss findings with the patient
- Provide recommendations for follow-up care
- Schedule any necessary referrals or specialist visits
- Review and update vaccination status
- Prepare a summary of the examination for the patient
Generated from Panda Checklist
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