33. General physical examination in adults

This chapter describes the physical examination, generally referred to as a ‘general internal examination’. We distinguish between the examinations that are always carried out and those only carried out on indication (as required). We describe the examination in a logical order that is most comfortable for patients. It starts with gaining a first impression, measuring data and vital signs, and then examining the patient from top to toe. The following examinations are described systematically in this order: general examination and first impression (including vital signs and inspection based on ACIDOT), head and neck examination (face, eyes and pupils, mouth and throat, lymph nodes and salivary glands, other neck structures), chest examination, examination of the abdomen and groin, and lastly examination of the limbs. Detailed descriptions of each examination can be found in the other chapters.