Enter
Greet the Examiner
Sanitize your hands
Introduce yourself to the examiner and Patient
large, sweaty?, pinch skin- it is thick, if carpal tunnel in history- examine for this and carpal tunnel release scars, is there evidence of capillary blood glucose testing, check the pulse. Test arms for proximal myopathy, whilst arms raised check for acanthosis nigricans and reduced armpit hair and skin tags
Offer BP
Test eye movements and visual fields (for bitemporal hemianopia). Offer to do fundoscopy if headache (optic nerve swelling or atrophy, features of diabetic and hypertensive retinopathy)
Hairy, spotty, oily, facial features- prominent supraorbital ridges, prognathism, big nose, tongue, ears, malocclusion of teeth. Don’t miss a surgical scar on the head and as well as the inside of nose (TSS).
Feel thyroid for goitre. Offer to check neck circumference if OSA history. Look at the neck for acanthosis nigricans.
Palpate the Apex (cardiomegaly) Listen to heart, lungs, feel abdomen (hepatosplenomegaly and colonic masses). Look for gynaecomastia
Check feet for size and ankle swelling.
