Head-to-Toe Assessment

Category: Assessment
Status: Stub — content coming soon

Purpose

Describe the systematic approach and when to perform a complete vs. focused assessment.

Sequence

General Survey

• Appearance, level of distress, body habitus, hygiene

Neurological

• LOC, orientation (person, place, time, event), GCS if indicated

Head & Face

Eyes, Ears, Nose, Throat (EENT)

Neck

• JVD, tracheal deviation, lymph nodes, thyroid

Cardiovascular

• Heart sounds (S1, S2, murmurs), peripheral pulses, capillary refill, edema

Respiratory

• Breath sounds, respiratory effort, SpO₂

Abdomen

• Inspection, auscultation (bowel sounds), percussion, palpation (tenderness, organomegaly)

Musculoskeletal

• ROM, strength, gait

Integumentary

• Skin color, temperature, turgor, lesions, pressure injury risk

Genitourinary / Elimination

• Last BM, urine output, characteristics

Psychosocial

• Mood, affect, support system, coping

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