Physical Examination Yes No Skin Skin color, mucosa pink ❑ ❑ Temperature warm ❑ ❑ Turgor normal ❑ ❑ Macules, papules ❑ ❑ Lesions ❑ ❑ Rash ❑ ❑ Nails Nail plate smooth and even ❑ ❑ Beds pink ❑ ❑ Capillary refill 3 seconds ❑ ❑ Clubbing ❑ ❑ Head Shape symmetrical ❑ ❑ Eyes Conjunctiva pink ❑ ❑ Sclera white ❑ ❑ PERRLA ❑ ❑ Disc oval, color pink ❑ ❑ Retinal vessels intact ❑ ❑ Ears Hearing ❑ ❑ Weber (sound symmetrical) ❑ ❑ Rinne (AC BC) ❑ ❑ Tympanic membrane (shiny, translucent, ❑ ❑ pearl-gray color) Nose Septum aligned ❑ ❑ Mucosa pink ❑ ❑ Paranasal sinuses nontender ❑ ❑ Mouth and Throat Lips pink, moist ❑ ❑ Buccal mucosa pink, moist ❑ ❑ Tongue pink, intact ❑ ❑ Tongue ROM intact ❑ ❑ Teeth intact without caries ❑ ❑ Tonsils and pharynx pink, without exudate ❑ ❑ Neck Contour symmetrical ❑ ❑ Veins nondistended ❑ ❑ ROM full ❑ ❑ 324 Guideline continues on next page