NUR 600 Sequence During a Physical Examination Discussion

NUR 600 Sequence During a Physical Examination Discussion

NUR 600 Sequence During a Physical Examination Discussion

Discussion Guidelines
Initial Post
Discuss why you feel sequence in physical examination is essential. Be sure to thoroughly support your answer.

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Response Post
Reply to the initial posts of at least two classmates.

Post your initial and follow up responses and review full grading criteria on the Discussion 4.1: Sequence During a Physical Examination page.
Week 4: Beginning the Comprehensive Physical Exam of the Adult Patient—Thyroid and Lymph System
Welcome to the fourth week of Advanced Physical Assessment. During this week, you will begin coordinating the comprehensive physical exam. Take a deep breath. It is not nearly as terrifying as it sounds. If you have peeked ahead at the syllabus, you have realized that we take the body one system at a time, making it much more manageable. We will focus this week on the thyroid and lymph assessment, recognizing the anatomical landmarks specific to those systems. You will learn different exam techniques and review proper terminology and appropriate documentation for those subjective and objective findings. You will then discuss the significance of sequence during the physical exam.


Review a list of all items due this week in your course syllabus.

Lesson 1: Skin, Hair, Nails, Head, and Neck

During this lesson, you will begin coordinating the comprehensive exam, recognizing anatomical landmarks, looking at different exam techniques, and reviewing proper terminology for objective findings.

Learning Outcomes
At the end of this lesson, you will be able to:

Begin the practice of sequencing and coordinating the comprehensive physical exam of the adult patient.
Identify the anatomical landmarks of the human body of these systems: skin, hair, nails, head, and neck.
Correlate examination techniques of the skin, hair, nails, head, and neck body systems using the correct sequence and anatomical landmarks in an adult patient.
Use correct terminology to record objective components of the physical examination findings.
Before attempting to complete your learning activities for this week, review the following learning materials:

Learning Materials
Read the following in your Bates’ Guide to Physical Examination and History Taking textbook:

Chapter 8, “General Survey, Vital Signs, and Pain”
Chapter 10, “Skin, Hair, and Nails”
Chapter 11, “Head and Neck”
These readings will describe how to complete an ROS and an HEENT assessment, recognize pertinent positives and negatives, and understand documentation.

Head-to-Toe Assessment (Adult): HEENT
The following Bickley assessment video will demonstrate the steps taken to perform an adult assessment of the head, eyes, ears, nose, and throat (HEENT).

Head-to-Toe Assessment (Adult): HEENT Transcript

Lymph Nodes and Thyroid Examination
This short examination video will demonstrate how to do the assessment on the thyroid and lymph system.

Lymph Nodes and Thyroid Examination Transcript

Thyroid Examination
This video will give you a more in-depth look at how to perform a thyroid examination.

Thyroid Examination Transcript

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