Table 3

Key elements in the physical examination for non-cardiac conditions in a PHE

Selected key components in the physical examination*
Pulmonary systemComprehensive examination including assessment of chest including percussion, and auscultation
Haematological systemComprehensive examination including assessment for pallor, and evidence of infections
AllergiesComprehensive examination for manifestations of acute and chronic allergy
Infection/immunologicalComprehensive examination for lymphadenopathy, splenomegaly
Ear, nose, throat (ENT)Comprehensive examination including external auditory canal, tympanic membrane, sinus tenderness, nasal septum, turbinate bones, oropharynx, tonsils, indirect laryngoscopy (if indicated), cervical and regional lymphadenopathy
DermatologicalComprehensive examination of sun exposed areas, assessment of skin infections (fungal)
UrologicalComprehensive examination including assessment for suprapubic tenderness, abdominal examination for renal masses, genital examination (males)
Gastro-intestinalComprehensive abdominal examination for including assessment for abdominal tenderness, organomegaly and hernias
NeurologicalComprehensive examination including assessment of cranial nerve function, motor function, sensory function, reflexes and the extrapyramidal system
Endocrine/metabolicComprehensive examination including assessment for the complications of diabetes mellitus and the clinical signs of thyroid disease
OpthalmologicalComprehensive examination including assessment of visual acuity, visual fields, infective and allergic eye disease, funduscopy
  • *The list of suggested physical signs is not intended to be comprehensive but is to serve as a guideline. If a positive finding is identified, further in-depth assessment with appropriate special investigations is required.