Organ system evaluated | Clinical examination | Special investigations |
---|---|---|
Central nervous system | Glasgow coma scale Lateralising signs Reflexes Pupil reflexes | If any abnormalities consider CT Scan |
Respiratory system | Respiratory rate Blood gas Check for dullness on percussion, crepitations or wheezes | If any abnormalities do blood gas and Chest X-ray |
Cardiovascular system: | Pulse, Blood pressure Heart sounds Heart size Radio-femoral delay | |
Gastro intestinal system: | Check for epigastric tenderness, hepatomegaly | Check AST and for jaundice. 4 hourly blood glucose test if raised AST |
Renal system: | Check for renal angle tenderness, macroscopic hematuria Listen for murmurs over the renal artery | Check creatinine and fluid balance. If signs of kidney dysfunction do full kidney function tests |
Haematological system: | Check for anaemia, purpera, bleeding tendency | Check hematocrit and platelets |
Immune system: | Body temperature Check for generalized lymphadenopathy, splenomegaly, signs of immune system failure | Voluntary counselling and HIV testing if CD4 and ESR above 100 |
Musculosceletal System | Check for signs of DVT Check for spinal problems that might influence the type of anaesthesia | |
Gynaecological system: | Abdominally: measure symphysis-fundus height, lie & position of the foetus, check for uterine tenderness or contractions, estimate foetal weight, measure amniotic fluid, check for foetal heart rate Vaginal exam: assess the Bishop score | |
Fundoscopy: | Check for silver wiring, papillar oedema and signs of bleeding |