INSTRUMENTO PARA EXAMEN FSICO

Nombre: _____________________________________________________________________
Edad: _______
Signos Vitales:
Presin Arterial: _________

Frecuencia
____________

Temperatura: ___________

Frecuencia
_________

Cardaca:

Respiratoria:

Antropometra:
Peso: ___________
Talla: ___________
IMC: ___________

Aspecto
General:_________________________________________________________________
_______________________________________________________________________________
Piel:_________________________________________________________________________
Cabeza:______________________________________________________________________
Cabello:______________________________________________________________________
Ojos:________________________________________________________________________
Odos:_______________________________________________________________________
Nariz:________________________________________________________________________
Boca:________________________________________________________________________
Cuello:________________________________________________________________________
_____________________________________________________________________________

Trax Anterior:_______________________________________________________________
____________________________________________________________________________
Trax Posterior:______________________________________________________________
____________________________________________________________________________
Abdomen:____________________________________________________________________
______________________________________________________________________________
Msculo Esqueltico:__________________________________________________________
____________________________________________________________________________
Extremidad
Inferior:_____________________________________________________________
_____________________________________________________________________________
Extremidad
Superior:____________________________________________________________
_____________________________________________________________________________

Valoracin Neurolgica:

Pares Craneales
I Olfatorio:
II Optico:
III Oculomotor:
IV Troclear:
V Abducens:
VI Trigmino:

Reflejo Patelar: _____________

Agudeza Visual:
Ojo Derecho: _________

VII Facial:
VIII Auditivo:
IX Glosofarngeo:
X Vago:
XI Hipogloso:
XII Espinal:

Ojo Izquierdo: ________