PHYSICAL EXAM FINDINGS
Growth parameters (FTT, compare to parents)
Height
Weight
OFC/head shape (microcephaly, macrocephaly)
Fontanels if present
Asymmetry present?
Skin
Texture
Eczema
Wood’s Lamp exam
Café-au lait, hypopigmented areas
Hemangiomas
Eczema
Photosensitivity
Hair
Texture, color
Facies
Features like parents?
Epicanthal folds
Size/shape ears
Midface
Eyebrows
Chin prominence
Forehead
Genitalia
Hands/Feet
Size
Presence simian creases (hands)
Clinodactyly?
Nails
General
Hepatosplenomegaly
Neurological Exam
Tone
?Spasticity – where located (legs/one sided/general)
Dystonia/athetoid
Balance sitting/standing
Sensory exam
Vision
Hearing
Behavior
Repetitive behaviors
Behavior change during exam
Hand flapping
Eye contact
Aggressive
Activity level for age
Radiologic findings
Ectopic kidneys, situs inversus
Skeletal survey, rib number, vertebral shape, etc.
Joints
Presence of contractures
Hyperextensibility (wrists, ankles) ask if doublejointed