A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; further:
- Inspection (viewing).
- Skin and mucous membranes
- Eyes: concomitantly, at least one of the following characteristics occurs ipsilaterally (on the same side of the face):
- Auscultation (listening) of the heart.
- Auscultation of the lungs
- Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?)
- Inspection (viewing).
- Ophthalmological examination – including tonometry (measurement of intraocular pressure) [due todifferential diagnosis: glaucoma attack – eye disease with seizure-like increased intraocular pressure].
- ENT medical examination – including inspection of the nasal (sinuses) cavities [due todifferential diagnoses: nasal cavity tumors, paranasal sinus tumors].
- Neurological examination – including review/examination.
- Sensorimotor function and reflexes
- Cranial nerve functions
- Paresis (paralysis)?, paresthesias (insensations)?
- Visual disturbances?, bulbar pressure?, movement pain of the eyes?
- Palpation of the trigeminal exit sites
- Mobility of the cervical spine?
- Meningismus (neck stiffness)?
- Signs of a seizure event?
- Vigilance (wakefulness)?
- Orientation, memory, mental state
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.