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, mucous membranes [allergic contact dermatitis or contact dermatitis (redness and swelling of the skin, itching, burning, development of small vesicles, scaling); urticaria (hives); Quincke’s edema (swelling of the subcutis); atopic eczema (neurodermatitis); acne]
- Eyes [itching; burning; watery eyes]
- Nose/nasal mucosa [sneezing; rhinitis (runny nose; runny nose); nasal congestion; allergic rhinoconjunctivitis (symptomatic hypersensitivity reaction of the nose, inflammation of the nasal mucosa)]
- Mouth and oral cavity [angioedema (Quincke’s edema) – massive swelling especially of the lips, eyelids, or tongue due to an allergic reaction or as a sign of a C1 esterase inhibitor defect; burning of the lip, palate, or throat]
- Larynx (voice box) [swelling of the larynx that can cause shortness of breath]
- Auscultation (listening) of the heart.
- Auscultation of the lungs [bronchial asthma; cough].
- Palpation (palpation) of abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bearing knocking pain?) [abdominal pain (abdominal pain); meteorism (flatulence/flatulence abdomen]
- Inspection (viewing).
- If necessary, ENT examination including epipharyngoscopy (nasopharyngoscopy) and laryngoscopy (laryngoscopy) [swelling of the larynx, which can cause shortness of breath].
- Neurologic examination, if necessary [due topossible symptoms:
- Concentration and memory problems
- Headaches
- Migraine ]
- If necessary, orthopedic examination [due topossible symptom: arthritis ]
- If applicable, psychiatric examination [due topossible symptoms:
- Exhaustion
- Concentration and memory problems]
[due topossible sequelae: anxiety]
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.