A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further:
- Inspection (viewing).
- Skin, mucous membranes and sclerae (white part of the eye) [due tosymptoms: Paleness, sweating, hematomas (bruising) around the eyes, Horner’s syndrome (synonym: Horner’s triad) with unilateral miosis (pupil constriction), ptosis (drooping upper eyelid), and a pseudoenophthalmos (seemingly sunken eyeball)]
- Inspection and palpation (palpation) of the lymph node stations (cervical, axillary, supraclavicular, inguinal) [lymphadenopathy (lymph node enlargement)?]
- Inspection and palpation of the spine.
- Auscultation (listening) of the heart
- Auscultation of the lungs
- Palpation of the abdomen (abdomen), etc. [due tosymptoms: distended abdomen, abdominal pain (abdominal pain)]
- Inspection (viewing).
- If necessary, ophthalmological examination [due tosymptom: Horner syndrome (synonym: Horner triad) with unilateral miosis (pupil constriction), ptosis (drooping upper eyelid) and a pseudoenophthalmos (apparently sunken eyeball)]
- If necessary, neurological examination [due tosymptom: paresis (signs of paralysis)]
- If necessary, orthopedic examination [due tosymptom: bone pain]
- If necessary, urological examination [due toSymptom: urinary retention]
- Health check (as an additional follow-up measure).
Square brackets [ ] indicate possible pathological (pathological) physical findings.
