A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; furthermore:
- Inspection (viewing).
- Skin, mucous membranes, and sclerae (white part of the eye) [petechiae (minute skin/mucous membrane hemorrhages (flea-like), often first on hocks, lower legs)]
- Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?)
- Digital rectal examination (DRU): examination of the rectum (rectum) [gastrointestinal bleeding].
- Rumpel-Leede test (to check the stability of the capillaries (vasculopathy?) As well as the functionality of platelets / platelets)Implementation: apply a blood pressure cuff on the upper arm of the patient and inflate a pressure between diastolic and systolic blood pressure (optimal: 90 mmHg). The cuff is removed after 10 minutes and the arm is examined for petechial hemorrhage (flea-like bleeding). If more than 10 petechiae are detectable below the tourniquet, a positive test result is present,
- Inspection (viewing).
- Gynecological examination [menorrhagia (prolonged and increased menstruation (menstruation)]
- Cancer screening
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
