What is the correct order of assessment techniques in a physical exam?

The correct order of assessment techniques in a physical exam is based on a systematic approach that maximizes the efficiency and effectiveness of the examination process. Beginning with inspection allows the clinician to observe the patient’s condition visually, noting general appearance, movement, and any obvious abnormalities. Following inspection with palpation enables the clinician to gather tactile information about the underlying structures, which can reveal further insights into conditions that might not be visible.

Next in the sequence is percussion, which helps to assess underlying tissues and organ size by producing sound waves that indicate different densities. Finally, auscultation brings attention to the sounds produced by the body, such as heartbeats or lung sounds, which can provide critical information regarding physiological state. This sequence minimizes discomfort for the patient and allows the clinician to build on visual and tactile information before accessing auditory data.

Understanding the rationale behind this order—beginning with inspection and systematically moving through palpation, percussion, and ending with auscultation—enhances the thoroughness of the examination and aids in accurate diagnoses.