• Height and weight (Growth Assessment)
• General appearance
• Head and neck (including facial features, fontanelles in infants)
• Skin and hair (including evidence of scars, burns, bruises)

• Eyes and ability to see (Vision Screening)
• Ears and ability to hear (Hearing Screening)
• Nose and throat
  
  

• Oral cavity (Dental Health)
  • Palate, cheeks, tongue, and floor of the mouth
  • Dental ridges (including malformations of erupting teeth)
  • Gums (evidence of infection, inflammation, bleeding)
  • Dental caries (in existing or erupting teeth)
  • Need for daily fluoride intake
  • Need for dental referral for obvious caries, regardless of age
    
    

• Vocalization and speech
• Extremities
• Rectum and genitalia
• Blood pressure (for children 3 years and older) and pulses

• All organs and systems
  • Pulmonary
  • Cardiac
  • Gastrointestinal
  • Urogenital
  • Musculoskeletal (including spine, hips, muscle tone)
  • Nervous system (including gross and fine motor coordination)

• Developmental, behavioral, and mental health (Developmental Screening)

• Signs of abuse or neglect

Adolescent Physical Exam

Adolescent physical exams must include all of the components listed above, Sexual Maturity Ratings (Tanner Stages), and the following:

Adolescent males:

• All adolescent males must receive a testicular exam.
• All sexually active males should be screened for STDs beginning at age 11.
• Sexually active males must receive at least a microscopic urinalysis testing for the presence of white blood cells. If white blood cells are present, testing for gonorrhea, chlamydia, hepatitis B, and syphilis (RPR) must occur.

Adolescent females:

• All adolescent females should receive a breast exam.
• All females ages 18 through 20 years should be offered a Pap smear as part of routine preventive care.
• All sexually active females should be screened for STDs beginning at age 11.
• Sexually active females must receive a dipstick urinalysis and should have a routine gynecologic exam, including tests for gonorrhea, chlamydia, hepatitis B, and syphilis (RPR), and a Pap smear.