Neck Physical Exam Documentation
Record comprehensive findings and observations from a neck physical examination.
Patient Full Name
*
First Name
Last Name
Date of Examination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Examiner Name
*
First Name
Last Name
Reason for Examination
*
Inspection Findings
*
Palpation Findings
*
Range of Motion Assessment
*
Rows
Normal
Restricted
Painful
Flexion
1
2
3
Extension
4
5
6
Lateral Flexion (Left)
7
8
9
Lateral Flexion (Right)
10
11
12
Rotation (Left)
13
14
15
Rotation (Right)
16
17
18
Lymph Node Assessment
*
No lymphadenopathy
Enlarged cervical nodes
Tender lymph nodes
Other
Thyroid Examination Findings
*
Normal
Enlarged
Nodules present
Tender
Other
Vascular Assessment
*
Carotid pulses normal
Carotid bruits
Jugular vein distention
Other
Presence of Pain or Tenderness
*
No pain or tenderness
Localized pain
Diffuse pain
Neurological Findings (if any)
Additional Comments / Clinical Impression
Examiner Signature
*
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