of the patient’s mental status development nutrition posture body movement gait facial expression complexion InspectionFor example pallor anemia exophthalmus hyperthyroidism cyanosis(lips) mitral face moon face cushing syndrome spider angioma liver cirrhosis barrel chest pulmonary emphysema InspectionGastric type pylorus obstruction Abdomenal respiratory movement normal men children disappear acute peritonitis lower extremity edema right heart failure skeleton and joints deformity 2Palpationmainly used in abdominal examination mass: location size contour consistency mobility tenderness pulsationpalpation