• Hands on physical examination o Vital Signs: Head, Neck, Eyes, Ears, Nose, and Throat. o Cardiovascular: Inspection, auscultation, percussion, and palpation. o Pulmonary: Inspection, auscultation, percussion, and palpation. o Gastrointestinal: Inspection, auscultation, percussion, and palpation. o Genitourinary: Hernia exam. o Lymph Nodes: The examination of organ systems must be supplemented with an evaluation of lymph nodes in the cervical, auxiliary, and inguinal regions. o Neurological: The neurologic exam for uniformed personnel must include a general mental status evaluation and general assessment of the major cranial/peripheral nerves (motor, sensory, reflexes) o Musculoskeletal: Includes an overall assessment of range of motion (ROM) of all joints. Additionally, observation of the personnel performing certain standard office exercises or functions is helpful in assessing joint mobility and function. • Blood analysis The following are components of the blood analysis. At a minimum, laboratory services must provide these components in their automated chemistry panel (aka SMAC 20) and complete blood count (CBC) protocols: o White Blood Cell Count, Differential, Red Blood Cell Count (Hematocrit), Platelet Count o Liver Function Tests: includes SGOT/AST, SGPT/ALT, LDH, Alkaline Phosphatase, and Bilirubin o C-Reactive Protein, Triglycerides o Cholesterol: includes: Total Cholesterol, Low Density Lipoprotein (LDL-C) level, High Density Lipoprotein (HDL-C) level, and Total Cholesterol/HDL Ratio o Glucose: If over 120 then HbA1c o Blood Urea Nitrogen, Creatinine, Sodium, Potassium, Carbon Dioxide, Total Protein, Albumin, Calcium o Prostate specific antigen: PSA for male over 40
