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National guidance for child protection in Scotland - Scottish ...

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18. General exam<strong>in</strong>ation<br />

Name(s) of persons present<br />

Weight Height Head circumference<br />

kgs centile cm centile cm centile<br />

General appearance (hygiene)<br />

Sk<strong>in</strong> colour<br />

Hair colour<br />

Demeanour/behaviour<br />

Pre-exist<strong>in</strong>g physical problems (note type)<br />

Head to Toe Survey <strong>in</strong>c. measurements, colour, shape, site, type of <strong>in</strong>jury etc.<br />

Exam<strong>in</strong>ed Injuries See body chart<br />

Scalp/hair<br />

Face<br />

Eyes<br />

Ears<br />

Lips<br />

Inside mouth/palate<br />

Teeth<br />

Neck<br />

Back<br />

Buttocks<br />

Arms<br />

Right<br />

Left<br />

Hands/wrists Right<br />

Left<br />

F<strong>in</strong>gers/nails Right<br />

note if cut/broken/false<br />

Left<br />

Front of chest<br />

Breasts (Tanner stage)<br />

Abdomen<br />

Legs<br />

Feet/ankles/soles<br />

Other f<strong>in</strong>d<strong>in</strong>gs<br />

Right<br />

Left<br />

Right<br />

Left<br />

Yes No Yes No<br />

Yes No Yes No<br />

Yes No Yes No<br />

Yes No Yes No<br />

Yes No Yes No<br />

Yes No Yes No<br />

Yes No Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No Yes No<br />

Yes No Yes No<br />

Yes No Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No<br />

Yes No Yes No<br />

60

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