f. Sim's Position. Used for rectal examination. Patient is on left side with right
knee flexed against abdomen and left knee slightly flexed. Left arm is behind body; right
arm is placed comfortably.
NOTE: Patient with leg injuries or arthritis usually cannot assume this position.
Figure 1-6. Sim's position.
g. Knee-Chest Position. Used for rectal and vaginal examinations and as
treatment to bring uterus into normal position. Patient is on knees with chest resting on
bed and elbows resting on bed or arms above head. Head is turned to one side. Thighs
are straight and lower legs are flat on bed.
NOTE: Do not leave patient alone; he/she may become dizzy, faint, and fall.
Figure 1-7. Knee-chest position.
BODY SYSTEMS USUALLY EXAMINED BY THE PHYSICIAN
a. Musculoskeletal System. The patient should be examined for symmetry of
parts, for mobility, and for coordination.
b. Integumentary System. The patient's skin should be observed for intactness,
color, the presence of scars or rashes, and the skin should be felt for warmth and unusual
c. Eyes, Ears, Nose, and Throat. The patient should be examined for patency of
passages and cavities, state of balance (equilibrium), and the receptiveness of the sense