The pediatric physical exam starts with observing the child’s appearance, alertness, and behavior. Vital signs (heart rate, respiratory rate, temperature) are checked against age-specific norms. Growth is assessed by measuring weight, height, and head circumference, plotted on charts. The head exam evaluates fontanelles and neck for stiffness or nodes. Respiratory assessment listens for breath sounds and watches chest movement. The cardiovascular exam checks heart rate, murmurs, and pulse strength. The abdomen is palpated for tenderness, distension, and bowel sounds. Skin is inspected for turgor, rashes, or color changes. Neurological exam tests reflexes, tone, and responsiveness by age. This structured process aids in diagnosing and managing pediatric conditions effectively.