Internal examination and surgical examination are one of the necessary examination items for physical examination, in addition to the examination of ENT and stomatology. The items examined by different departments are different. Internal examination can be summarized as follows: i. Examination of general conditions, such as height, weight, pulse, blood pressure, heart rate, etc. II. Examination according to organs, such as heart, lungs, abdomen, in the order of visual, out, percussion and hearing, combined with ECG, chest X-ray, abdominal ultrasound, etc., except for diseases with atypical early symptoms, such as tuberculosis, lung cancer, liver cancer, gallbladder stones, etc. Surgical examinations: i. Any deformity of the spine and limbs and any activity disorder. Second, to confirm whether there are nodules in the thyroid gland and whether there is enlargement of the thyroid gland. Third, if it is a woman also check the breast and axillary lymph nodes, except breast disease. In addition, in the process of surgical examination, we should pay attention to the presence of swelling or bulge on the body surface, and simply determine the size, mobility and surrounding tissues by palpation, and suggest further relevant examinations.