| General examination |
| Heart, lungs, abdomen (to rule out visceral source) |
| Skin lesions (clue to psoriatic arthritis or SCCH syndrome) |
| Ocular exam (uveitis, conjunctivitis suggestive of spondyloarthropathy) |
| Musculoskeletal examination |
| Cervical spine |
| Shoulders |
| Thoracic spine |
| Localized tenderness |
| Mobility |
| Chest expansion |
| Lumbar spine |
| Forward flexion |
| Sacroiliac tenderness to compression |
| Tender points |
| Chest wall examination |
| Observation |
| Localized swelling, particularly costochondral junctions |
| Palpation |
| Acromioclavicular and sternoclavicular joints |
| Sternum and xiphoid costochondral junctions |
| Costovertebral joints |
| Maneuvers |
| Crowing rooster maneuver |
| Horizontal arm flexion |
| Hooking maneuver |
