When you want to emphasize a detailed list of things or steps to be followed, there are several synonyms for the phrase "item by item." One alternative that may sound more sophisticated is "point by point." Another option is "step by step," which is more common in instructional and educational settings. If you want to convey a sense of intense scrutiny, you can say "line by line" or "word by word." "In detail" or "thoroughly" are also idiomatic alternatives that can be used in various contexts. Whichever phrase you choose, make sure it fits the tone and purpose of your message.