Tina Comprehensive Assessment Shadow Health Objective Questions,100% CORRECT

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Tina Comprehensive Assessment Shadow Health Objective Questions Objective Data Collection: 69 of 73 (94.5%) Categ ory Scored Items Experts selected these examinations a... s essential components of objective data collection for this patient. HEENT Respiratory Cardiovascular Patient Data Not Scored Thorough examinations will yield better patient data. The following actions reveal the objective data of the patient's case. Gastrointestinal Musculoskeletal Neurologic Inspected head and neck Scattered pustules on face and facial hair on upper al lip Head is normocephalic, atraumatic Normal scalp hair distribution Acanthosis nigricans noted on neck Inspected eyebrows and orbital area Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema Palpated sinuses No frontal sinus tenderness No maxillary sinus tenderness Palpated lymph nodes No axillary lymphadenopathy No supraclavicular lymphadenopathy Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, white sclera Lower eyelids: conjunctiva pink, no lesions, white sclera Tested PERRL with penlight Right pupil: equal, round, reactive to light Left pupil: equal, round, reactive to light This study source was downloaded by 100000802531269 from CourseHero.com on 11-29-2022 21:26:03 GMT -06:00 Tested eye movements Normal convergence EOMs intact bilaterally, no nystagmus Inspected interior eyes with ophthalmoscope Mild retinopathic changes on right Left fundus with sharp disc margins, no hemorrhages Tested visual acuity Vision 20/20 right eye with corrective lenses Vision 20/20 left eye with corrective lenses Examined nasal cavities with otoscope Nasal mucosa moist and pink, septum midline on right Nasal mucosa moist and pink, septum midline on left Examined ear cavities with otoscope Right TM intact and pearly gray, positive light reflex Left TM intact and pearly gray, positive light reflex Practiced whisper test Whispered words heard on right Whispered words heard on left Inspected mouth and throat with tongue blade Oral mucosa moist without ulcerations or lesions, uvula midline Gag reflex intact Inspected chest wall Anterior chest wall symmetric, no deformity or lesions Posterior chest wall symmetric, no deformity or lesions Palpated tactile fremitus Anterior upper chest wall: normal fremitus Anterior lower chest wall: normal fremitus Posterior upper chest wall: normal fremitus Posterior middle chest wall: normal fremitus Posterior lower chest wall: normal fremitus Percussed anterior chest wall Right upper chest: resonant Left upper chest: resonant Left middle chest: resonant Right middle chest: resonant Right lower chest: resonant Left lower chest: resonant Percussed posterior chest wall Left upper chest: resonant Right upper chest: resonant Right middle chest: resonant Left middle chest: resonant This study source was downloaded by 100000802531269 from CourseHero.coLmefot nlo1w1-e2r9c-2h0e2s2t:2r1e:s2o6:n0a3nGt MT -06:00 Right lower chest: resonant Auscultated breath sounds of anterior chest wall Right upper lungs: no adventitious sounds Left upper lungs: no adventitious sounds Left middle lungs: no adventitious sounds Right middle lungs: no adventitious sounds Right lower lungs: no adventitious sounds Left lower lungs: no adventitious sounds Auscultated breath sounds of posterior chest wall Left upper lungs: no adventitious sounds Right upper lungs: no adventitious sounds Right middle lungs: no adventitious sounds Left middle lungs: no adventitious sounds Left lower lungs: no adventitious sounds Right lower lungs: no adventitious sounds Auscultated anterior lungs for bronchophony Right upper lungs: muffled voice sounds Left upper lungs: muffled voice sounds Left middle lungs: muffled voice sounds Right middle lungs: muffled voice sounds Right lower lungs: muffled voice sounds Left lower lungs: muffled voice sounds Auscultated posterior lungs for bronchophony Left upper lungs: muffled voice sounds Right upper lungs: muffled voice sounds Right middle lungs: muffled voice sounds Left middle lungs: muffled voice sounds Left lower lungs: muffled voice sounds Right lower lungs: muffled voice sounds Palpated pulses of the head and neck Right carotid pulse: 2+, no thrill Left carotid pulse: 2+, no thrill Palpated PMI PMI palpated at the midclavicular line, 5th intercostal space, no heaves or lifts Palpated pulses of the upper extremities Right radial pulse: 2+ Right brachial pulse: 2+ Left brachial pulse: 2+ Left radial pulse: 2+ Palpated pulses of the lower extremities Right femoral pulse: 2+ Right popliteal pulse: 2+ Right tibial pulse: 2+ Right dorsalis pedis pulse: 2+ Left femoral pulse: 2+ Left popliteal pulse: 2+ Left tibial pulse: 2+ Left dorsalis pedis pulse: 2+ Auscultated arteries in the head and neck Right carotid artery: no bruit Left carotid artery: no bruit Auscultated heart sounds Auscultated Erb's point with the bell: no S3, S4 Auscultated Erb's point with the diaphragm: RRR, S1, S2, no murmur Auscultated aortic area with the bell: no S3, S4 Auscultated aortic area with the diaphragm: RRR, This study source was downloaded by 100000802531269 from CourseHero.Sco1m, So2n,1n1o-2m9-u20rm22u2r 1:26:03 GMT -06:00 Auscultated pulmonic area with the bell: no S3, S4 Auscultated pulmonic area with the diaphragm: RRR, S1, S2, no murmur Auscultated tricuspid area with the bell: no S3, S4 Auscultated tricuspid area with the diaphragm: RRR, S1, S2, no murmur Auscultated mitral area with the bell: no S3, S4 Auscultated mitral area with the diaphragm: RRR, S1, S2, no murmur Auscultated arteries of the body Right renal artery: no bruit Right iliac artery: no bruit Right femoral artery: no bruit Left renal artery: no bruit Left iliac artery: no bruit Left femoral artery: no bruit Inspected for edema Left leg: no edema Right leg: no edema Inspected abdomen Abdomen protuberant, symmetric, no visible masses or lesions, coarse hair from pubis to umbilicus Auscultated bowel sounds Right upper quadrant: normoactive Right lower quadrant: normoactive Left upper quadrant: normoactive Left lower quadrant: normoactive Percussed CVA tenderness Right flank: none reported Left flank: none reported Percussed organs Spleen percussion: no dullness Liver span: 7 cm MCL on percussion Percussed abdomen Right upper quadrant: tympanic Right lower quadrant: tympanic Left lower quadrant: tympanic Left upper quadrant: tympanic Palpated abdomen - light Right upper quadrant: soft, no tenderness or masses Right lower quadrant: soft, no tenderness or masses Left lower quadrant: soft, no tenderness or masses Left upper quadrant: soft, no tenderness or masses Palpated abdomen - deep Right upper quadrant: no masses, guarding or rebound Right lower quadrant: no masses, guarding or rebound Left upper quadrant: no masses, guarding or rebound Left lower quadrant: no masses, guarding or rebound This study source was downloaded by 100000802531269 from CourseHero.com on 11-29-2022 21:26:03 GMT -06:00 Palpated organs Liver: palpable 1 cm below right costal margin Spleen: not palpable Right kidney: not palpable, no masses Left kidney: not palpable, no masses Inspected upper extremities Right shoulder without swelling, masses, or deformity Right arm without swelling, masses, or deformity Right elbow without swelling, masses, or deformity Right wrist and hand without swelling, masses, or deformity Left shoulder without swelling, masses, or deformity Left arm without swelling, masses, or deformity Left elbow without swelling, masses, or deformity Left wrist and hand without swelling, masses, or deformity Fingernails: no ridges or abnormalities in nails, pink nailbeds Inspected lower extremities Right leg without swelling, masses, or deformity Right knee without swelling, masses, or deformity Right ankle without swelling, masses, deformity, or discoloration Right foot without swelling, masses, or deformity Left leg without swelling, masses, or deformity Left knee without swelling, masses, or deformity Left ankle without swelling, masses, or deformity Left foot without swelling, masses, or deformity Toenails: no ridges or abnormalities in nails, pink nailbeds Tested ROM for upper extremities Right and left shoulders: full ROM Right and left elbows: full ROM Right and left wrists: full ROM Tested ROM for spine Rotate left: full ROM Rotate right: full ROM Extension: full ROM Flexion: full ROM Tested ROM for lower extremities Right and left knees: full ROM Right and left ankles: full ROM Tested strength for upper extremities Right and left shoulder strength: 5/5 Right and left elbow strength: 5/5 Right and left wrist strength: 5/5 Right and left hand strength: 5/5 Tested strength for lower extremities Right and left knee strength: 5/5 Right and left ankle strength: 5/5 Tested graphesthesia Identified the number "8" drawn on right hand Identified the letter "A" drawn on left hand Tested sensation in feet with monofilament Decreased sensation in right foot Decreased sensation in left foot Tested ability to sense light touch of upper extremities Right arm proximal light touch sensation intact Right arm distal light touch sensation intact Left arm proximal light touch sensation intact Left arm distal light touch sensation intact Tested ability to sense light touch of lower extremities Right leg proximal light touch sensation intact Right leg distal light touch sensation intact Left leg proximal light touch sensation intact Left leg distal light touch sensation intact Tested ability to sense dull pain in upper extremities Right arm proximal dull pain sensation intact Right arm distal dull pain sensation intact Left arm proximal dull pain sensation intact Left arm distal dull pain sensation intact Tested ability to sense dull pain in lower extremities Right leg proximal dull pain sensation intact Right leg distal dull pain sensation intact Left leg proximal dull pain sensation intact Left leg distal dull pain sensation intact Tested ability to sense sharp pain in upper extremities Right arm proximal sharp pain sensation intact Right arm distal sharp pain sensation intact Left arm proximal sharp pain sensation intact Left arm distal sharp pain sensation intact Tested ability to sense sharp pain in lower extremities Right leg proximal sharp pain sensation intact Right leg distal sharp pain sensation intact Left leg proximal sharp pain sensation intact Left leg distal sharp pain sensation intact Tested position sense Position sense intact in toes Position sense intact in fingers Identified paperclip in right hand within 5 seconds Identified key in right hand within 5 seconds Identified coin in left hand within 5 seconds Identified paperclip in left hand within 5 seconds Identified key in left hand within 5 seconds Tested deep tendon reflexes of upper extremities Right triceps: 2+ Right biceps: 2+ Right brachioradialis: 2+ Left triceps: 2+ Left biceps: 2+ Left brachioradialis: 2+ Tested deep tendon reflexes of lower extremities Right ankle: 2+ Right knee: 2+ Left knee: 2+ Left ankle: 2+ Tested finger-to-nose coordination Right finger to nose: smooth and accurate Left finger to nose: smooth and accurate Tested heel-to shin-coordination Right foot straight line down shin, smooth and accurate Left foot straight line down shin, smooth and accurate [Show 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