lOMoARcPSD|8660651
Focused Exam: Cough Results | Turned In
Health Assess - Spring 1 2023 22301
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Your Results
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Overview
Objective Data Collection: 15 of 15 (100%)
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Care Plan
Correct
Incorrect
Partially correct
Missed
Inspected eyes and orbital area
Orbital Area (1/4 point)
1 of 1 point
Sclera (1/4 point)
No visible abnormal findings
White
Ptosis
Yellow tint
Eyelid
Redness
Lesion
Conjunctiva (1/4 point)
Conjunctival Discharge (1/4 point)
Moist and pink
No discharge
Dry appearance
Clear, watery discharge
Redness
Purulent discharge
Swelling
Inspected nasal cavities
Color (1/4 point)
1 of 1 point
Discharge (1/4 point)
Pink
No discharge
Red
Clear discharge
Bluish
Bloody discharge
Purulent discharge
Turbinate Patency (1/4 point)
Observations (1/4 point)
Patent
No additional visible abnormal findings
Decreased patency
Foreign body present
Not patent
Polyp
Septum perforated
Septum deviated
Lesion
Inspected ears
Right: Auditory Canal Color (1/10 point)
1 of 1 point
Right: Tympanic Membrane Color (1/10 point)
Pink
Pearly gray
Red
Red
Pallor
Opaque
lOMoARcPSD|8660651
Yellow
Not visible because of cerumen
Right: Tympanic Membrane Appearance (1/10 point)
Right: Cone Of Light (1/10 point)
No visible abnormal findings
5:00
Fluid observed
Cone of light distorted
Visible scars
Bulging
Perforation
Retraction
Right: Discharge (1/10 point)
Left: Auditory Canal Color (1/10 point)
No discharge
Pink
Cerumen
Red
Clear discharge
Pallor
Bloody discharge
Purulent discharge
Left: Tympanic Membrane Color (1/10 point)
Left: Tympanic Membrane Appearance (1/10 point)
Pearly gray
No visible abnormal findings
Red
Fluid observed
Opaque
Visible scars
Yellow
Bulging
Not visible because of cerumen
Perforation
Retraction
Left: Cone Of Light (1/10 point)
Left: Discharge (1/10 point)
7:00
No discharge
Cone of light distorted
Cerumen
Clear discharge
Bloody discharge
Purulent discharge
Inspected mouth and throat
Oral Mucosa (1/5 point)
1 of 1 point
Tonsils (1/5 point)
Moist and pink
No visible abnormal findings
Dry appearance
Swelling
Redness
Redness
Throat Color (1/5 point)
Throat Texture (1/5 point)
Pink
No abnormal findings
Red
Cobblestoning
Exudate
Post Nasal Drip (1/5 point)
No discharge
Clear discharge
Purulent discharge
Inspected neck
Symmetry (1/2 point)
1 of 1 point
Appearance (1/2 point)
Symmetric
No visible abnormal findings
Asymmetric
Swelling
Visible pulsation
Visible mass
Discoloration
Inspected chest
Symmetry (1/2 point)
Symmetric
1 of 1 point
Appearance (1/2 point)
No visible abnormal findings
lOMoARcPSD|8660651
Asymmetric
Rash
Barrel chest
Intercostal retraction while breathing
Excessive use of accessory muscles while breathing
Skin growths (freckles or moles)
Auscultated breath sounds
Breath Sounds (1/3 point)
1 of 1 point
Adventitious Sounds (1/3 point)
Present in all areas
No adventitious sounds
Diminished in some areas
Wheezing
Absent in some areas
Fine crackles
Stridor
Rhonchi
Rales
Location (1/3 point)
All areas clear
Adventitious sounds in anterior right upper lobe
Adventitious sounds in anterior right middle lobe
Adventitious sounds in anterior right lower lobe
Adventitious sounds in anterior left upper lobe
Adventitious sounds in anterior left lower lobe
Adventitious sounds in posterior right upper lobe
Adventitious sounds in posterior right lower lobe
Adventitious sounds in posterior left upper lobe
Adventitious sounds in posterior left lower lobe
Auscultated for bronchophony
1 of 1 point
Bronchophony (1/1 point)
Positive
Negative
Auscultated heart sounds
Heart Sounds (1/2 point)
1 of 1 point
Extra Heart Sounds (1/2 point)
S1 and S2 audible
No extra sounds
S1, S2, and S3 audible
Gallops
S1, S2, and S4 audible
Murmur
S1, S2, S3, and S4 audible
Friction rub
Valve clicks
Percussed chest wall
Observations (1/2 point)
1 of 1 point
Location (1/2 point)
All areas resonant
No areas of dullness
Some areas dull, some resonant
Dullness, anterior right upper lobe
Some areas hyperresonant, some resonant
Dullness, anterior right middle lobe
Dullness, anterior right lower lobe
Dullness, anterior left upper lobe
Dullness, anterior left lower lobe
Dullness, posterior right upper lobe
Dullness, posterior right lower lobe
Dullness, posterior left upper lobe
Dullness, posterior left lower lobe
Measured diaphragmatic excursion
1 of 1 point
lOMoARcPSD|8660651
Range (1/1 point)
3-5 cm
Greater than 3-5 cm
Less than 3-5 cm
Palpated sinuses
1 of 1 point
Frontal (1/2 point)
Maxillary (1/2 point)
None reported
None reported
Tenderness reported
Tenderness reported
Palpated lymph nodes
1 of 1 point
Head And Neck (1/3 point)
Supraclavicular (1/3 point)
No palpable nodes
No palpable nodes
Palpable nodes on right side
Palpable nodes on right side
Palpable nodes on left side
Palpable nodes on left side
Axillary (1/3 point)
No palpable nodes
Palpable nodes on right side
Palpable nodes on left side
Palpated fremitus
1 of 1 point
Symmetry (1/2 point)
Vibration (1/2 point)
Equal bilaterally
Expected fremitus
Unequal bilaterally
Decreased fremitus
Palpated chest expansion
1 of 1 point
Symmetry (1/1 point)
Equal bilaterally
Unequal bilaterally
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