Patient: Brian Foster Grade: 100%
Subjective Data Collection
23 out of 23
Objective Data Collection
21 out of 21
Time
183 minutes total
... [Show More] spent in assignment
Objective Data Collection: 21 of 21 (100%)
Inspected face 1 of 1 point
Appearance (1/1 point)
• No visible abnormal findings
• Rash or lesion
• Cyanosis
• Pallor
• Redness or flushing
• Evidence of trauma (scar, laceration, or bruising)
Inspected for jugular venous distension 1 of 1 point
Height Of Venous Pressure (1/1 point)
• 4 cm or less above the sternal angle
• More than 4 cm above the sternal angle
Inspected chest 1 of 1 point
Symmetry (1/2 point)
• Symmetric
• Asymmetric
Appearance (1/2 point)
• No visible abnormal findings
• Rash or lesion
• AP diameter abnormal
• Intercostal retraction while breathing
• Excessive use of accessory muscles while breathing
• Pectus excavatum
• Skin growths (freckles or moles)
• Evidence of skin trauma (scar, laceration, or bruising)
Inspected hands and fingernails 1 of 1 point
Right: Appearance (1/4 point)
• No visible abnormal findings
• Redness
• Moles or skin tags
• Masses (warts, cysts, or tumors)
• Freckles, birthmark, or other discoloration
• Excessive dry or flaking skin
• Purpura
• Scarring
• Laceration, lesion, or wound
• Bruising
• Rash
Left: Appearance (1/4 point)
• No visible abnormal findings
• Redness
• Moles or skin tags
• Masses (warts, cysts, or tumors)
• Freckles, birthmark, or other discoloration
• Excessive dry or flaking skin
• Purpura
• Scarring
• Laceration, lesion, or wound
• Bruising
• Rash
Right: Nail Changes (1/4 point)
• No visible abnormal findings
• Pallor
• Cyanosis
• Splinter hemorrhages
• Clubbing
Left: Nail Changes (1/4 point)
• No visible abnormal findings
• Pallor
• Cyanosis
• Splinter hemorrhages
• Clubbing
Inspected lower extremities and toenails 1 of 1 point
Right: Appearance (1/4 point)
• No visible abnormal findings
• Visible distortion or swelling
• Brownish pigmentation
• Skin thickening
• Ulceration
• Varicose veins
Right: Nail Changes (1/4 point)
• No visible abnormal findings
• Pallor
• Cyanosis
• Splinter hemorrhages
• Clubbing
Left: Appearance (1/4 point)
• No visible abnormal findings
• Visible distortion or swelling
• Brownish pigmentation
• Skin thickening
• Ulceration
• Varicose veins
Left: Nail Changes (1/4 point)
• No visible abnormal findings
• Pallor
• Cyanosis
• Splinter hemorrhages
• Clubbing
Inspect lower extremities for edema 1 of 1 point
Right: Edema (1/4 point)
• No edema
• Pitting
• Non-pitting
Right: Severity Of Edema (1/4 point)
• No edema
• 1+ Slight pitting
• 2+ Deeper pit, disappears in 10 to 15 seconds
• 3+ Noticeably deep pit that lasts more than a minute
• 4+ Very deep pit that lasts 2 to 5 minutes
Left: Edema (1/4 point)
• No edema
• Pitting
• Non-pitting
Left: Severity Of Edema (1/4 point)
• No edema
• 1+ Slight pitting
• 2+ Deeper pit, disappears in 10 to 15 seconds
• 3+ Noticeably deep pit that lasts more than a minute
• 4+ Very deep pit that lasts 2 to 5 minutes [Show Less]