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Shadow Health Tina Jones Comprehensive Results Objective Results Redacted

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Shadow Health Tina Jones Comprehensive Results Objective Results Redacted

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Comprehensive Assessment Results | Turned In
Physical Assessment in Healthcare




Your Results Lab Pass (/assignment_attempts /




Overview
Objective Data Collection: 73 of 73 (100.0%)
Transcript

Subjective Data Collection
Hover To Reveal... Indicates an item that you found.
Objective Data Collection Indicates an item that is available to be found.
Hover over the Patient Data items
Documentation below to reveal important information,
including Pro Tips.
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Category Scored Items Patient Data
Not Scored

Experts selected these examinations as essential Thorough examinations will yield better patient data
components of objective data collection for this patient. following actions reveal the objective data of the pa
case.



HEENT


Inspected head and neck Scattered pustules on face and facial hair on upp
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 scalp No masses



Palpated sinuses No frontal sinus tenderness

, No maxillary sinus tenderness



Palpated jaw No clicks, full ROM



Palpated lymph nodes No cervical lymphadenopathy
No axillary lymphadenopathy
No supraclavicular lymphadenopathy



Palpated thyroid Thyroid smooth without nodules, no goiter



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



Tested eye movements Normal convergence
EOMs intact bilaterally, no nystagmus



Tested peripheral vision Peripheral vision intact in both eyes, all fields



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 refl
Left TM intact and pearly gray, positive light refle



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



Respiratory


Tested pulse oximetry Oxygen saturation 99%



Tested lung capacity FVC is 3.91 L and FEV1/FVC ratio is 80.56%

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