PM Results Re…
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Comprehensive Assessment Results | Turned In
Physical Assessment in Healthcare -
Your Results Lab Pass (/assignment_attempts/
Overvie
Objective Data Collection: 73 of 73 (100.0%)
w
Transcrip
t
Subjective Data
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Documentation
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Patient Data
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Experts selected these examinations as
essential components of objective data Thorough examinations will yield better
collection for this patient. patient data following actions reveal the
objective data of the pat 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
1/8
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, 10/16/24, 12:29 Shadow Health Tina Jones Comprehensive Results Objective
PM Results Re…
| Shadow Health® │ Digital Clinical Experiences™ from Elsevier
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 refle 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
Respiratory
Tested pulse oximetry Oxygen saturation 99%
Tested lung capacity FVC is 3.91 L and FEV1/FVC ratio is 80.56%
2/8
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