Advanced health Assessment (NU 650) Final Comprehensive Video Exam Physical Examination Checklist

Advanced health Assessment (NU 650)Final Comprehensive Video Exam Physical Examination ChecklistFinal Video Skin (1 point) __/1 point: Inspect skin characteristics including moisture, dryness, temperature. Inspect and palpate scalp and hair for lesions, texture, distribution, quantity, and any pattern of loss Head/Face (1 point) __/1 point: Inspect general size and contour of the skull noting deformities, depressions, lumps, or tenderness Eyes (7.5 points) __/0.5 points: Inspect structures of the eye noting symmetry, color, size, shape, swelling, discharge, vascularity or nodules __/1 point: Assess visual acuity (CN II) (Use Snellen/Rosenbaum chart; ask the patient to cover one eye and read smallest print line possible) __/1 point: Assess pupillary response to light (direct and consensual) and accommodation (CN II and CN III) __/1 point: Assess visual fields by confrontation (CN II) __/1 point: Assess extraocular movements (CN III, IV, VI) including convergence, noting nystagmus and lid lag __/3 points: Perform ophthalmoscopic exam adjusting light, positioning the patient, and holding the ophthalmoscope correctly to identify red reflex Ears (3.5 points) Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| A++ __/0.5 points: Inspect the auricles and surrounding tissue for symmetry, deformities, lumps, or lesions __/2 Perform otoscopic exam noting discharge, foreign bodies, redness, swelling, cerumen, and appearance of the tympanic membrane __/1 point: Test auditory acuity using whisper test (CN VIII) (stand 1 to 2 feet behind patient. Ask the patient to occlude one ear before you whisper a twosyllable word) Nose (3 points) __/0.5 points: Inspect for asymmetry, lesions, and deformity __/0.5 points: Palpate nares to assess for nasal obstruction __/1 point: Inspect the nares with the otoscope noting color, swelling, bleeding, exudate, ulcers, polyps of nasal mucosa and deviation, inflammation, or perforation of the septum __/1 point: Palpate frontal and maxillary sinuses for tenderness Mouth/Jaw (3 points) __/0.5 points: Inspect the lips and oral mucosa noting color, moisture, areas of pigmentation, ulcers, white patches, and nodules. Inspect the gums and teeth noting color, swelling, ulceration, bleeding, retraction, abnormal position, or looseness __/0.5 points: Inspect the tongue and floor of the mouth noting color and texture; assess tongue symmetry, position, and movement (CN XII) __/1 point: Inspect the posterior pharynx, soft palate, anterior and posterior pillars, uvula, and tonsils noting rise and fall of the soft palate and gag reflex (CN IX and X) color, symmetry, swelling, ulceration, or exudate __/1 point: Inspect and palpate temporomandibular joint for swelling, tenderness, deformity, atrophy, and range of motion. Note the strength of muscle contraction when palpitating temporal and masseter muscles both before and after they clench their teeth. (CN V) Neck (9 points) Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| A++ __/0.5 points: Inspect the neck noting symmetry, masses, scars, enlargement of glands, visible lymph nodes jugular venous pressure and carotid pulsations __/0.5 points: Inspect and palpate trachea for deviation __/5 points: Palpate lymph nodes noting size, shape, mobility, consistency and any tenderness – pre-auricular (front of ear); posterior auricular (superficial to the mastoid process); occipital (posterior base of skull); tonsillar (angle of the mandible); submandibular (midway between angle and tip of the mandible); submental (midline behind the tip of the mandible); superficial cervical (superficial to the sternocleidomastoid); posterior cervical (along anterior edge of the trapezius); d