Comprehensive Assessment Results | Turned In
Physical Assessment in Healthcare
Your Results Lab Pass (/assignment_attempts /
Overview
Objective Data Collection: 73 of 73 (100.0%)
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Subjective Data Collection
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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%