Respiratory Shadow health assessment Objective Data

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Objective Data Collection: 5.67 of 6 (94.5%)

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed
 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
  •  Evidence of trauma (scar, laceration, or bruising)
 Palpated chest expansion
1 of 1 point
Symmetry (1/1 point)
  •  Equal bilaterally
  •  Unequal bilaterally
 Palpated tactile fremitus
1 of 1 point
Symmetry (1/2 point)
  •  Equal bilaterally
  •  Unequal bilaterally
Vibration (1/2 point)
  •  Expected fremitus
  •  Decreased fremitus
  •  Absent fremitus
 Percussed chest wall
1 of 1 point
Observations (1/2 point)
  •  All areas resonant
  •  Some areas of dullness
Location (1/2 point)
  •  No areas of dullness
  •  Dullness, anterior right upper lobe
  •  Dullness, anterior right middle lobe
  •  Dullness, anterior right lower lobe
  •  Dullness, anterior left upper lobe
  •  Dullness, anterior left lower lobe
  •  Dullness, posterior right upper lobe
  •  Dullness, posterior right lower lobe
  •  Dullness, posterior left upper lobe
  •  Dullness, posterior left lower lobe
 Auscultated breath sounds
0.67 of 1 point
Breath Sounds (1/3 point)
  •  Present in all areas
  •  Diminished in some areas
  •  Absent in some areas
Adventitious Sounds (1/3 point)
  •  No adventitious sounds
  •  Wheezing
  •  Fine crackles
  •  Stridor
  •  Rhonchi
  •  Rales
Location (No point)
  •  All areas clear
  •  Adventitious sounds in anterior right upper lobe
  •  Adventitious sounds in anterior right middle lobe
  •  Adventitious sounds in anterior right lower lobe
  •  Adventitious sounds in anterior left upper lobe
  •  Adventitious sounds in anterior left lower lobe
  •  Adventitious sounds in posterior right upper lobe
  •  Adventitious sounds in posterior right lower lobe
  •  Adventitious sounds in posterior left upper lobe
  •  Adventitious sounds in posterior left lower lobe
 Auscultated for bronchophony
1 of 1 point
Bronchophony (1/1 point)
  •  Positive
  •  Negative