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Respiratory Shadow health assessment Objective Data
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
Availability
24/7 availability
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