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    Area Inspection Palpation Auscultation Percussion: Physical Assessment

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    Kris Tejerero
    This physical assessment document summarizes the inspection, palpation, auscultation, and percussion of different body areas. Key findings include jaundiced skin, clubbed nails, abdominal distension and tenderness, IV access on the left hand, and pitting edema in the lower extremities. The physical exam was otherwise unremarkable, with normal breath sounds and joint movement.

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    Area Inspection Palpation Auscultation Percussion: Physical Assessment

    Uploaded by

    Kris Tejerero
    97 views6 pages
    This physical assessment document summarizes the inspection, palpation, auscultation, and percussion of different body areas. Key findings include jaundiced skin, clubbed nails, abdominal distension and tenderness, IV access on the left hand, and pitting edema in the lower extremities. The physical exam was otherwise unremarkable, with normal breath sounds and joint movement.

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    Original Title

    Mr. Diko Alam IPPA

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    This physical assessment document summarizes the inspection, palpation, auscultation, and percussion of different body areas. Key findings include jaundiced skin, clubbed nails, abdominal distension and tenderness, IV access on the left hand, and pitting edema in the lower extremities. The physical exam was otherwise unremarkable, with normal breath sounds and joint movement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    97 views6 pages

    Area Inspection Palpation Auscultation Percussion: Physical Assessment

    Uploaded by

    Kris Tejerero
    This physical assessment document summarizes the inspection, palpation, auscultation, and percussion of different body areas. Key findings include jaundiced skin, clubbed nails, abdominal distension and tenderness, IV access on the left hand, and pitting edema in the lower extremities. The physical exam was otherwise unremarkable, with normal breath sounds and joint movement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    PHYSICAL ASSESSMENT

    AREA INSPECTION PALPATION AUSCULTATION PERCUSSION


    Integument

    Skin - Dark skin complexion - Presence of poor N/A


    - Jaundice skin turgor
    - Dryness - Warm to Touch
    - Erythema

    Hair - Black hair color - Thick and Silky N/A


    - Evenly Distributed and
    Variable amount of
    body hair
    Nails - Whitish nail beds - It is smooth and N/A
    - Clubbing intact with the
    epidermis
    - When nails
    pressed between
    the fingers
    ( Blanch Test),
    delayed return of
    usual color for
    more than 4
    seconds
    Head - Rounded, - There are no N/A
    normocephalic and nodules or masses
    symmetrical and depressions
    when palpated
    Eyes and Vision

    Eyebrows - Hair is evenly


    distributed
    - Symmetrically aligned
    and showed equal
    movement when asked
    to raise and lower
    eyebrows

    Eyelashes

    - Equally distributed and


    curled slightly outward

    Eyelids - No presence of
    discharges
    - Lids close
    symmetrically with
    involuntary blinks
    approximately 15-20
    times per minute

    - Jaundice

    Eyes

    Hearing
    - Auricles are - Mobile, firm and
    Ears symmetrical and has not tender
    the same color with the - Pinna recoils when
    facial skin folded
    - Aligned with the outer
    canthus of the eye
    - Able to hear in both
    ears
    Nose and Sinus - Symmetric, straight - No tenderness and
    and uniform in color lesions
    - No presence of
    discharge or flaring
    Mouth - Pale and Dry lips - Rough Texture
    - Purse his lips when
    asked to whistle

    Teeth and Gums - With dental caries and


    decayed molars

    Tongue and floor of - Central position, pink


    the mouth but with whitish
    coating which is
    normal, with veins
    prominent in the floor
    of the mouth
    Neck - Positioned at the No masses palpated
    midline
    Thorax and Lungs

    Posterior Thorax
    - Chest symmetrical - With normal breath
    -Deep resonant sound
    sounds (Broncho-
    vesicular)

    Anterior Thorax Quiet, rhythmic and Effortless breathing


    effortless respiration
    Abdomen - Uniform in color - Presence of - Hyperactive With 23 bowel Large dull areas
    - Distended abdomen tenderness sounds/minute
    with 96cm abdominal
    girth
    - Tense and glistening
    skin
    - Limited movement due
    to pain
    - Abdominal pain with a
    pain scale of 10
    Upper Extremeties - Without scars and -No tenderness
    lesions on both
    extremites
    - Presence of Cyst on his
    right thumb
    - With ongoing IVF #5
    PLR 1L at 650ml;
    infusing well at 30
    gtts/min at left
    metacarpal vein via IV
    cannula G#22
    - With side drip bot #2
    Dextamin 500cc at 450
    cc level; infusing well at
    31cc/hr
    Lower Extremities - With minimal scars on -Pitting edema (3+ 6mm)
    lower extremities

    Muscles - Equal in size both sides - No masses


    of the body palpated

    Bones and joints - No deformities or


    swelling
    - Joints move smoothly

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