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    Documentation of Semifinals Exam Videos

    Uploaded by

    Mikylla Ordaniel
    The document summarizes a health assessment of a 29-year-old female patient. The assessment examines the patient's eyes, neck, heart, lungs, and abdomen and finds everything to be normal with no abnormalities.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Documentation of Semifinals Exam Videos

    Uploaded by

    Mikylla Ordaniel
    19 views7 pages
    The document summarizes a health assessment of a 29-year-old female patient. The assessment examines the patient's eyes, neck, heart, lungs, and abdomen and finds everything to be normal with no abnormalities.

    Original Title

    DOCUMENTATION OF SEMIFINALS EXAM VIDEOS

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    © © All Rights Reserved

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    The document summarizes a health assessment of a 29-year-old female patient. The assessment examines the patient's eyes, neck, heart, lungs, and abdomen and finds everything to be normal with no abnormalities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views7 pages

    Documentation of Semifinals Exam Videos

    Uploaded by

    Mikylla Ordaniel
    The document summarizes a health assessment of a 29-year-old female patient. The assessment examines the patient's eyes, neck, heart, lungs, and abdomen and finds everything to be normal with no abnormalities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 7

    Health Assessment

    Semifinals Examination DOCUMENTATION


    OF
    SEMIFINALS EXAM
    VIDEOS

    NAME: ORDANIEL, MIKYLLA A.


    YEAR&SECTION: BSN 1-2
    PROFESSOR: DR. JHASON JOHN CABIGON

    INTRODUCTION

    PATIENT’S NAME: CAMILLE ANN R. LABADIA


    AGE: 29 YEARS OLD
    DATE OF BIRTH: MARCH 27, 1995
    eye
    examination

    PUPILLARY
    REFLEX
    THE SIZE OF THE PUPILS IS GENERALLY
    THE SAME. THE PUPILS CONSTRICTS IN
    RESPONSE TO DIRECT LIGHT AND WHEN
    THE OPPOSITE EYE IS ILLUMINATED. THE
    PUPILS DILATE WHEN THE LIGHT IS OUT.

    CARDINAL
    FIELDS OF
    GAZE
    THE MOVEMENT OF THE EYES IS
    SYMMETRICAL AND SMOOTH AS
    SHE FOLLOW THE PENLIGHT.
    neck
    examination

    THYROID
    GLAND AND
    LYMPH NODES

    THE THYROID GLAND FEELS SOFT, SMOOTH,


    AND SYMMETRICAL, WITHOUT ANY
    TENDERNESS. THERE ARE NO PALPABLE
    LYMPH NODES IN THE NECK, NO SWELLING,
    ASYMMETRY, DISCOLORATION, OR INCREASED
    TEMPERATURE IN THE AREAS WHERE LYMPH
    NODES ARE TYPICALLY FOUND.
    heart
    examination
    INSPECTION OF
    PRECORDIUM

    THE AREA OVER THE PRECORDIUM IS


    SYMMETRICAL AND NO SCARS

    PALPATION OF
    APEX BEAT
    APEX BEAT WAS FELT IN THE FIFTH
    INTERCOSTAL SPACE AT THE
    MIDCLAVICULAR LINE.

    AUSCULTATION OF
    HEART SOUNDS IN 4
    VALVE REGIONS
    THE HEART SOUNDS S1 AND S2 ARE
    HEARD IN A CONSISTENT RHYTHM.
    lung
    examination
    INSPECTION OF SHAPE
    AND CHEST EXPANSION
    THE CHEST SHAPE APPEARS SYMMETRICAL FROM
    SIDE TO SIDE, EXHIBITING A NORMAL CONTOUR
    WITHOUT ANY EVIDENT DEFORMITIES SUCH AS A
    BARREL CHEST, KYPHOSIS, OR SCOLIOSIS. THERE
    ARE NO MUSCLE RETRACTIONS OBSERVED
    DURING BREATHING. THE SKIN COLOR IS
    CONSISTENT WITH THE OVERALL COMPLEXION OF
    THE BODY.

    PALPATION OF
    TACTILE FREMITUS
    THERE ARE NO SIGNS OF TENDERNESS
    NOTED UPON PALPATION. THE SKIN
    FEELS WARM AND SMOOTH, AND THERE
    ARE NO SIGNS OF CREPITUS OR MASSES.

    PERCUSSION OF LUNG
    FIELDS
    HAS NORMAL LUNG TISSUE THAT
    PRODUCES A CLEAR, LOW-PITCHED,
    HOLLOW SOUND.

    AUSCULATION OF
    LUNG SOUNDS
    BRONCHOVESICULAR AND VESICULAR
    SOUNDS ARE AUDIBLE IN THE CORRECT
    REGIONS WITHOUT ANY ABNORMAL LUNG
    SOUNDS PRESENT.
    abdominal
    examination

    INSPECTION OF CONTOUR
    AND LESIONS

    THERE ARE NO VISIBLE LESIONS OR


    PULSATION, AND THERE ARE NO SIGNS
    OF JAUNDICE. THE SKIN COLOR OF THE
    ABDOMEN IS THE SAME AS THE SKIN
    TONE OF THE BODY.
    AUSCULTATION OF
    BOWEL SOUNDS
    BOWEL HAS A PRESENT AND
    NORMOACTIVE SOUND.

    PERCUSSION
    GENERAL TYMPANY WITH DULLNESS
    DETECTED IN ALL QUADRANTS.
    DULLNESS IS NOTICEABLE SPECIFICALLY
    OVER THE LIVER.
    abdominal
    examination

    PALPATION OF 4
    QUADRANTS (LIGHT)
    NO SIGNS OF; TENDERNESS, MASSES,
    OR DISTENTION. THE ABDOMINAL
    ORGANS ARE IN THE RIGHT SPOTS.

    PALPATION OF 4
    QUADRANTS (DEEP)

    NO MASSES AND REBOUND


    TENDERNESS IN THE AREAS

    GDRIVE VIDEO LINK OF EXAMINATION:


    https://drive.google.com/file/d/1uwxfGuo6JHz
    G1bG27s_2_CACEsGTIFTW/view?
    usp=drive_link

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