Focused Exam: Cough, Danny Rivera Shadow health
Objective Data Collection: 13 of 13 (100%)
Correct
Partially correct
Incorrect
Missed
No visible abnormal findings
Ptosis
Eyelid edema
Lesion
Allergic shiners
Focused Exam: Cough, Danny Rivera Shadow health
White
Jaundice
Injection
Icterus
Moist and pink
Pale
Dry appearance
Erythema
Edema
No discharge
Clear, watery discharge
Purulent discharge
Focused Exam: Cough, Danny Rivera Shadow health
Pink
Erythemic
Bluish
No discharge
Clear discharge
Bloody discharge
Purulent discharge
Patent
Decreased patency
Not patent
No additional visible abnormal findings
Foreign body present
Polyp
Septum perforated
Septum deviated
Lesion
Pink
Erythemic
Pallor
Pearly gray
Erythemic
Opaque
Yellow
Not visible because of cerumen
No visible abnormal findings
Fluid observed
Visible scars
Bulging
Perforation
Retraction
5:00
Cone of light distorted
No discharge
Cerumen
Clear discharge
Bloody discharge
Purulent discharge
Pink
Erythemic
Pallor
Pearly gray
Erythemic
Opaque
Yellow
Not visible because of cerumen
No visible abnormal findings
Fluid observed
Visible scars
Bulging
Perforation
Retraction
7:00
Cone of light distorted
No discharge
Cerumen
Clear discharge
Bloody discharge
Purulent discharge
Moist and pink
Dry appearance
Erythema
No visible abnormal findings
Edema
Erythema
Pink
Erythemic
No abnormal findings
Cobblestoning
Exudate
No discharge
Clear discharge
Purulent discharge
Symmetric
Asymmetric
No visible abnormal findings
Swelling
Visible pulsation
Visible mass
Discoloration
Symmetric
Asymmetric
No visible abnormal findings
Rash or lesion
AP diameter abnormal Intercostal retraction while breathing
Excessive use of accessory muscles while breathing
Pectus excavatum
Skin growths (freckles or moles)
Evidence of skin trauma (scar, laceration, or bruising)
None reported
Tenderness reported
None reported
Tenderness reported
No palpable nodes
Palpable nodes on right side
Palpable nodes on left side
No palpable nodes
Palpable nodes on right side
Palpable nodes on left side
No palpable nodes
Palpable nodes on right side
Palpable nodes on left side
Focused Exam: Cough, Danny Rivera Shadow health
Equal bilaterally
Unequal bilaterally
Expected fremitus
Decreased fremitus
Present in all areas
Diminished in some areas
Absent in some areas
No adventitious sounds
Wheezing
Fine crackles
Stridor
Rhonchi
Rales
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
Focused Exam: Cough, Danny Rivera Shadow health
Positive
Negative
S1 and S2 audible
S1, S2, and S3 audible
S1, S2, and S4 audible
S1, S2, S3, and S4 audible
No extra sounds
Gallops
Murmur
Friction rub
Valve clicks
All areas resonant
Some areas dull, some resonant
Some areas hyperresonant, some resonant
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
Focused Exam: Cough, Danny Rivera Shadow health