Shadow Health Focused Exam Chest Pain Brian Foster Complete

Experience Overview

FOCUSED EXAM: CHEST PAIN

Patient: Brian Foster

Grade: 100%

Subjective Data Collection

23 out of 23

Objective Data Collection

21 out of 21

Time

183 minutes total spent in assignment

Objective Data Collection: 21 of 21 (100%)

Inspected face

1 of 1 point

Appearance (1/1 point)

 No visible abnormal findings

 Rash or lesion

 Cyanosis

 Pallor

 Redness or flushing

 Evidence of trauma (scar, laceration, or bruising)

Inspected for jugular venous distension

1 of 1 point

Height Of Venous Pressure (1/1 point)

 4 cm or less above the sternal angle

 More than 4 cm above the sternal angle

Inspected chest

1 of 1 point

Symmetry (1/2 point)

 Symmetric

 Asymmetric

 1 / 4

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

 Skin growths (freckles or moles)

 Evidence of skin trauma (scar, laceration, or bruising)

Inspected hands and fingernails

1 of 1 point

Right: Appearance (1/4 point)

 No visible abnormal findings

 Redness

 Moles or skin tags

 Masses (warts, cysts, or tumors)

 Freckles, birthmark, or other discoloration

 Excessive dry or flaking skin

 Purpura

 Scarring

 Laceration, lesion, or wound

 Bruising

 Rash

Left: Appearance (1/4 point)

 No visible abnormal findings

 Redness

 Moles or skin tags

 Masses (warts, cysts, or tumors)

 Freckles, birthmark, or other discoloration

 Excessive dry or flaking skin

 Purpura

 Scarring

 Laceration, lesion, or wound

 Bruising

 Rash

Right: Nail Changes (1/4 point)

 No visible abnormal findings

 Pallor

 Cyanosis

 Splinter hemorrhages

 Clubbing

Left: Nail Changes (1/4 point)

 No visible abnormal findings

 Pallor

 2 / 4

 Cyanosis

 Splinter hemorrhages

 Clubbing

Inspected lower extremities and toenails

1 of 1 point

Right: Appearance (1/4 point)

 No visible abnormal findings

 Visible distortion or swelling

 Brownish pigmentation

 Skin thickening

 Ulceration

 Varicose veins

Right: Nail Changes (1/4 point)

 No visible abnormal findings

 Pallor

 Cyanosis

 Splinter hemorrhages

 Clubbing

Left: Appearance (1/4 point)

 No visible abnormal findings

 Visible distortion or swelling

 Brownish pigmentation

 Skin thickening

 Ulceration

 Varicose veins

Left: Nail Changes (1/4 point)

 No visible abnormal findings

 Pallor

 Cyanosis

 Splinter hemorrhages

 Clubbing

Inspect lower extremities for edema

1 of 1 point

Right: Edema (1/4 point)

 No edema

 Pitting

 Non-pitting

Right: Severity Of Edema (1/4 point)

 No edema

 1+ Slight pitting

 2+ Deeper pit, disappears in 10 to 15 seconds

 3+ Noticeably deep pit that lasts more than a minute

 3 / 4

 4+ Very deep pit that lasts 2 to 5 minutes

Left: Edema (1/4 point)

 No edema

 Pitting

 Non-pitting

Left: Severity Of Edema (1/4 point)

 No edema

 1+ Slight pitting

 2+ Deeper pit, disappears in 10 to 15 seconds

 3+ Noticeably deep pit that lasts more than a minute

 4+ Very deep pit that lasts 2 to 5 minutes

Tested capillary refill time

1 of 1 point

Fingers (1/2 point)

 Less than 3 seconds

 Greater than 3 seconds

Toes (1/2 point)

 Less than 3 seconds

 Greater than 3 seconds

Palpated carotid arteries

1 of 1 point

Right: Vibration (1/4 point)

 No thrill

 Thrill

Right: Amplitude (1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill

 Thrill

Left: Amplitude (1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Palpated PMI

1 of 1 point

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 4 / 4

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