Physical Assessment.docx - Physical Assessment Integument...

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Physical Assessment Integument Skin : The client’s skin is uniform in color, unblemished and no presence of any foul odor. He has a good skin turgor and skin’s temperature is within normal limit. Hair : The hair of the client is thick, silky hair is evenly distributed and has a variable amount of body hair . There are also no signs of infection and infestation observed. Nails : The client has a light brown nails and has the shape of convex curve. It is smooth and is intact with the epidermis . When nails pressed between the fingers (Blanch Test), the nails return to usual color in less than 4 seconds. Head Head : The head of the client is rounded; normocephalic and symmetrical. Skull : There are no nodules or masses and depressions when palpated. Face : The face of the client appeared smooth and has uniform consistency and with no presence of nodules or masses. Eyes and Vision Eyebrows : Hair is evenly distributed. The client’s eyebrows are symmetrically aligned and showed equal movement when asked to raise and lower eyebrows. Eyelashes : Eyelashes appeared to be equally distributed and curled slightly outward. Eyelids : There were no presence of discharges, no discoloration and lids close symmetrically with involuntary blinks approximately 15-20 times per minute. Eyes o The Bulbar conjunctiva appeared transparent with few capillaries evident. o The sclera appeared white. o The palpebral conjunctiva appeared shiny, smooth and pink. o There is no edema or tearing of the lacrimal gland. o Cornea is transparent, smooth and shiny and the details of the iris are visible. The client blinks when the cornea was touched. o The pupils of the eyes are black and equal in size. The iris is flat and round. PERRLA (pupils equally round respond to light accommodation), illuminated and non-illuminated pupils constricts. Pupils constrict when looking at near object and dilate at far object. Pupils converge when object is moved towards the nose.
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o When assessing the peripheral visual field, the client can see objects in the periphery when looking straight ahead. o When testing for the Extraocular Muscle , both eyes of the client coordinately moved in unison with parallel alignment. o The client was able to read the newsprint held at a distance of 14 inches. Ears and Hearing Ears : The Auricles are symmetrical and has the same color with his facial skin. The auricles are aligned with the outer canthus of eye . When palpating for the texture, the auricles are mobile, firm and not tender. The pinna recoils when folded. During the assessment of Watch tick test, the client was able to hear ticking in both ears.
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  • Fall '13
  • upper extremities, lower extremities

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