health assessment .docx - Margo Daley-Douglas Head to toe...

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Margo Daley-DouglasHead to toe AssessmentGeneral AppearancePt is seated in an upright position. Pt denies any pain or distress. Skin intact with no signs ofdiscoloration, scars or contusion. Oral cavity clean, pink and moist with no signs of dryness orlesion. Dentition intactNeurological assessmentPt. is A+Ox3. Face is symmetrical. Pupils reactive to light (PERLT).Clear speech, able to followcommands. Pt. denies any headache and dizziness.Cardiac AssessmentPt. had a regular heart rate and rhythm.Denies any chest pain or palpitations.Respiratory assessmentChest symmetrical. Skin intact. No lesions or discoloration. No overuse of accessory muscles.Denies chest pain, congestion and shortness of breath. Denies tenderness. CTA bilaterally.
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Term
Fall
Professor
BAYER TINA
Tags
pulse, Medical signs, Radial artery

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