Uvula cranial nerves IX X Uvula rises midline on phonation Tongue cranial nerve

Uvula cranial nerves ix x uvula rises midline on

This preview shows page 4 - 7 out of 8 pages.

Uvula (cranial nerves IX, X) Uvula rises midline on phonation. Tongue (cranial nerve XII) Able to protrude tongue midline and against buccal mucosa. Neck Symmetry, lumps, and pulsations Symmetric; no masses, tenderness, lymphadenopathy. Cervical lymph nodes No cervical lymph nodes palpable. No tenderness. Carotid pulse (bruits if indicated) Carotid arteries 2+ and = bilaterally; no bruits. Trachea Trachea midline. ROM Neck supple with full ROM. Thyroid gland Thyroid nonpalpable, not tender. Chest and Lungs: Posterior and Lateral Thoracic cage configuration normal chest size and shape, warm, dry skin,
Image of page 4

Subscribe to view the full document.

Skin characteristics Symmetric expansion Tactile fremitus Lumps or tenderness no tender spots, no lumps symmetrical chest expansion, and tactile fremitus between the scapulae in the back of the chest. Spinous process Normal spinal profile; no scoliosis. No tenderness over spine. Percussion over lung fields Not Assessed CVA tenderness No CVA tenderness Breath sounds Clear; no wheezing or crackles observed Adventitious sounds None observed Chest and Lungs: Anterior Respirations and skin characteristics normal chest size and shape, warm, dry skin, Tactile fremitus, lumps, and tenderness no tender spots, no lumps symmetrical chest expansion tactile fremitus over the main stem bronchi in front Percuss lung fields Not Assessed Breath sounds Clear; wheezing or crackles observed Heart Precordium: pulsations and heave Precordium: no abnormal pulsations, no heaves. S1–S2 are not diminished or accentuated, no S3 or S4. Apical impulse (PMI) Apical impulse at 5th ICS in left MCL, no thrills. Precordium and thrills No pulsation or thrills observed. Apical rate and rhythm Regular rate and normal rhythm Heart sounds No murmurs auscultated Upper Extremities
Image of page 5
ROM and muscle strength Upper extremities have full ROM and bilateral equal strength. Epitrochlear nodes Not Assessed Discuss the process for assessing breasts and axilla Not Assessed Neck Vessels Jugular venous pulsation pulsation not visible Presence of jugular venous distension distended lying flat Abdomen Contour, symmetry, skin characteristics, umbilicus, and pulsations Flat, symmetric. Skin smooth with no lesions, scars, or striae.
Image of page 6

Subscribe to view the full document.

Image of page 7
  • Spring '16
  • pulse, tenderness, involuntary movements, upper extremities, lower extremities, normal chest size

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask bonus questions You can ask questions ( expire soon) You can ask questions (will expire )
Answers in as fast as 15 minutes