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SH Focused Exam Chest Pain Brian Foster. latest SHADOW HEALTH DOCUMENT.

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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 flushin... g  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 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  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 [Show More]

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