Maureen Hopkins Shadow health Objective Data Collection: 15 of 15 (100%)

Correct
Partially correct
Incorrect
Missed

Inspected Head
1 of 1 point
Presence Of Injuries (1/3 point)

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Normocephalic and atraumatic
Traumatic scalp injury

Hair Distribution (1/3 point)

Normal hair distribution
Central scalp hair loss
Male-pattern hair loss

Scalp Epidermis (1/3 point)

Scalp epidermis intact
Scaling of scalp epidermis

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Inspected Eyes
1 of 1 point
Left Eye Orbital Area (1/8 point)

No visible abnormal findings
Allergic shiners
Exophthalmos
Eyelid edema
Lesion
Ptosis

Left Eye Sclera (1/8 point)

White
Scleral icterus
Scleral erythema
Injected

Left Eye Conjunctiva (1/8 point)

Moist and pink
Pale
Dry appearance
Erythema
Edema

Left Eye Conjunctival Discharge (1/8 point)

No discharge
Clear, watery discharge
Purulent discharge

Right Eye Orbital Area (1/8 point)

No visible abnormal findings
Allergic shiners
Exophthalmos
Eyelid edema
Lesion
Ptosis

Right Eye Sclera (1/8 point)

White
Scleral icterus
Scleral erythema
Injected

Endocrine System Hourly Rounds Subjective data Collection

Right Eye Conjunctiva (1/8 point)

Moist and pink
Pale
Dry appearance
Erythema
Edema

Right Eye Conjunctival Discharge (1/8 point)

No discharge
Clear, watery discharge
Purulent discharge

Inspected Ears
1 of 1 point
Left Ear Auditory Canal Color (1/6 point)

Pink
Red
Pallor

Left Ear Tympanic Membrane Appearance (1/6 point)

No visible abnormal findings
Fluid observed
Visible scars
Bulging
Perforation
Retraction

Left Ear Discharge (1/6 point)

No discharge
Cerumen
Clear discharge
Bloody discharge
Purulent discharge

Right Ear Auditory Canal Color (1/6 point)

Pink
Red
Pallor

Right Ear Tympanic Membrane Appearance (1/6 point)

No visible abnormal findings
Fluid observed
Visible scars
Bulging
Perforation
Retraction

Right Ear Discharge (1/6 point)

No discharge
Cerumen
Clear discharge
Bloody discharge
Purulent discharge

Inspected Nose
1 of 1 point
Color (1/4 point)

Pink
Pale
Erythemic
Bluish

Discharge (1/4 point)

No discharge
Clear discharge
Bloody discharge
Purulent discharge

Turbinate Patency (1/4 point)

Patent
Decreased patency
Not patent

Observations (1/4 point)

No additional visible abnormal findings
Foreign body present
Polyp
Septum perforated
Septum deviated
Lesion

Fatima Khan Endocrine System Hourly Rounds Shadow health Transcript

Inspected Throat
1 of 1 point
Oral Mucosa (1/3 point)

Moist and pink
Dry appearance
Erythemic

Tonsils (1/3 point)

No visible abnormal findings
Edema
Erythema

Posterior Oropharynx Color (1/3 point)

Pink
Erythemic

Inspected Skin, Arms
1 of 1 point
Left Arm (1/2 point)

Skin well hydrated
Epidermal flaking noted
Extensive dermal scaling noted

Right Arm (1/2 point)

Skin well hydrated
Epidermal flaking noted
Extensive dermal scaling noted

Inspected Thyroid
1 of 1 point
Thyroid (1/1 point)

No goiter appreciated
Goiter present

Auscultated Breath Sounds
1 of 1 point
Breath Sounds (1/3 point)

Present in all areas
Diminished in some areas
Absent in some areas

Adventitious Sounds (1/3 point)

No adventitious sounds
Wheezing
Fine crackles
Stridor
Rhonchi
Rales

Location (1/3 point)

All areas clear
Adventitious sounds in anterior right upper lobe
Adventitious sounds in anterior right middle lobe
Adventitious sounds in anterior right lower lobe
Adventitious sounds in anterior left upper lobe
Adventitious sounds in anterior left lower lobe
Adventitious sounds in posterior right upper lobe
Adventitious sounds in posterior right lower lobe
Adventitious sounds in posterior left upper lobe
Adventitious sounds in posterior left lower lobe

Auscultated Heart Sounds
1 of 1 point
Heart Sounds (1/2 point)

S1 and S2 audible
S1, S2, and S3 audible
S1, S2, and S4 audible
S1, S2, S3, and S4 audible

Extra Heart Sounds (1/2 point)

No extra sounds
Gallops
Murmur
Friction rub
Valve clicks

Assessed Cranial Nerves
1 of 1 point
Cranial Nerve Exams (1/1 point)

Cranial nerves II-XII intact
Facial asymmetry noted
Dysarthria noted
Abnormal eye movements noted

Assessed Upper Musculoskeletal Strength
1 of 1 point
Sensation In Hands (1/2 point)

Expected sensation
Decreased sensation

Squeezing Strength Test (1/2 point)

0 – No muscle contraction
1 – Barely detectable contraction
2 – Active movement with gravity eliminated
3 – Active movement against gravity
4 – Active movement against gravity and resistance
5 – Active movement against full resistance without fatigue (normal)

Assessed Lower Musculoskeletal Strength
1 of 1 point
Hip Strength (1/1 point)

0 – No muscle contraction
1 – Barely detectable contraction
2 – Active movement with gravity eliminated
3 – Active movement against gravity
4 – Active movement against gravity and resistance
5 – Active movement against full resistance without fatigue (normal)

Palpated Hair
1 of 1 point
Hair Thickness (1/3 point)

Hair has normal thickness
Hair is thin
Hair has excessive thickness

Hair Integrity (1/3 point)

Hair intact with palpation
Hair falls out with palpation

Hair Shaft Integrity (1/3 point)

Hair shaft does not break with palpation
Hair shaft breaks with palpation

Palpated Thyroid
1 of 1 point
Observations (1/2 point)

No palpable abnormal findings
Nodules
Enlarged
Irregular

Tenderness (1/2 point)

None reported
Tenderness reported

Checked Pill Bottle
1 of 1 point
Medication Name (1/1 point)

Brand name medication listed
Generic name medication listed
Maureen Hopkins Shadow Health: Objective Data

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Maureen Hopkins Shadow health Objective Data Collection: 15 of 15 (100%)