NUR7580 Advanced Health Assessment and Differential Diagnosis: Comprehensive Head-to-Toe Exam Video
In this course, students are required to demonstrate their proficiency in conducting selected health assessment techniques through a recorded video. The “patient” for this video should be a non-pregnant volunteer aged 18 or older, who must sign the Video Release Form provided in the course. Additionally, students need to acquire and correctly use the necessary equipment for the assessment. The student is expected to articulate the assessment techniques and examination findings, ensuring clarity for faculty evaluation. All techniques must be performed from memory, with no use of notes or additional materials during recording.
The video head-to-toe exam should be completed within 25 minutes, as anything beyond this timeframe will not be considered in the grading process. Students must achieve a score of more than 75% to pass this assignment.
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Body System | Required Exam Technique | Possible Points | Total Points
– General | General survey | 2 |
– Skin | Color, texture, lesions, wounds, temperature, turgor | 5 |
– Head & Face | Cranium shape, appearance, hair; Facial symmetry, scalp, sinuses; TMJ; Nasal patency; Turbinates, nasal mucosa | 5 |
– Eyes | External eye: eyelids, lashes; Sclera, conjunctiva; Six cardinal gazes; Pupil light reflex & size; Ophthalmoscopic exam: red reflex, retina, vessels, optic disk and macula | 8 |
– Ears | External inspection; Palpate mastoid process; Otoscope exam: canal appearance or obstruction, TM; Hearing: whisper test, Rinne or Weber test | 5 |
– Mouth & Pharynx | Inspect teeth, tongue, uvula, buccal mucosa; Grade tonsils | 2 |
– Neck | Trachea; Palpate thyroid; Assess for JVD; Auscultate carotid arteries; Lymph nodes: Preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior, & posterior cervical chain | 8 |
– Anterior Thorax, Heart and Lung | Auscultate lung-minimum of 8 places comparing sides; Assess tactile fremitus; Assess PMI; Auscultate heart with bell and diaphragm (Identify areas of auscultation) while sitting or lying | 10 |
– Posterior Thorax, Lungs, & Renal | Auscultate lung-minimum of 8 places comparing sides; Assess tactile fremitus; Bronchophony, egophony, or whispered pectoriloquy; Percuss over lung fields; Assess CVA tenderness | 10 |
– Abdomen | Inspect abdomen; Auscultate bowel sounds in all 4 quadrants; Light and deep palpation of abdomen; Palpate kidneys, liver, & spleen; Percuss at least two points in all four quadrants; Perform one specialized abdominal exam test (student’s choice) | 10 |
– Vascular | Capillary refill; Clubbing; Pulses: carotid, brachial, radial, dorsalis pedis, & posterior tibial; Assess for edema | 10 |
– Neurologic | Romberg, sensation, gait; Deep tendon reflexes: brachial, triceps, biceps, patellar; Cranial nerves: II optic, III oculomotor, IV trochlear, V trigeminal, VI abducens, VII facial, VIII vestibulocochlear, IX glossopharyngeal, X vagus, XI accessory, XII hypoglossal | 10 |
– Musculoskeletal | Inspect spine/scoliosis check; ROM of upper and lower extremities; Strength test upper and lower extremities; Perform one specialized MSK exam technique (student’s choice) | 5 |
– Organization, Quality, & Time | Exam is well organized; Provides guidance to the patient; Maintains patient privacy; Quality video production; No supplemental materials used during video; Accurate verbalization of each exam technique & findings; Completed exam in 30 minutes | 10 |
Total Possible Points: 100 | Total Points Earned: [To be filled in]
NUR7580 Advanced Health Assessment and Differential Diagnosis: Comprehensive Head-to-Toe Exam Video
Student is to have a non-pregnant volunteer 18-years or older to serve as their “patient” for a recorded video demonstrating proficiency in performing select health assessment techniques. The volunteer must sign the Video Release From located in the course. Additionally, the student is to obtain and properly use the necessary equipment required to perform the assessment. The student must verbalize the assessment technique and exam findings. The faculty must be able to clearly see, hear, and evaluate the examination. Techniques must be performed from memory with no use of notes or supplemental materials during recording.
Video head-to-toe exam must be complete within 25 minutes and anything beyond this time frame will not be included in grading. *Students must score > 75% to pass this assignment.* NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Student: Date: Faculty:
| Body System | Required Exam Technique | Possible Points | Total Points |
| General | General survey | 2 | |
| Skin | Color, texture, lesions, wounds, temperature, turgor | 5 | |
| Head & Face | -Cranium shape, appearance, hair
-Facial symmetry, scalp, sinuses -TMJ -Nasal patency -Turbinates, nasal mucosa |
5 | |
| Eyes | -External eye: eyelids, lashes
-Sclera, conjunctiva -Six cardinal gazes -Pupil light reflex & size –Ophthalmoscopic exam: red reflex, retina, vessels, optic disk and macula |
8 | |
| Ears | -External inspection
-Palpate mastoid process -Otoscope exam: canal appearance or obstruction, TM -Hearing: whisper test, Rinne or Weber test |
5 | |
| Mouth & Pharynx | -Inspect teeth, tongue, uvula, buccal mucosa
-Grade tonsils |
2 | |
| Neck | -Trachea
-Palpate thyroid -Assess for JVD -Auscultate carotid arteries -Lymph nodes: Preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior, & posterior cervical chain NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
|
8 | |
| Anterior Thorax, Heart and Lung | -Auscultate lung-minimum of 8 places comparing sides
-Assess tactile fremitus -Assess PMI -Auscultate heart with bell and diaphragm (Identify areas of auscultation) while sitting or lying |
10 | |
| Posterior Thorax, Lungs, & Renal | -Auscultate lung-minimum of 8 places comparing sides
-Assess tactile fremitus -Bronchophony, egophony, or whispered pectoriloquy -Percuss over lung fields -Assess CVA tenderness |
10 | |
| Abdomen | · -Inspect abdomen
· -Auscultate bowel sounds in all 4 quadrants · -Light and deep palpation of abdomen · -Palpate kidneys, liver, & spleen · -Percuss at least two points in all four quadrants · -Perform one specialized abdominal exam test (student’s choice) |
10 | |
| Vascular | -Capillary refill
-Clubbing -Pulses: carotid, brachial, radial, dorsalis pedis, & posterior tibial -Assess for edema |
10 | |
| Neurologic | -Romberg, sensation, gait
–Deep tendon reflexes: brachial, triceps, biceps, patellar -Cranial nerves: II optic III oculomotor IV trochlear V trigeminal VI abducens VII facial VIII vestibulocochlear IX glossopharyngeal X vagus XI accessory XII hypoglossal |
10 | |
| Musculoskeletal | -Inspect spine/scoliosis check
-ROM of upper and lower extremities -Strength test upper and lower extremities · –Perform one specialized MSK exam technique (student’s choice) NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video |
5 | |
| Organization, Quality, & Time | -Exam is well organized
-Provides guidance to the patient -Maintains patient privacy -Quality video production -No supplemental materials used during video -Accurate verbalization of each exam technique & findings -Completed exam in 30 minutes |
10 | |
| 100 Possible Points | Total Points Earned:
|
NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
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