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eTABLE 3-2
PREPARATION OR ACTIVITY General Survey: Observe General State of Health with Patient Seated
1. Assemble all equipment and supplies.
Procedure
2. Explain to the patient what you are going to do, why it is necessary, and how he or she can cooperate. 3. Wash hands and observe other appropriate infection control procedures. 4. Provide for patient privacy.
ETABLE 3-2
HEAD-TO-TOE (TOTAL BODY) ASSESSMENT CHECKLISTcontd
PERFORMED NOTES OR COMMENTS
eTABLE 3-2
Extremities Observe Size and Shape, Symmetry and Deformity, Involuntary Movements; Inspect and Palpate Arms, Fingers, Wrists, Elbows, Shoulders for
Strength Range of motion Crepitus Joint pain Swelling Fluid Pulses (brachial, radial) Test reexes Biceps Patellar Triceps Achilles Brachioradialis Plantar
Copyright 2011, 2007, 2004, 2000, 1996, 1992, 1987, 1983 by Mosby, Inc., an affiliate of Elsevier Inc.
ETABLE 3-2
eTABLE 3-2
Posterior Thorax Inspect for Muscular Development, Respiratory Movement, Approximation of Anteroposterior Diameter
Palpate for symmetry of respiratory movement, tenderness of costovertebral angle, spinous processes, tumors or swelling, tactile fremitus. Percuss for pulmonary resonance. Auscultate for breath sounds. Auscultate for egophony, bronchophony, and whispered pectoriloquy.
Anterior Thorax
Assess breasts for conguration, symmetry, dimpling of skin. Assess nipples for rash, direction, inversion, retraction. Initiate teaching or review of breast self-examination. Inspect for apical impulse, other precordial pulsations. Palpate the apical impulse and the precordium for thrills, lifts, heaves, tenderness. Inspect neck for venous distention, pulsations, waves. Palpate the lymph nodes in the subclavian, central axillary, and brachial areas. Palpate breasts. Auscultate for rate and rhythm, character of S1 and S2 heart sounds in the aortic, pulmonic, Erbs point, tricuspid, and mitral areas; bruits at carotid, epigastrium; breath sounds at right middle lobe.
Abdomen
Inspect for scars, shape, symmetry, bulging, muscular position and condition of umbilicus, movements (respiratory, pulsations, presence of peristaltic waves). Auscultate for peristalsis, bruits. Palpate to conrm positive ndings; check liver (size, surface contour, tenderness); spleen; kidney (size, contour, consistency, tenderness); urinary bladder (distention); femoral pulses; inguinofemoral nodes; and abdominal aorta.
Coordination
Finger to nose Romberg sign Heel to opposite shin Spine (scoliosis) Continued
Copyright 2011, 2007, 2004, 2000, 1996, 1992, 1987, 1983 by Mosby, Inc., an affiliate of Elsevier Inc.
ETABLE 3-2
HEAD-TO-TOE (TOTAL BODY) ASSESSMENT CHECKLISTcontd
PERFORMED NOTES OR COMMENTS
eTABLE 3-2
Copyright 2011, 2007, 2004, 2000, 1996, 1992, 1987, 1983 by Mosby, Inc., an affiliate of Elsevier Inc.