Maya Parker Ear Pain Shadow Health Objective Data

Maya Parker Ear Pain Shadow Health Objective Data

Objective Data Collection: 13.5 of 14 (96.0%)

Assessing Pain
– Pain: Different levels from “No Hurt” to “Hurts Worse”

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Inspecting Head
– Appearance: Symmetric or Asymmetric

Inspecting Face
– Appearance: Symmetric or Asymmetric

Inspecting Neck
– Appearance: No visible abnormalities, Swelling, Visible pulsation, Visible mass

Examining Mouth
– Oral Mucosa Appearance: Moist or Dry
– Oral Mucosa Color: Pink or Erythema
– Posterior Oropharynx: Erythemic, Cobblestone appearance, Exudate, Pink
– Tonsils: Different levels from fitting within tonsillar fossa to >75% of space between pillars

Auscultating Abdomen
– Bowel Sounds: Absent, Hypoactive, Normoactive, Hyperactive

Auscultating Heart
– Heart Sounds: Different combinations of audibility
– Extra Heart Sounds: No extra sounds, Gallups, Murmur, Friction rubs
– Rate: Regular or Irregular rate
– Rhythm: Regular or Irregular rhythm

Auscultating Lungs
– Appearance: Accessory muscle use, No distress
– Symmetry: Symmetrical chest rise and fall, Asymmetrical chest rise and fall
– Breath Sounds: Clear in all areas, Diminished in some areas, Absent in some areas
– Adventitious Sounds: No adventitious sounds, Wheezing, Crackles, Stridor, Rhonchi

Hearing Test
– Hearing: Responds to questions, Requests excessive repetition, Erratic voice volume
– Whisper Test: Correctly repeats words >50% of the time, Unable to repeat whispered sounds

Inspecting Auricles
– Left Auricle: No visible abnormalities, Bruising, Deformity, Erythema
– Right Auricle: No visible abnormalities, Bruising, Deformity, Erythema

Palpating Auricles
– Right Ear Palpation: Non-tender or Tender
– Left Ear Palpation: Non-tender or Tender

Inspecting Nose
– Color: Bluish, Red, Pink
– Discharge: Bloody discharge, Clear discharge, No discharge, Purulent discharge
– Turbinate Patency: Decreased patency, Not patent, Patent
– Observations: No Additional visible abnormalities, Foreign body present, Lesion, Polyp, Deviated septum, Perforated septum

Inspecting Inner Ears
– Left: Auditory Canal Color: Erythema, No visible abnormalities, Pallor
– Left: Tympanic Membrane Color: Not visible due to cerumen, Opaque, Pearly gray, Red, Yellow
– Left: Tympanic Membrane Appearance: No visible abnormalities, Bulging, Fluid observed, Perforation, Retraction, Visible scars
– Left: Cone Of Light: 7:00, Cone of light distorted
– Left: Discharge: Bloody discharge, Clear discharge, No discharge, Purulent discharge, Cerumen

– Right: Auditory Canal Color: Erythema, No visible abnormalities, Pallor
– Right: Tympanic Membrane Color: Not visible due to cerumen, Opaque, Pearly gray, Red, Yellow
– Right: Tympanic Membrane Appearance: No visible abnormalities, Bulging, Fluid observed, Perforation, Retraction, Visible scars
– Right: Cone Of Light: 5:00, Cone of light distorted
– Right: Discharge: Bloody discharge, Clear discharge, No discharge, Purulent discharge, Cerumen

Inspecting Mobility of Tympanic Membranes
– Left: Immobile or Mobile
– Right: Immobile or Mobile

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