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Related Learning Experience

Health Assessment
Thorax, Abdomen Extremities
Cranial Nerves and reflexes
Evaluation Tool
Name:
Section:
Clinical Instructor:

5
4
3
2
1
0
N.A.

Group:

- Consistently displays behavior even without supervision.


- Always exhibit behavior with minimal supervision. Correct sequence was followed
- Exhibits behavior most of the time when reminded. Sequence of proper order was
not followed.
- Exhibits behavior but needs constant supervision. Missed out some procedures, did
not follow proper order
- Rarely exhibits behavior even with reminder(s).
- Does not exhibit behavior.
- Not Applicable due to certain circumstance(s)

PART II
Thorax
Posterior Thorax
1. Inspect the size, shape, symmetry, and compare the
diameter of anteroposterior thorax to transverse
diameter
2. Inspect the spinal alignment
3. Palpate for temperature, tenderness and masses
4. Assess respiratory excursion
5. Palpate vocal fremitus
6. Percuss the posterior thorax
7. Auscultate the posterior thorax
Anterior Thorax
8. Inspect breathing patterns
9. Palpate for temperature, tenderness and masses
10. Assess respiratory excursion
11. Palpate vocal fremitus
12. Percuss the anterior thorax
13. Auscultate the trachea
14. Auscultate the anterior thorax
Cardiovascular
Simultaneously INSPECT and PALPATE the
precordium for the presence of abnormal pulsations,
lifts, heaves
15. Aortic and pulmonic areas
16. Tricuspid areas
17. Apical area (. Locate point of maximal impulse)

N.A.

Remarks

18. Auscultate the aortic, pulmonic, tricuspid and apical


valves
Carotid arteries
19. Palpate carotid artery with extreme caution
20. Auscultate the carotid arteries
Jugular veins
21. Inspect jugular veins
Breast and axillae
22. Inspect breast for size, symmetry, contour, or shape
while the client is in sitting position
23. Inspect the skin of the brest for localized
discolorations or hyper pigmentation, retraction,
dimpling, localized hypervascular areas, swelling, or
edema
24. Inspect the areola for size, shape, symmetry, color,
surface characteristics, and any mass or lesions
25. Inspect the nipples for size, shape, position, color,
discharge, and lesions
26. Palpate the axillary, subclavicular and
supraclavicular lymph nodes
27. Palpate for breast for masses, tenderness
28. Palpate nipples for tenderness and discharges
Abdomen
29. Inspect the abdomen for skin integrity
30. Inspect the abdominal contour (profile line from rib
margin to the pubic bone) while standing at the clients
side while the client is in dorsal recumbent position
31. Inspect for an enlarged liver or spleen
32. Assess the symmetry of contour while standing at
the foot of the bed
33. Inspect the abdominal movements associated with
respirations, peristalsis, or aortic pulsations
34. Observe vascular patterns
35. Auscultate the abdomen for bowel sounds, vascular
sounds, and peritoneal friction rubs
36. Percuss several areas in each of the four quadrants
37. Perform light palpation followed by deep palpation
of all four quadrants