NUR MISC Chest Pain Shadow Health

NUR MISC Chest Pain Shadow Health

Objective Data Collection: 33 of 33
• Correct




Appearance (1/1 point)

No visible abnormal findings
Rash or lesion
Cyanosis
Pallor
Redness or flushing
Evidence of trauma (scar, laceration, or bruising)




Height Of Venous Pressure (1/1 point)

4 cm or less above the sternal angle
More than 4 cm above the sternal angle




Symmetry (1/2 point)

Symmetric
Asymmetric

Appearance (1/2 point)

No visible abnormal findings
Rash or lesion
AP diameter abnormal
Intercostal retraction while breathing
Excessive use of accessory muscles while breathing

, • Pectus excavatum
• Skin growths (freckles or moles)
• Evidence of skin trauma (scar, laceration, or bruising)




Symmetry (1/3 point)

Symmetric
Asymmetric

Contour (1/3 point)

Flat
Rounded
Protuberant
Hollowed

Appearance (1/3 point)

No visible abnormal findings
Rash
Striae
Bulging around umbilicus
Distension
Visible masses (warts, cysts, or tumors)
Freckles, birthmark, or discoloration
Excessive hair growth
Visible scars
Laceration, lesion or wound
Bruising




Right: Appearance (1/4 point)

No visible abnormal findings
Redness
Moles or skin tags
Masses (warts, cysts, or tumors)
Freckles, birthmark, or other discoloration
Excessive dry or flaking skin
Purpura
Scarring
Laceration, lesion, or wound
Bruising
Rash