Maureen Hopkins Shadow Health Objective Data Collection: 15 Of 15 (100%)
- Correct
- Partially correct
- Incorrect
- Missed
Inspected Head
1 of 1 point
Presence Of Injuries (1/3 point)
- Normocephalic and atraumatic
- Traumatic scalp injury
Hair Distribution (1/3 point)
- Normal hair distribution
- Central scalp hair loss
- Male-pattern hair loss
Scalp Epidermis (1/3 point)
- Scalp epidermis intact
- Scaling of scalp epidermis
Inspected Eyes
1 of 1 point
Left Eye Orbital Area (1/8 point)
- No visible abnormal findings
- Allergic shiners
- Exophthalmos
- Eyelid edema
- Lesion
- Ptosis
Left Eye Sclera (1/8 point)
- White
- Scleral icterus
- Scleral erythema
- Injected
Left Eye Conjunctiva (1/8 point)
- Moist and pink
- Pale
- Dry appearance
- Erythema
- Edema
- Maureen Hopkins Shadow health Objective Data
Left Eye Conjunctival Discharge (1/8 point)
- No discharge
- Clear, watery discharge
- Purulent discharge
Right Eye Orbital Area (1/8 point)
- No visible abnormal findings
- Allergic shiners
- Exophthalmos
- Eyelid edema
- Lesion
- Ptosis
Right Eye Sclera (1/8 point)
- White
- Scleral icterus
- Scleral erythema
- Injected
Right Eye Conjunctiva (1/8 point)
- Moist and pink
- Pale
- Dry appearance
- Erythema
- Edema
Right Eye Conjunctival Discharge (1/8 point)
- No discharge
- Clear, watery discharge
- Purulent discharge
Inspected Ears
1 of 1 point
Left Ear Auditory Canal Color (1/6 point)
- Pink
- Red
- Pallor
Left Ear Tympanic Membrane Appearance (1/6 point)
- No visible abnormal findings
- Fluid observed
- Visible scars
- Bulging
- Perforation
- Retraction
Left Ear Discharge (1/6 point)
- No discharge
- Cerumen
- Clear discharge
- Bloody discharge
- Purulent discharge
Right Ear Auditory Canal Color (1/6 point)
- Pink
- Red
- Pallor
Right Ear Tympanic Membrane Appearance (1/6 point)
- No visible abnormal findings
- Maureen Hopkins Shadow health Objective Data
- Fluid observed
- Visible scars
- Bulging
- Perforation
- Retraction
Right Ear Discharge (1/6 point)
- No discharge
- Cerumen
- Clear discharge
- Bloody discharge
- Purulent discharge
Inspected Nose
1 of 1 point
Color (1/4 point)
- Pink
- Pale
- Erythemic
- Bluish
Discharge (1/4 point)
- No discharge
- Clear discharge
- Bloody discharge
- Purulent discharge
Turbinate Patency (1/4 point)
- Patent
- Decreased patency
- Not patent
Observations (1/4 point)
- No additional visible abnormal findings
- Foreign body present
- Polyp
- Septum perforated
- Septum deviated
- Lesion
Inspected Throat
1 of 1 point
Oral Mucosa (1/3 point)
- Moist and pink
- Dry appearance
- Erythemic
Tonsils (1/3 point)
- No visible abnormal findings
- Edema
- Erythema
Posterior Oropharynx Color (1/3 point)
- Pink
- Erythemic
Inspected Skin, Arms
1 of 1 point
Left Arm (1/2 point)
- Skin well hydrated
- Epidermal flaking noted
- Extensive dermal scaling noted
Right Arm (1/2 point)
- Skin well hydrated
- Epidermal flaking noted
- Extensive dermal scaling noted
Inspected Thyroid
1 of 1 point
Thyroid (1/1 point)
- No goiter appreciated
- Goiter present
Auscultated Breath Sounds
1 of 1 point
Breath Sounds (1/3 point)
- Present in all areas
- Diminished in some areas
- Absent in some areas
Adventitious Sounds (1/3 point)
- No adventitious sounds
- Wheezing
- Fine crackles
- Stridor
- Rhonchi
- Rales
Location (1/3 point)
- All areas clear
- Adventitious sounds in anterior right upper lobe
- Adventitious sounds in anterior right middle lobe
- Adventitious sounds in anterior right lower lobe
- Adventitious sounds in anterior left upper lobe
- Adventitious sounds in anterior left lower lobe
- Adventitious sounds in posterior right upper lobe
- Adventitious sounds in posterior right lower lobe
- Adventitious sounds in posterior left upper lobe
- Adventitious sounds in posterior left lower lobe
Auscultated Heart Sounds
1 of 1 point
Heart Sounds (1/2 point)
- S1 and S2 audible
- S1, S2, and S3 audible
- S1, S2, and S4 audible
- S1, S2, S3, and S4 audible
Extra Heart Sounds (1/2 point)
- No extra sounds
- Gallops
- Murmur
- Friction rub
- Valve clicks
Assessed Cranial Nerves
1 of 1 point
Cranial Nerve Exams (1/1 point)
- Cranial nerves II-XII intact
- Facial asymmetry noted
- Dysarthria noted
- Abnormal eye movements noted
Assessed Upper Musculoskeletal Strength
1 of 1 point
Sensation In Hands (1/2 point)
- Expected sensation
- Decreased sensation
Squeezing Strength Test (1/2 point)
- 0 – No muscle contraction
- 1 – Barely detectable contraction
- 2 – Active movement with gravity eliminated
- 3 – Active movement against gravity
- 4 – Active movement against gravity and resistance
- 5 – Active movement against full resistance without fatigue (normal)
Assessed Lower Musculoskeletal Strength
1 of 1 point
Hip Strength (1/1 point)
- 0 – No muscle contraction
- 1 – Barely detectable contraction
- 2 – Active movement with gravity eliminated
- 3 – Active movement against gravity
- 4 – Active movement against gravity and resistance
- 5 – Active movement against full resistance without fatigue (normal)
Palpated Hair
1 of 1 point
Hair Thickness (1/3 point)
- Hair has normal thickness
- Hair is thin
- Hair has excessive thickness
Hair Integrity (1/3 point)
- Hair intact with palpation
- Hair falls out with palpation
Hair Shaft Integrity (1/3 point)
- Hair shaft does not break with palpation
- Hair shaft breaks with palpation
Palpated Thyroid
1 of 1 point
Observations (1/2 point)
- No palpable abnormal findings
- Nodules
- Enlarged
- Irregular
Tenderness (1/2 point)
- None reported
- Tenderness reported
Checked Pill Bottle
1 of 1 point
Medication Name (1/1 point)
- Brand name medication listed
- Generic name medication listed
- Maureen Hopkins Shadow health Objective Data