Page 434 - 2021 IDMT Digital

82. Auscultate aorta, renal, iliac, “no aortic, renal, iliac, or femoral artery
femoral arteries for bruits bruits”
83. Palpate bilateral peripheral pulses “pulses are _ (graded) bilaterally”
(Brachial, radial, ulnar, femoral, popliteal,
dorsal pedis and posterior tibialis)
84. Palpate inguinal lymph nodes “no inguinal lymphadenopathy”
85. Tibia check for tibial edema and “skin is warm, no tibial edema”
skin temperature
86. Inspect nailbeds and estimate cap “no peripheral cyanosis or clubbing; cap
refill of upper and lower refill is < 2 seconds”
extremities
Abdomen
87. Inspect abdomen “no discoloration, lesions, or scars;
contour is ___ with visible aortic
pulsations”
88. Auscultate for bowel sounds “normal active bowel sounds”
(4 quadrants and epigastrium)
89. Percuss abdomen (four “no discomfort or large areas of
quadrants) dullness with percussion”
90. Percuss stomach and bladder “no dullness to percussion”
91. Estimate liver size with “liver size estimated at [cm] at R MCL”
percussion
92. Light palpation of all 4 quadrants “no tenderness, guarding, or rigidity
with knees flexed with light palpation”
93. Deep palpation of all 4 quadrants “no tenderness, guarding, rigidity, or
with knees flexed masses with deep palpation”
94. Palpate for rebound tenderness “no rebound tenderness”
in the RLQ
95. Palpate liver edge “liver edge is smooth and nontender”
96. Palpate for spleen enlargement “spleen is nontender and not enlarged”
97. Palpate abdominal aorta “abdominal aorta is estimated at __ cm
wide without lateral expansion of
pulsation”
98. Psoas sign “Negative Psoas”
(resisted R hip flexion)
99. Obturator sign “Negative Obturator”
(passive flexion/internal rotation of right
hip)
100. Percuss for CVA tenderness “no CVA tenderness”
Upper Extremities
101. Inspect soft tissues, bones and “shoulders, elbows, wrists, and fingers
joints of the upper extremities are symmetrically aligned without
scaring, swelling, atrophy, deformities,
fasciculations, or tremors”
102. Palpate the soft tissues, bones, “no soft tissue swelling, tenderness,
joints of shoulder boney enlargements or masses”
(SC joint, AC joint, clavicle, scapula,
humerus, bicepital groove)
103. Assess active ROM of the “full active range of motion without
shoulder (flexion, extension, abduction, pain”
adduction, internal rotation, external
rotation)
104. Evaluate muscle strength of Shoulder strength -/5
shoulder (flexion, extension, abduction,
adduction)

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