JOSEPH Camella: iHuman
:shortness of Breath
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JOSEPH Camella: iHuman :shortness of Breath, Exams of Nursing
JOSEPH Camella: iHuman :shortness of Breath
Typology: Exams
2024/2025
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JOSEPH Camella: iHuman
:shortness of Breath
Physical Assessment – should earn full points per rubric.
- Auscultate lungs.
- Inspect mouth/pharynx.
- Look up nostrils.
- Visual inspection AP chest
- Palpate AP chest • Percuss AP chest.
- Heart sounds
- Visual inspection of extremities
- Palpate extremities
- Capillary refill
- Blood pressure
- Eyelid icepack test
- Fundoscopic exam • Inspect/palpate head.
- Ocular motor test
- Muscle bulk/tone
- ROM
- Inspect neck.
- Swallow
- Gait and stance
- Head rotation and shoulder elevation against resistance
- Pharynx movement and phonation
- Mandible muscles and mastication
- Facial strength and expression
- Look for involuntary movements.
- Rapid alternating movements (hands & fingers)
- DTR’s
Physical Assessment – should earn full points per rubric.
- Auscultate lungs.
- Inspect mouth/pharynx.
- Look up nostrils.
- Visual inspection AP chest
- Palpate AP chest • Percuss AP chest.
- Heart sounds
- Visual inspection of extremities
- Palpate extremities
- Capillary refill
- Blood pressure
- Eyelid icepack test
- Fundoscopic exam • Inspect/palpate head.
- Ocular motor test
- Muscle bulk/tone
- ROM
- Inspect neck.
- Swallow
- Gait and stance
- Head rotation and shoulder elevation against resistance
- Pharynx movement and phonation
- Mandible muscles and mastication
- Facial strength and expression
- Look for involuntary movements.
- Rapid alternating movements (hands & fingers)
- DTR’s
MSAP – not graded.
- Dyspnea MSAP • Cough
- BLE Edema +
- Bilateral Expiratory Wheezing
- White sputum production
- Cobble stoning oropharynx
- Asbestos exposure
- Smoking history 40 years one pack a day
- Sleep apnea
- Fatigue
- Elevated BP
- Use of accessory muscles • Hx of HTN and DM controlled. DDX – will earn full points per rubric for differentials. MNM – definitely missing some but scored full points.
- Asthma
- Atrial fibrillation
- COPD – LEAD - MNM
- Bronchiectasis
- Bronchitis, chronic
- Bronchiolitis
- Cor pulmonale
- Alpha- 1 - antitrypsin deficiency
- Anemia
- Aortic regurgitation
- Obesity
- Myasthenia gravis
- Pericardial effusion
- Pneumonia, bacterial
- Pneumonia, viral
- Pneumothorax
- Pulmonary edema, cardiogenic
- Pulmonary embolism - MNM
- Tuberculosis
- Interstitial lung disease
- Ischemic heart disease
- Lung cancer
- Metabolic acidosis
- Mitral regurgitation
- Mitral valve stenosis
- ALS Diagnosis – 100%
- COPD