Maya Parker Ear Pain Shadow Health Objective Data
Pain Assessment:
– Rating: On a scale of 0 to 10.
– 0: No pain.
– 2: Little bit of pain.
– 4: Slightly more pain.
– 6: Even more pain.
– 8: A lot of pain.
– 10: The worst pain.
Head Inspection:
– Appearance: Checking for symmetry or asymmetry.
Face Inspection:
– Appearance: Checking for symmetry or asymmetry.
Neck Inspection:
– Appearance: Looking for any visible abnormalities like swelling, pulsation, or mass.
Mouth Examination:
– Oral Mucosa Appearance: Checking if it’s moist or dry.
– Oral Mucosa Color: Observing for pinkness or erythema (redness).
– Posterior Oropharynx: Checking for erythema, cobblestone appearance, exudate, or pinkness.
– Tonsils: Assessing the size relative to the space between pillars.
Abdomen Auscultation:
– Bowel Sounds: Listening for absent, hypoactive, normoactive, or hyperactive sounds.
Heart Auscultation:
– Heart Sounds: Listening for S1 and S2, S3, and S4 sounds, and any extra heart sounds like gallops, murmurs, or friction rubs.
– Rate: Determining if the heartbeat is regular or irregular.
– Rhythm: Assessing if the heartbeat follows a regular or irregular pattern.
Lung Auscultation:
– Appearance: Checking for accessory muscle use or signs of distress.
– Symmetry: Observing if chest rise and fall are symmetrical or asymmetrical.
– Breath Sounds: Listening for clear, diminished, or absent sounds in different areas.
– Adventitious Sounds: Listening for any abnormal sounds like wheezing, crackles, stridor, or rhonchi.
Hearing Test:
– Hearing: Checking how well the patient responds to questions and if there’s difficulty hearing.
– Whisper Test: Assessing the ability to repeat whispered words correctly.
Auricles Inspection:
– Left and Right Auricles: Looking for any abnormalities like bruising, deformity, or redness.
Auricles Palpation:
– Checking for tenderness in both ears.
Nose Inspection:
– Color: Observing for bluish, red, or pink coloration.
– Discharge: Looking for bloody, clear, or purulent (pus-like) discharge.
– Turbinate Patency: Assessing if nasal passages are patent (open) or decreased in patency.
– Observations: Checking for additional abnormalities like foreign bodies, lesions, polyps, deviated septum, or perforated septum.
Inner Ears Inspection:
– Auditory Canal Color: Observing for erythema, pallor, or normal color.
– Tympanic Membrane Color: Checking for visibility and coloration like opaque, pearly gray, red, or yellow.
– Tympanic Membrane Appearance: Looking for bulging, fluid, perforation, retraction, or visible scars.
– Cone of Light: Noting its position and any distortion.
– Discharge: Checking for bloody, clear, or purulent discharge, or the presence of cerumen (earwax).
Mobility of Tympanic Membranes:
– Assessing if they are mobile or immobile in both ears.
Education & Empathy Maya parker preschooler sick visit ear pain health
Maya Parker Ear Pain Shadow Health Objective Data
- 0 – “No Hurt”
- 2 – “Hurts Little Bit”
- 4 – “Hurts Little More”
- 6 – “Hurts Even More”
- 8 – “Hurts Whole Lot”
- 10 – “Hurts Worse”
- Symmetric
- Asymmetric
- Maya Parker Ear Pain Shadow Health Objective Data
- Symmetric
- Asymmetric
- No visible abnormal findings
- Swelling
- Visible pulsation
- Visible mass
- Moist
- Dry
- Pink
- Erythema
- Erythemic
- Cobblestone appearance
- Exudate
- Pink
- 0: Tonsils fit within tonsillar fossa
- 1+: Tonsils <25% of space between pillars
- 2+: Tonsils <50% of space between pillars
- 3+: Tonsils <75% of space between pillars
- 4+ Tonsils >75% of space between pillars
- Absent
- Hypoactive
- Normoactive
- Hyperactive
- S1 and S2 audible
- S1, S2 and S3 audible
- S1, S2, and S4 audible
- S1, S2, S3, and S4 audible
- No extra heart sounds
- Gallups
- Murmur
- Friction rubs
- Regular rate
- Irregular rate
- Regular Rhythm
- Irregular Rhythm
- Accessory muscle use
- No distress
- Symmetrical chest rise and fall
- Asymmetrical chest rise and fall
- Clear in all areas
- Diminished in some areas
- Absent in some areas
- No adventitious sounds
- Wheezing
- Crackles
- Stridor
- Rhonchi
- Responds to questions
- Requests excessive repetition
- Erratic voice volume
- Repeats words correctly >50% of the time
- Unable to repeat whispered sounds
- Maya Parker Ear Pain Shadow Health Objective Data
- No visible abnormalities
- Bruising
- Deformity
- Erythema
- No visible abnormalities
- Bruising
- Deformity
- Erythema
- Non-tender
- Tender
- Non-tender
- Tender
- Bluish
- Red
- Pink
- Bloody discharge
- Clear discharge
- No discharge
- Purulent discharge
- Decreased patency
- Not patent
- Patent
- No Additional visible abnormal findings
- Foreign body present
- Lesion
- Polyp
- Septum deviated
- Septum perforated
- Erythema
- No visible abnormal findings
- Pallor
- Not visible because of cerumen
- Opaque
- Pearly gray
- Red
- Yellow
- No visible abnormal findings
- Bulging
- Fluid observed
- Perforation
- Retraction
- Visible scars
- Maya Parker Ear Pain Shadow Health Objective Data
- Maya Parker Ear Pain Shadow Health Objective Data
- 7:00
- Cone of light distorted
- Bloody discharge
- Clear discharge
- No discharge
- Purulent discharge
- Cerumen
- Erythema
- No visible abnormal findings
- Pallor
- Not visible because of cerumen
- Opaque
- Pearly gray
- Red
- Yellow
- No visible abnormal findings
- Bulging
- Fluid observed
- Perforation
- Retraction
- Visible scars
- 5:00
- Cone of light distorted
- Bloody discharge
- Clear discharge
- No discharge
- Purulent discharge
- Cerumen
- Immobile
- Mobile
- Immobile
- Mobile
- Maya Parker Ear Pain Shadow Health Objective Data