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.

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Maya Parker Ear Pain Shadow Health Objective Data