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Health Assessment Exam 3
Cane
COAL
Sizing a Cane
Quad Cane
Rubber Tips for Safety
1 min
Walker
Walker with Affected Leg
Sizing a Walker
Rubber Tips for Safety
55 secs
Sizing Crutches
3 Finger Widths
6 Inches Lateral From Heel
30 Degree Flexion
Tripod Position
1 min
Wheelchair Fitting
Basic Measurements
Seat Width
Seat Depth
Seat Height
Armrest Height
Backrest Height
Footrest Length
Types of Wheelchairs
16” x 18” x 20”
Recline Wheelchair
Tilt in Space Wheelchair
Provision of Proper Fitting
ADA Wheelchair Regulations
Skin Integrity Protection
Contracture Prevention
Proper Posture
Functional Tasks, Mobility and Transitions
5 mins
ADA Wheelchair Standards for Accessible Design Guidelines
Legislation
General Building Standards
Turning Radius
Doorways and Corridors
Workplace Standards
Checklist
Ramps
Ramp Handrails
Ramp Slope
Model
PEO (Person-Environment-Occupation Model)
Home Evaluations
Assessments
3 mins
Nose Assessment
External Nose
Inspect for Deformity or Asymmetry
Inspect for Inflammation and Skin Lesions
Nasal Cavity
Check for Nasal Obstruction
Inspect Nasal Mucosa
Note Discharge, Bleeding or Foreign Body
Sinus Area
Palpate the Sinus Areas
2 mins
Ear Assessment
EXTERNAL EAR
Inspect Position and Symmetry
Inspect for Lesions, Drainage, Nodules or Redness
Inspect Opening of Ear Canal
OTOSCOPIC EXAMINATION
Insert Speculum
Position Scope
View Structures
Light Reflect
HEARING ACUITY TESTS
Whisper Test
Weber’s Test
Rinne Test
4 mins
Eye Assessment
Inspect External Structures
Eye and Eyebrow Symmetry
Eyeball Alignment
Inspect Eyeball Structures
Examine Cornea and Lens for Cloudiness
Iris and Pupil Shape and Size
Pupillary Light Reflex and Accommodation
P.E.R.R.L.A
2 mins
ROM Assessment
Types of ROM
Active ROM (AROM)
Active Assisted ROM (AAROM)
Passive ROM (PROM)
Upper Extremity
Neck Flexion, Extension and Rotation
Shoulder Flexion, Extension and Rotation
Elbow Flexion and Extension
Fingers and Wrist Flexion and Extension
Lower Extremity
Hip and Knee Flexion
Hip Abduction and Rotation
Ankle Rotation
Toe Flexion and Extension
Lumbar Rotation and Spine Inspection
4 mins
Strength Assessment
Inspection
Assess Patient Appearance for Abnormalities
Observe ROM of Upper and Lower Extremities
Assess Motor Power
Hand Grips
Dorsiflexion and Plantarflexion
Hip and Knee Flexion Against Resistance
Manual Muscle Test (MMT) Grading System
2 mins
Reflexes Assessment
Grading
Hyperactive
Hypoactive
Deep Tendon Reflexes (DTRs)
Biceps
Triceps
Brachioradialis
Patellar (Quadriceps)
Achilles Tendon
Cutaneous (Superficial) Reflexes
Plantar Reflex (Babinski Sign)
3 mins
Throat and Mouth Assessment
MOUTH
Inspect for Color, Asymmetry and Swelling
Inspect Lips, Teeth, Gums and Oral Mucosa
Assess Tongue
THROAT
Examine Pharynx with Tongue Depressor
2 mins
Cognitive Abilities Assessment
Mental Status Examination (MSE)
Collecting/Organizing Objective Information
Cognitive assessment tests
Mini-Mental State Examination (MMSE)
Montreal Cognitive Assessment Test (MoCA)
Mini-Cog
2 mins
Otitis Media Assessment
Red or Bulging Tympanic Membrane
Ear Pain
Pulling at Ear
Fever
Upper Respiratory Infection
Considerations
More Common in Young Children
Eustachian Tube Narrower
Conductive Hearing Loss
Smoking Increases Risk
2 mins
Head, Face and Neck Assessment
Head
Inspect Size and Shape of Skull
Palpate Temporal Artery
Face
Observe Facial Expression
Inspect Facial Structures and Symmetry
Neck
Look for Symmetry
Check Range of Motion
Inspect Lymph Nodes and Thyroid Gland
Confirm Trachea is Midline
2 mins
Female Reproductive System Assessment
HEALTH HISTORY
Past Genitourinary and Gynecological History
Current and Past Medication Use
Urine Collection and Characteristics
EXTERNAL GENITALIA EXAM
Inspect External Genitalia
Palpate External Genitalia
INTERNAL GENITALIA EXAM
Inspect Internal Genitalia Using Lubricated Speculum
Examine Vaginal Wall for Color, Texture, and Integrity
Examine Cervix for Color, Position, Size, Shape, Mucosal Integrity and Discharge
Palpate Internal Genitalia
Note Abnormal Findings
4 mins
Male Reproductive System Assessment
Inspection
Inspect the Penis and Urethral Meatus
Inspect the Scrotum, Testicles and Pubic Hair
Inspect the Inguinal and Femur
Palpation
Palpate the Entire Penile Shaft
Palpate Both Testicles
Palpate Epididymides and Both Spermatic Cords
Palpate for Direct or Indirect Inguinal Hernia and Femoral Hernia
Palpate Prostate Gland
3 mins
Male Urinary System Assessment
Health History
Past Medical History
Medications
Urination Pattern
Physical Examination
Inspection
Palpation
Auscultation
Percussion
Assessment of Urine
Intake and Output
Characteristic of Urine
2 mins
Female Urinary System Assessment
Health History
Past Medical History
Urination Pattern
Medications
Urine Collection
Assessment
Inspect Areas Over Kidney and Bladder
Percuss Kidneys
Palpate Kidneys and Bladder
Note Abnormal Findings
Assessment of Urine
Intake and Output
Characteristic of Urine
2 mins
Cranial Nerve Function
Sensory
CN I
CN II
CN VIII
Motor
CN III
CN IV
CN VI
CN XI
CN XII
Both
CN V
CN VII
CN IX
CN X
1 min
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