Objective Data – Brian foster chest pain shadow health assessment
Objective Data Collection: 30 of 33 (90.91%)
- Correct
- Partially correct
- Incorrect
- Missed
Inspected face
1 of 1 point
Appearance (1/1 point)
- No visible abnormal findings
- Rash or lesion
- Cyanosis
- Pallor
- Redness or flushing
- Evidence of trauma (scar, laceration, or bruising)
- Objective Data – Brian foster chest pain shadow health assessment
Inspected for jugular venous distension
1 of 1 point
Height Of Venous Pressure (1/1 point)
- 4 cm or less above the sternal angle
- More than 4 cm above the sternal angle
Inspected chest
1 of 1 point
Symmetry (1/2 point)
- Symmetric
- Asymmetric
Appearance (1/2 point)
- No visible abnormal findings
- Rash or lesion
- AP diameter abnormal
- Intercostal retraction while breathing
- Excessive use of accessory muscles while breathing
- Pectus excavatum
- Skin growths (freckles or moles)
- Evidence of skin trauma (scar, laceration, or bruising)
- Objective Data – Brian foster chest pain shadow health assessment
Inspected abdomen
0.67 of 1 point
Symmetry (1/3 point)
- Symmetric
- Asymmetric
Contour (No point)
- Flat
- Rounded
- Protuberant
- Hollowed
Appearance (1/3 point)
- No visible abnormal findings
- Rash
- Striae
- Bulging around umbilicus
- Distension
- Visible masses (warts, cysts, or tumors)
- Freckles, birthmark, or discoloration
- Excessive hair growth
- Visible scars
- Laceration, lesion or wound
- Bruising
Inspected hands and fingernails
1 of 1 point
Right: Appearance (1/4 point)
- No visible abnormal findings
- Redness
- Moles or skin tags
- Masses (warts, cysts, or tumors)
- Freckles, birthmark, or other discoloration
- Excessive dry or flaking skin
- Purpura
- Scarring
- Laceration, lesion, or wound
- Bruising
- Rash
Right: Nail Changes (1/4 point)
- No visible abnormal findings
- Pallor
- Cyanosis
- Splinter hemorrhages
- Clubbing
Left: Appearance (1/4 point)
- No visible abnormal findings
- Redness
- Moles or skin tags
- Masses (warts, cysts, or tumors)
- Freckles, birthmark, or other discoloration
- Excessive dry or flaking skin
- Purpura
- Scarring
- Laceration, lesion, or wound
- Bruising
- Rash
Left: Nail Changes (1/4 point)
- No visible abnormal findings
- Pallor
- Cyanosis
- Splinter hemorrhages
- Clubbing
Inspected lower extremities and toenails
1 of 1 point
Right: Appearance (1/4 point)
- No visible abnormal findings
- Visible distortion or swelling
- Brownish pigmentation
- Skin thickening
- Ulceration
- Varicose veins
Right: Nail Changes (1/4 point)
- No visible abnormal findings
- Pallor
- Cyanosis
- Splinter hemorrhages
- Clubbing
Left: Appearance (1/4 point)
- No visible abnormal findings
- Visible distortion or swelling
- Brownish pigmentation
- Skin thickening
- Ulceration
- Varicose veins
Left: Nail Changes (1/4 point)
- No visible abnormal findings
- Pallor
- Cyanosis
- Splinter hemorrhages
- Clubbing
Inspect lower extremities for edema
1 of 1 point
Right: Edema (1/4 point)
- No edema
- Pitting
- Non-pitting
Right: Severity Of Edema (1/4 point)
- No edema
- 1+ Slight pitting
- 2+ Deeper pit, disappears in 10 to 15 seconds
- 3+ Noticeably deep pit that lasts more than a minute
- 4+ Very deep pit that lasts 2 to 5 minutes
- Objective Data – Brian foster chest pain shadow health assessment
Left: Edema (1/4 point)
- No edema
- Pitting
- Non-pitting
Left: Severity Of Edema (1/4 point)
- No edema
- 1+ Slight pitting
- 2+ Deeper pit, disappears in 10 to 15 seconds
- 3+ Noticeably deep pit that lasts more than a minute
- 4+ Very deep pit that lasts 2 to 5 minutes
Tested capillary refill time
1 of 1 point
Fingers (1/2 point)
- Less than 3 seconds
- Greater than 3 seconds
Toes (1/2 point)
- Less than 3 seconds
- Greater than 3 seconds
Auscultated carotid arteries
0.5 of 1 point
Right (No point)
- No bruit
- Bruit
Left (1/2 point)
- No bruit
- Bruit
Auscultated heart sounds
0.5 of 1 point
Heart Sounds (No point)
- S1 and S2 audible
- S1, S2, and S3 audible
- S1, S2, and S4 audible
- S1, S2, S3, and S4 audible
Extra Heart Sounds (1/2 point)
- No extra sounds
- Gallops
- Murmur
- Friction rub
- Valve clicks
Auscultated breath sounds
0.33 of 1 point
Breath Sounds (1/3 point)
- Present in all areas
- Diminished in some areas
- Absent in some areas
Adventitious Sounds (No point)
- No adventitious sounds
- Wheezing
- Fine crackles
- Stridor
- Rhonchi
- Course crackles
Location (No point)
- All areas clear
- Adventitious sounds in anterior right upper lobe
- Adventitious sounds in anterior right middle lobe
- Adventitious sounds in anterior right lower lobe
- Adventitious sounds in anterior left upper lobe
- Adventitious sounds in anterior left lower lobe
- Adventitious sounds in posterior right upper lobe
- Adventitious sounds in posterior right lower lobe
- Adventitious sounds in posterior left upper lobe
- Adventitious sounds in posterior left lower lobe
- Objective Data – Brian foster chest pain shadow health assessment
Auscultated abdominal aorta
1 of 1 point
Sounds (1/1 point)
- No bruit
- Bruit
Auscultated abdominal and lower extremity arteries
1 of 1 point
Right: Renal (1/6 point)
- No bruit
- Bruit
Left: Renal (1/6 point)
- No bruit
- Bruit
Right: Iliac (1/6 point)
- No bruit
- Bruit
Left: Iliac (1/6 point)
- No bruit
- Bruit
Right: Femoral (1/6 point)
- No bruit
- Bruit
Left: Femoral (1/6 point)
- No bruit
- Bruit
Auscultated bowel sounds
1 of 1 point
Bowel Sounds (1/2 point)
- Absent
- Hypoactive
- Normoactive
- Hyperactive
Location Of Non Normoactive Bowel Sounds (1/2 point)
- All quadrants normoactive
- Right upper quadrant
- Right lower quadrant
- Left upper quadrant
- Left lower quadrant
Palpated carotid arteries
0.5 of 1 point
Right: Vibration (No point)
- No thrill
- Thrill
Right: Amplitude (No point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated PMI
1 of 1 point
Location (1/3 point)
- Present at midclavicular line and 5th intercostal space
- Displaced laterally
Diameter (1/3 point)
- Less than 3 cm
- Greater than 3 cm
Amplitude (1/3 point)
- Brisk and tapping
- Increased amplitude (hyperkinetic)
Palpated brachial arteries
1 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated radial arteries
1 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated femoral arteries
1 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated popliteal arteries
0.5 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (No point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (No point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated tibial arteries
1 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated dorsalis pedis arteries
1 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated abdomen – light
1 of 1 point
Tenderness (1/3 point)
- None reported
- Tenderness reported
Location Of Tenderness (1/3 point)
- No quadrants tender
- Right upper quadrant
- Right lower quadrant
- Left upper quadrant
- Left lower quadrant
Observations (1/3 point)
- No additional observations
- Masses
- Guarding
- Distension
- Muscle resistance
- Rigidity
Palpated abdomen – deep
1 of 1 point
Presence Of Unexpected Mass (1/2 point)
- No palpable mass
- Palpable mass
Location Of Mass (1/2 point)
- No palpable mass
- Right upper quadrant
- Right lower quadrant
- Left upper quadrant
- Left lower quadrant
- Around umbilicus
Palpated liver
1 of 1 point
Detection (1/1 point)
- Not palpable
- Palpable
Palpated spleen
1 of 1 point
Detection (1/1 point)
- Not palpable
- Palpable
Palpated kidneys
1 of 1 point
Right (1/2 point)
- Not palpable
- Palpable
Left (1/2 point)
- Not palpable
- Palpable
Tested skin turgor
1 of 1 point
Observations (1/1 point)
- No tenting
- Tenting
Auscultated organs
1 of 1 point
Liver (1/2 point)
- No friction rub
- Audible friction rub
Spleen (1/2 point)
- No friction rub
- Audible friction rub
Percussed abdomen
1 of 1 point
Observations (1/1 point)
- All areas generally tympanic
- Some areas dull, some tympanic
- Some areas resonant
- Objective Data – Brian foster chest pain shadow health assessment
Percussed spleen
1 of 1 point
Spleen (1/1 point)
- Tympany
- Dullness
Percussed liver
1 of 1 point
Liver Span (1/1 point)
- Smaller than 6 cm
- Between 6 and 12 cm
- Greater than 12 cm
Performed EKG
1 of 1 point
Sinus Rhythm (1/2 point)
- Regular
- Irregular
St Changes (1/2 point)
- No ST elevation
- ST elevation present
- Objective Data – Brian foster chest pain shadow health assessment