HEALTH ASSESSMENT #2 CHECK-OFF

Inspection

Looking at the patient/body area for abnormalities such as color changes swelling deformities or lesions

Palpation

Using the hands to feel for characteristics such as texture temperature tenderness swelling or masses

Range of Motion (ROM)

Movement of a joint through its normal movements

Strength Testing

Assessing muscle strength by having the patient move or push against resistance

Gait

The way a person walks including balance stride posture and foot movement

Heel Strike

The moment the heel makes contact with the ground during walking

Toe Off

The point when the toes leave the ground during walking

Varus

Abnormal inward angulation of a joint

Valgus

Abnormal outward angulation of a joint

TMJ

Temporomandibular joint connecting the jaw to the skull

Sternoclavicular Joint

Joint connecting the sternum and clavicle

Phalen Test

Test for carpal tunnel syndrome performed by placing the backs of the hands together with wrists flexed

Tinel Sign

Test for carpal tunnel syndrome performed by tapping over the median nerve

Hand Grasp

Assessment of hand strength by having the patient squeeze the examiner's fingers

Adduction

Movement of a body part toward the midline

Abduction

Movement of a body part away from the midline

Bulge Test

Test used to detect a small amount of fluid in the knee

Ballottement Test

Test used to detect a large amount of fluid in the knee

McMurray Test

Knee test performed when the patient reports clicking to assess for a possible meniscal problem

Hallux Valgus

Deviation of the great toe toward the other toes

Capillary Refill

Assessment of how quickly color returns after pressure is applied to the nail bed

PQRST

Pain assessment method evaluating Provocation/Palliation

Skin Turgor

Assessment of skin mobility and elasticity by pinching the skin

Edema

Swelling caused by excess fluid in the tissues

Lesion

An abnormal area or change in the skin

Asymmetry

One side or part being different from the other

Border Irregularity

An uneven or irregular border of a pigmented skin lesion

Color Variation

Presence of multiple colors within a pigmented skin lesion

Diameter

Measurement of a lesion's size; greater than 6 mm is a concerning characteristic in the checklist

Elevation

A lesion that is raised above the surrounding skin

Evolution

A lesion that changes over time

Clubbing

Abnormal enlargement and rounding of the fingertips and nails

Profile Sign

Assessment of the angle between the nail and nail bed used when assessing for clubbing

Schamroth's Window Test

Test for clubbing in which the normal diamond-shaped window between opposing fingernails is absent

Pallor

Abnormally pale skin color

Cyanosis

Bluish discoloration of the skin

Jaundice

Yellow discoloration of the skin

Erythema

Redness of the skin

Vitiligo

Loss of skin pigment causing lighter or white patches

Mottling

Irregular patchy discoloration of the skin

Tactile Temperature

Temperature of the skin assessed by touch

Pressure Ulcer

Localized injury to the skin and underlying tissue caused by pressure

Stage I Pressure Ulcer

Intact skin with nonblanchable redness

Stage II Pressure Ulcer

Partial-thickness skin loss

Stage III Pressure Ulcer

Full-thickness skin loss with adipose tissue visible

Stage IV Pressure Ulcer

Full-thickness tissue loss with deeper structures exposed

Unstageable Pressure Ulcer

Full-thickness skin and tissue loss where the depth cannot be determined because it is covered by slough or eschar

Deep Tissue Injury

Persistent dark red maroon or purple discoloration indicating damage to underlying tissue