Gastrointestinal system hourly rounds shadow health Objective Data Collection
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- Gastrointestinal system hourly rounds shadow health Objective Data Collection
Gastrointestinal System Hourly Rounds on Shadow Health: Objective Data Collection
Assessed Vitals
– Blood Pressure: The patient’s blood pressure falls within the normal range, indicating a healthy blood pressure reading.
– Heart Rate: During the assessment, no irregularities were observed in the patient’s heart rate, which remains within the expected range for normalcy.
– Respiratory Rate: The patient’s respiratory rate was assessed and found to be normal, suggesting healthy breathing patterns.
– Temperature: The patient’s body temperature was measured and found to be well within the normal range, indicating no fever or hypothermia.
– O2 Saturation: The patient’s oxygen saturation levels were assessed and found to be at a normal level, indicating sufficient oxygen in the bloodstream.
Inspected Conjunctiva
– Conjunctiva: The conjunctiva of the eye exhibited a healthy appearance with a pink coloration and a moist texture.
– Conjunctival Discharge: No discharge was observed in the conjunctiva, indicating the absence of any abnormal secretions.
Inspected Abdomen
– Symmetry: The abdomen displayed a symmetrical appearance, suggesting an even distribution of abdominal features.
– Contour: The abdominal contour was observed to be flat, with no unusual protrusions or depressions.
– Appearance: There were no apparent abnormalities on the abdomen, such as rashes, bulging around the umbilicus, distension, or visible masses, suggesting a healthy abdominal region.
Auscultated Abdomen
– Bowel Sounds: Bowel sounds were present and exhibited normoactive patterns, indicating typical bowel activity.
Auscultated Breath Sounds
– Breath Sounds: Clear breath sounds were heard in all areas of the chest, with no abnormal findings suggesting healthy respiratory function.
– Adventitious Sounds: No adventitious sounds, including wheezing, fine crackles, stridor, rhonchi, or rales, were detected, signifying clear lung function.
Auscultated Heart Sounds
– Heart Sounds: Heart sounds were assessed, and the auscultation revealed the presence of the S1 and S2 heart sounds, with no additional or abnormal heart sounds noted.
Palpated Abdomen (Light)
– Tenderness: The patient reported no tenderness during the abdominal palpation, indicating a lack of discomfort or pain in this region.
– Location of Tenderness: No tenderness was identified in any of the quadrants of the abdomen, further confirming the absence of abdominal discomfort.
Palpated Abdomen (Deep)
– Presence of Unexpected Mass: No palpable masses were discovered during the deep abdominal palpation, suggesting a lack of abnormal growths or masses.
– Location of Mass: No masses were palpable in any quadrant or around the umbilicus, indicating a healthy state with no abnormal growths or swelling in the abdominal region.
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