Samantha Monroe Objective data Shadow health

Samantha Monroe Objective data Shadow health: 23 of 23 (100%)

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed
 Growth Chart: Height & Weight
1 of 1 point
Weight Percentile (1/4 point)
  •  Below 5th percentile
  •  Between 5th and 95th percentile
  •  Above 95th percentile
Weight Growth Curve (1/4 point)
  •  Growth curve maintained
  •  Growth curve decline
Height Percentile (1/4 point)
  •  Below 5th percentile
  •  Between 5th and 95th percentile
  •  Above 95th percentile
Height Growth Curve (1/4 point)
  •  Growth curve maintained
  •  Growth curve declined

Supportive and interpersonal Psychotherapies

 Inspected Skin
1 of 1 point
Lesions (1/5 point)
  •  No visible lesions
  •  Lacerations/wounds
  •  Erythema
  •  Ecchymosis
  •  Birthmark
  •  Discolorations
Color (1/5 point)
  •  Consistent with ethnic background
  •  Jaundice
  •  Cyanosis
  •  Pallor
Texture (1/5 point)
  •  Smooth
  •  Rough
Temperature (1/5 point)
  •  Warm
  •  Cool
Skin Hydration (1/5 point)
  •  Elastic
  •  Elastic Tenting
  •  Sluggish Turgor
 Inspected General Appearance
1 of 1 point
Posture (1/2 point)
  •  Upright posture without tension or rigidity
  •  Bent or hunched posture, tension or rigidity
Clothing (1/2 point)
  •  Clean clothing, appropriate for age, fit, season and occasion
  •  Dirty, disheveled, or inappropriate to age, fit, season or occasion
 Assessed Cervical Spine RoM
1 of 1 point
Flexion (1/4 point)
  •  Expected range of motion (approx. 45)
  •  Reduced range of motion
Extension (1/4 point)
  •  Expected range of motion (approx. 45)
  •  Reduced range of motion
Lateral Bending (1/4 point)
  •  Expected range of motion (approx. 40) on both sides
  •  Reduced range of motion on right
  •  Reduced range of motion on left
Rotation (1/4 point)
  •  Expected range of motion (approx. 70) on both sides
  •  Reduced range of motion on right
  •  Reduced range of motion on left
 Assessed Spine Range of Motion
1 of 1 point
Rotation (1/1 point)
  •  Expected range of motion (approx. 75-90 degrees)
  •  Reduced flexion
 Assessed Wrist RoM
1 of 1 point
Left Extension (1/4 point)
  •  Expected range of motion (approx. 90 degrees)
  •  Reduced flexion
Right Extension (1/4 point)
  •  Expected range of motion (approx. 90 degrees)
  •  Reduced extension
Left Flexion (1/4 point)
  •  Expected range of motion (approx. 90 degrees)
  •  Reduced flexion
Right Flexion (1/4 point)
  •  Expected range of motion (approx. 90 degrees)
  •  Reduced flexion
 Assessed Elbow RoM
1 of 1 point
Left: Flexion And Extension (1/4 point)
  •  Expected range of motion (approx. flexion of 160 degrees and 180 degrees of full extension)
  •  Reduced Extension
  •  Reduced Flexion
Right: Flexion And Extension (1/4 point)
  •  Expected range of motion (approx. flexion of 160 degrees and 180 degrees of full extension)
  •  Reduced Extension
  •  Reduced Flexion
Left: Supination And Pronation (1/4 point)
  •  Expected range of motion (approx. pronation of 90 degrees and 90 degrees of supination)
  •  Reduced Pronation
  •  Reduced Supination
Right: Supination And Pronation (1/4 point)
  •  Expected range of motion (approx. pronation of 90 degrees and 90 degrees of supination)
  •  Reduced Pronation
  •  Reduced Supination
 Assessed Shoulder RoM
1 of 1 point
Adduction (1/3 point)
  •  Expected range of motion (approx. 50 degrees)
  •  Reduced range of motion
Abduction (1/3 point)
  •  Expected range of motion (approx. 50 degrees)
  •  Reduced range of motion
Strength (1/3 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
 Assessed Trapezius Strength
1 of 1 point
Strength (1/1 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
 Assessed Deltoid Strength And Shoulder Rotation
1 of 1 point
Strength & Rotation (1/3 point)
  •  Symmetric
  •  Asymmetric
Forward Flexion (1/3 point)
  •  Expected range of motion (approx. 180 degrees)
  •  Reduced range of motion
Extension (1/3 point)
  •  Expected range of motion (approx. 50 degrees)
  •  Reduced range of motion
 Assessed Hand/Finger RoM And Strength
1 of 1 point
Left (1/2 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
Right (1/2 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
 Assessed Symmetry of Extremities
1 of 1 point
Extremities (1/1 point)
  •  Symmetrical
  •  Asymmetrical
 Assessed Leg Symmetry, Knee or Ankle Effusion
1 of 1 point
Effusion (1/3 point)
  •  Present
  •  Not present
Leg Symmetry (1/3 point)
  •  Symmetric
  •  Asymmetric
Knee Symmetry (1/3 point)
  •  Symmetric
  •  Asymmetric
 Assessed Calf Symmetry, Leg Strength
1 of 1 point
Calf Muscles (1/2 point)
  •  Symmetric
  •  Asymmetric
Leg Strength (1/2 point)
  •  0 – No muscle contraction
  •  1 – Barely detectable contraction
  •  2 – Active movement with gravity eliminated
  •  3 – Active movement against gravity
  •  4 – Active movement against gravity and resistance
  •  5 – Active movement against full resistance without fatigue (normal)
 Tested Hip, Knee and Ankle Range of Motion
1 of 1 point
Hip Range Of Motion (1/3 point)
  •  Symmetric, full range of motion without limitations
  •  Asymmetric range of motion with limitations
Knee Range Of Motion (1/3 point)
  •  Symmetric, full range of motion without limitations
  •  Asymmetric range of motion with limitations
Ankle Range Of Motion (1/3 point)
  •  Symmetric, full range of motion without limitations
  •  Asymmetric range of motion with limitations
 Tested 6 Cardinal Fields of Vision
1 of 1 point
Cardinal Fields (1/2 point)
  •  No abnormal findings
  •  Nystagmus
  •  Fixed Pupil
Convergence (1/2 point)
  •  No abnormal findings
  •  Unequal bilaterally
  •  Fixed Pupil
 Tested Peripheral Vision
1 of 1 point
Observations (1/1 point)
  •  No abnormal findings
  •  Reduced right visual field
  •  Reduced left visual field
 Tested Visual Acuity
1 of 1 point
Right (1/2 point)
  •  20/100
  •  20/70
  •  20/50
  •  20/40
  •  20/30
  •  20/25
  •  20/20
  •  20/15
  •  20/13
  •  20/10
Left (1/2 point)
  •  20/100
  •  20/70
  •  20/50
  •  20/40
  •  20/30
  •  20/25
  •  20/20
  •  20/15
  •  20/13
  •  20/10
 Romberg Test
1 of 1 point
Romberg (1/1 point)
  •  Maintains upright posture
  •  Difficulty remaining upright
 Auscultated Breath Sounds
1 of 1 point
Breath Sounds (1/2 point)
  •  Clear in all areas
  •  Diminished in some areas
  •  Absent in some areas
Adventitious Sounds (1/2 point)
  •  No adventitious sounds
  •  Wheezing
  •  Fine crackles
  •  Stridor
  •  Rhonchi
  •  Rales
 Auscultated Abdominal Aorta
1 of 1 point
Sounds (1/1 point)
  •  No bruit
  •  Bruit
 Auscultated Heart Sounds
1 of 1 point
Heart Sounds (1/3 point)
  •  S1 and S2 audible
  •  S1, S2, and S3 audible
  •  S1, S2 and S4 audible
  •  S1, S2, S3 and S4 audible
Extra Heart Sounds (1/3 point)
  •  No extra sounds
  •  Gallops
  •  Murmur
  •  Friction rub
  •  Valve clicks
Rate And Rhythm (1/3 point)
  •  Regular rate and rhythm
  •  Irregular rate and rhythm
  •  Arrhythmia
 Screened Adam’s Forward Bend
1 of 1 point
Iliac Crests (1/6 point)
  •  Equal height
  •  Unequal height
Scapula Prominence And Shape (1/6 point)
  •  Equal height
  •  Unequal height
Spine Contour (1/6 point)
  •  Expected curvature
  •  Decreased lordosis
  •  Increased lordosis
  •  Decreased kyphosis
  •  Increased kyphosis
Spine Symmetry (1/6 point)
  •  Symmetrical
  •  Asymmetrical
Waistline (1/6 point)
  •  Equal height
  •  Unequal height
Flexion (1/6 point)
  •  Expected range of motion (approx. 75-90 degrees)
  •  Reduced flexion

Samantha Monroe Objective Data in Shadow Health: 23 out of 23 (100%)

Growth Chart: Height & Weight
– Weight Percentile: Below 5th percentile
– Weight Growth Curve: Growth curve maintained
– Height Percentile: Below 5th percentile
– Height Growth Curve: Growth curve maintained

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Inspected Skin
– Lesions: No visible lesions
– Color: Consistent with ethnic background
– Texture: Smooth
– Temperature: Warm
– Skin Hydration: Elastic

Inspected General Appearance
– Posture: Upright posture without tension or rigidity
– Clothing: Clean clothing, appropriate for age, fit, season, and occasion

Assessed Cervical Spine Range of Motion
– Flexion: Expected range of motion (approx. 45)
– Extension: Expected range of motion (approx. 45)
– Lateral Bending: Expected range of motion (approx. 40) on both sides
– Rotation: Expected range of motion (approx. 70) on both sides

Assessed Spine Range of Motion
– Rotation: Expected range of motion (approx. 75-90 degrees)

Assessed Wrist Range of Motion
– Left Extension: Expected range of motion (approx. 90 degrees)
– Right Extension: Expected range of motion (approx. 90 degrees)
– Left Flexion: Expected range of motion (approx. 90 degrees)
– Right Flexion: Expected range of motion (approx. 90 degrees)

Assessed Elbow Range of Motion
– Left: Flexion And Extension: Expected range of motion (approx. flexion of 160 degrees and 180 degrees of full extension)
– Right: Flexion And Extension: Expected range of motion (approx. flexion of 160 degrees and 180 degrees of full extension)
– Left: Supination And Pronation: Expected range of motion (approx. pronation of 90 degrees and 90 degrees of supination)
– Right: Supination And Pronation: Expected range of motion (approx. pronation of 90 degrees and 90 degrees of supination)

Assessed Shoulder Range of Motion
– Adduction: Expected range of motion (approx. 50 degrees)
– Abduction: Expected range of motion (approx. 50 degrees)
– Strength: Active movement against gravity and resistance

Assessed Trapezius Strength
– Strength: Active movement against gravity and resistance

Assessed Deltoid Strength And Shoulder Rotation
– Strength & Rotation: Symmetric
– Forward Flexion: Expected range of motion (approx. 180 degrees)
– Extension: Expected range of motion (approx. 50 degrees)

Assessed Hand/Finger Range of Motion And Strength
– Left: Active movement against full resistance without fatigue (normal)
– Right: Active movement against full resistance without fatigue (normal)

Assessed Symmetry of Extremities
– Extremities: Symmetrical

Assessed Leg Symmetry, Knee or Ankle Effusion
– Effusion: Not present
– Leg Symmetry: Symmetric
– Knee Symmetry: Symmetric

Assessed Calf Symmetry, Leg Strength
– Calf Muscles: Symmetric
– Leg Strength: Active movement against full resistance without fatigue (normal)

Tested Hip, Knee and Ankle Range of Motion
– Hip Range Of Motion: Symmetric, full range of motion without limitations
– Knee Range Of Motion: Symmetric, full range of motion without limitations
– Ankle Range Of Motion: Symmetric, full range of motion without limitations

Tested 6 Cardinal Fields of Vision
– Cardinal Fields: No abnormal findings
– Convergence: No abnormal findings

Tested Peripheral Vision
– Observations: No abnormal findings

Tested Visual Acuity
– Right: 20/20
– Left: 20/20

Romberg Test
– Romberg: Maintains upright posture

Auscultated Breath Sounds
– Breath Sounds: Clear in all areas
– Adventitious Sounds: No adventitious sounds

Auscultated Abdominal Aorta
– Sounds: No bruit

Auscultated Heart Sounds
– Heart Sounds: S1 and S2 audible
– Extra Heart Sounds: No extra sounds
– Rate And Rhythm: Regular rate and rhythm

Screened Adam’s Forward Bend
– Iliac Crests: Equal height
– Scapula Prominence And Shape: Equal height
– Spine Contour: Expected curvature
– Spine Symmetry: Symmetrical
– Waistline: Equal height
– Flexion: Expected range of motion (approx. 75-90 degrees)

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