Abbreviated Head to Toe Assessment

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CV/PV:

Auscultate heart valves Auscultate for murmurs Palpate all pulses bilaterally Check for edema Check for cap refill

Integumentary:

Inspect color Palpate bilaterally to check temp and moisture Inspect and measure any lesions

ABD/GI/GU:

Inspect size and shape of abdomen Auscultate bowel sounds in all 4 quadrants Palpate all 4 quadrants Ask when last BM was

Neuro:

Mental Status Affect LOC Speech

Respiratory:

Observe Rate, Pattern, Depth, Symmetry Ask about cough Listen to 8 spots posteriorly

HEENT:

PERRLA EOMS

Musculoskeletal:

Push and Pull of upper and lower extremities Squeeze hands


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