Provide a written comprehensive physical assessment/exam technique

Provide a written comprehensive physical assessment/exam technique of the respiratory and cardiovascular systems of a 5-year-old on a well child office visit. Assessment should include. Thorax and Lungs Observe and inspect General appearance, skin Lips, nares Fingers Thorax – shape and symmetry Respirations Palpation Tracheal position Anterior chest General Chest expansion Tactile fremitus Posterior Chest General Chest expansion Tactile fremitus Percussion Anterior Chest Posterior chest Diaphragmatic excursion Auscultation Cardiovascular Inspect General and Skin Face – eyes, lips Extremities Precordium Jugular vein Palpation Precordium PMI Carotid pulse 6 major arterial vessels: -brachial -radial -ulnar -popliteal -dorsalis pedis -posterior tibial – capillary refill -lower extremity edema Auscultation Aortic valve area Pulmonic valve area Erb’s Point (2nd pulmonic valve area) Tricuspid valve area Mitral valve area Diagnosis and ICD-10 Diagnosis Code Provide a diagnosis (s) and code Provide differential diagnoses if appropriate

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