Please use SOAP note format and all resources must be journal articles or reputable sources and utilize APA 7th edition format
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Get it written →Please use SOAP note format and all resources must be journal articles or reputable sources and utilize APA 7th edition format, please! I do not have complete assignment instructions and rubric because we have to wait until she grades the last one before gaining access to the next module. Thank you!
Abdomen:
- Inspect the skin and contour of the abdomen
- Observe for peristalsis and pulsations
- Auscultate the abdomen
- Auscultate for bruits over the aorta, renal arteries, iliac arteries and femoral arteries
- Percuss the abdomen
- Palpate the abdomen (light then deep)
- Assess for peritoneal inflammation
- Rebound tenderness
- Murphy’s sign
- Rovsing’s sign
- Psoas sign
- Obturator sign
- Cutaneous hyperesthesia
- Percuss liver
- Palpate liver
- Percuss spleen
- Palpate spleen
- Palpate bilateral kidneys
- Assess for CVA tenderness
- Palpate width of the aorta
Nervous system
- Assess mental status
- Cranial nerves 1-12
- Motor system: muscle bulk, tone strength, coordination, gait, and stance
- Sensory system: pain/temp, vibration, light touch, discrimination
- Deep tendon reflexes
Next, you will need to document your findings.
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