Physical assessment evaluation tool - Nursing Crib

NIPPLES
95. Size, shape,
position, color,
discharges, lesions,
tenderness
Equal, round,
everted in the same
direction, brown,
has no discharges,
lesions, or
tenderness
Equal, round,
everted in the same
direction, brown,
has no discharges,
lesions, or
tenderness
NORMAL
AXILLARY, SUBCLAVICULAR AND SUPRACVICALAR LYMPH NODES
96. Masses or Absence of masses Absence of masses NORMAL
lumps
or lumps
or lumps
ABDOMEN
97. Skin integrity,
contour,
enlargement of
liver or spleen,
symmetry of
contour
Unblemished skin,
uniform in color,
no signs of
enlargement of the
liver and spleen,
symmetrical
Unblemished skin,
uniform in color,
no signs of
enlargement of the
liver and spleen,
symmetrical
NORMAL
98. Visibility of
peristalsis
movement
99. Visibility of
vascular patterns
100. Bowel sounds,
vascular and
peritoneal friction
rubs
MUSCLES
101. Size,
contractures,
tremors
102. Tonicity,
strength (neck,
upper, lower
extremities)
BONES
103. Structure,
deformities,
tenderness, edema
contour
Not visible, slightly
visible on thin
persons
contour
Not visible, slightly
visible on thin
persons
NORMAL
Not visible Not visible NORMAL
Audible bowel
sounds, not audible
vascular and
peritoneal friction
rubs
Audible bowel
sounds, not audible
vascular and
peritoneal friction
rubs
MUSCULOSKELETAL SYSTEM
Bilaterally
symmetric, no
contractures and
tremors
Normal muscle
tension, adequate
strength of the
muscles
Uniform in
structure, no
deformities,
tenderness or
edema
Bilaterally
symmetric, no
contractures and
tremors
Normal muscle
tension, adequate
strength of the
muscles
Uniform in
structure, no
deformities,
tenderness or
edema
NORMAL
NORMAL
NORMAL
NORMAL
JOINTS
104. Swelling, Absence of Absence of NORMAL