End Stage Renal Disease Secondary to Chronic
Glomerulonephritis
Physical AssessmentPhysical AssessmentArea
AssessedTechniqueNormal FindingsActual
FindingsEvaluationSkinColorInspectionLight brown, tanned skin (vary
according to race)Light brown, tanned skin (vary according to
race)Suggests easy bleeding and bruisingLips, nail beds, soles and
palmsInspectionLighter colored palms, soles, lips and nail
bedsLighter colored palms and soles; pink nail
bedsNormalMoistureInspection/PalpationSkin normally drySkin
normally dryNormalTemperaturePalpationWarm to touchWarm to
touchNormalTexturePalpationSmooth, soft and flexible palms and
soles (thicker)Smooth, soft and flexible palms and soles
(thicker)NormalTurgorPalpationSkin snaps back immediatelySkin snaps
back immediately 1-2 secondsNormalPhysical
AssessmentNailsNailsInspectionTransparent, smooth and convex cut
and cleanTransparent, smooth and convex cut and cleanGood
groomingNail bedsInspectionPinkishPinkishNormalNail
baseInspectionFirmFirmNormalCapillary refillInspection/
PalpationWhite color of nail bed under pressure should return to
pink within 2-3 secondsReturns
immediatelyNormalHairDistributionInspectionEvenly distributedEvenly
distributedNormalColorInspectionBlackBlackNormalTextureInspection/
PalpationSmoothSmoothNormalPhysical
AssessmentEyesEyesInspectionParallel to each otherParallel to each
otherNormalVisual AcuityInspection (penlight)Pupils equally round
react to light and accommodationPupils equally round react to light
and accommodationNormalEyebrowsInspectionSymmetrical in size,
extension, hair texture and movementSymmetrical in size, extension,
hair texture and movementNormalEyelashes Inspection Distributed
evenly and curved outwardDistributed evenly and long curved
outwardNormalEyelids Inspection Same color as the skinSame color as
the skinNormalConjunctivaInspectionTransparent with light pink
colorPaleSuggests anemiaSclera Inspection Color is whitewhiteCornea
Inspection Transparent, shinyTransparent, shinyNormalPupils
Inspection Black, constrict brisklyBlack, constrict
brisklyNormalIris Inspection Clearly visibleClearly
visibleNormalPhysical AssessmentEarsEar canal openingInspection
Free of lesions, discharge of inflammationCanal walls pinkFree of
lesions, discharge of inflammationCanal walls
pinkNormalNormalNoseShape, size and skin colorInspection Smooth,
symmetric with same color as the faceSmooth, symmetric with same
color as the faceNormalNares Inspection Oval, symmetric and without
dischargeOval, symmetric and without dischargeNormalPhysical
AssessmentMouth and PharynxLips Inspection Pink, moist
symmetricPink, moist symmetricNormalBuccal mucosaInspection
Glistening pink soft moistPaleSuggests anemiaGums Inspection
Slightly pink color, moist and tightly fit against each
toothSlightly pink color, moist and tightly fit against each
toothNormalTongue Inspection Moist, slightly rough on dorsal
surface medium or dull redMoist, slightly rough on dorsal surface
medium or dull redNormalTeeth Inspection Firmly set, shinyFirmly
set, shinyNo tooth decay, milk tooth presentNormalHard and soft
palateInspectionHard palate- dome-shapedSoft Palate- light pinkHard
palate- dome-shapedSoft Palate- light pinkNormalSymmetry of neck
muscles, alignment of tracheaInspectionNeck is slightly hyper
extended, without masses or asymmetryNeck is slightly hyper
extended, without masses or asymmetryNormalPhysical AssessmentNeck
RomInspectionNeck moves freely, without discomfortNeck moves
freely, without discomfortNormalThyroid glandPalpationRises freely
with swallowingRises freely with
swallowingNormalTracheaInspectionMidlineMidlineNormalThorax and
LungsAuscultationClear breath soundsClear breath
soundsNormalAbdomenInspectionInspectionPalpationSkin same color
with the rest of the bodySkin same color with the rest of the
bodyNormalAssymmetricalAssymmetricalNormalPhysical AssessmentUpper
ExtremitiesInspectionPalpation- Symmetrically align- No lesion- No
swelling- No mumps- Light to dark brown in color- Symmetrically
align- No lesion- No swelling- No mumps- Light to dark brown in
colorNormalLower ExtremitiesInspection- Bilaterally symmetrical and
equal- Right foot has complete fingers- Left foot has complete
fingers- Skin color is as same as the other parts of the body-
Bilaterally symmetrical and equal- Right foot has complete fingers-
Left foot has complete fingers- Skin color is as same as the other
parts of the bodyNormalPhysical AssessmentNeurology SystemLevel of
consciousnessInspectionFully conscious, respond to questions
quickly, perceptive of eventsFully conscious, respond quickly to
stimulusNormalBehavior and appearanceInspectionMakes eye contact
with examiner, hyperactive expresses feelings with response to the
situation9
