Health Assessment Follow-up Findings
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Which assessment finding would require follow up? (Select all that apply) (Select All that Apply.) □ Uvula midline □ Unilateral lymph node enlargement □ Point of Maximal Impulse (PMI) displaced laterally □ Normoactive bowel sound in all 4 quadrants □ New nipple inversion
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In this health assessment question, we need to identify which findings are abnormal and would require further clinical follow up. Let's look at the options one by one.
Health Assessment Follow-Up
Our first option is a midline uvula. This is a normal finding in a head and neck assessment. It indicates that the soft palate is functioning correctly and that there is no cranial nerve damage affecting its position. So, no follow up is needed here.
1. Uvula midline: Normal
The second option is unilateral lymph node enlargement. Usually, lymph nodes should be non-palpable or small and mobile. Enlargement on only one side could indicate an infection, inflammation, or malignancy in that specific area of the body. This definitely requires follow up.
2. Unilateral lymph node enlargement: Abnormal
Third, we have the Point of Maximal Impulse, or P M I, displaced laterally. The P M I should typically be at the fourth or fifth intercostal space, at the midclavicular line. If it is moved to the left or laterally, it often suggests left ventricular hypertrophy or an enlarged heart, which is a significant clinical finding.
3. Point of Maximal Impulse (PMI) displaced laterally: Abnormal
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