MARVIN WEBSTAR IHUMAN CASE STUDY

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MARVIN WEBSTAR IHUMAN CASE STUDY

REVIEWED BY EXPERT FEEDBACK. ACTUAL CASE

STUDY

Case Study: Comprehensive Head-to-Toe Assessment of Marvin Webster

Patient Information

• Name: Marvin Webster

• Age: 68

• Gender: Male

• Occupation: Retired Engineer

• Marital Status: Widowed

• History: Former smoker (quit 10 years ago), occasional alcohol

use, sedentary lifestyle

Chief Complaint

Marvin Webster presents for a comprehensive physical examination. He reports shortness of breath on exertion, occasional chest discomfort, and swelling in his ankles over the past month.This study source was downloaded by 100000887856643 from CourseHero.com on 08-20- 09:13:47 GMT -05:00 https://www.coursehero.com/file/237985472/MARVIN-WEBSTAR-IHUMAN-CASE-STUDY-REVIEWED-BY-EXPERT-FEEDBACKpdf/

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Vital Signs

• Blood Pressure: 142/90 mmHg

• Heart Rate: 88 bpm

• Respiratory Rate: 18 breaths per minute

• Temperature: 98.6°F (37°C)

• Oxygen Saturation: 95% on room air

• BMI: 29.3 kg/m²

General Appearance

• Physical Appearance: Overweight, appears slightly fatigued,

alert, and oriented

• Mood and Affect: Cooperative, mildly anxious

Skin

• Color: Normal, no cyanosis or pallor

• Texture: Dry, with some mild scaling on lower legs

• Turgor: Decreased, but no tenting

Head This study source was downloaded by 100000887856643 from CourseHero.com on 08-20- 09:13:47 GMT -05:00 https://www.coursehero.com/file/237985472/MARVIN-WEBSTAR-IHUMAN-CASE-STUDY-REVIEWED-BY-EXPERT-FEEDBACKpdf/

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• Scalp and Hair: No lesions, thinning hair

• Face: Symmetrical, no abnormalities

Eyes

• External Structures: No ptosis, redness, or discharge

• Visual Acuity: 20/30 bilaterally with corrective lenses

• Pupils: Equal, round, reactive to light and accommodation

(PERRLA)

• Fundoscopic Exam: Mild arteriovenous nicking, no hemorrhages

or exudates

Ears

• External Structures: No lesions, normal appearance

• Hearing: Diminished to whispered voice bilaterally

• Tympanic Membranes: Pearly gray, no effusion or erythema

Nose

• External Appearance: Symmetrical, no deformities

• Nasal Passages: Clear, no discharge, septum midline

• Sinuses: Non-tender to palpation

This study source was downloaded by 100000887856643 from CourseHero.com on 08-20- 09:13:47 GMT -05:00 https://www.coursehero.com/file/237985472/MARVIN-WEBSTAR-IHUMAN-CASE-STUDY-REVIEWED-BY-EXPERT-FEEDBACKpdf/

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Mouth and Throat

• Lips and Mucosa: Dry, no lesions

• Teeth and Gums: Missing several teeth, remaining teeth with

some caries, gums receding

• Tongue: No abnormalities, no lesions

• Pharynx: Mild erythema, no exudate, tonsils normal

Neck

• Appearance: Symmetrical, no masses

• Thyroid: Non-palpable, no nodules

• Lymph Nodes: No lymphadenopathy

Chest and Lungs

• Inspection: Symmetrical, no deformities, mild use of accessory

muscles

• Palpation: Mild tenderness on left lateral chest

• Percussion: Resonant throughout

• Auscultation: Diminished breath sounds in the bases, no

wheezes, mild crackles in lower lung fields

Cardiovascular This study source was downloaded by 100000887856643 from CourseHero.com on 08-20- 09:13:47 GMT -05:00 https://www.coursehero.com/file/237985472/MARVIN-WEBSTAR-IHUMAN-CASE-STUDY-REVIEWED-BY-EXPERT-FEEDBACKpdf/