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Cardiothoracic Regional Impatient: date: Insurance: (dd/mm/yr) Date of birth: M/F Check normal, circle & describe abnormalities complaint & significant history: Vital Signs: Height:, Weight:, Blood
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How to fill out cervicothoracic regional exam observation

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How to fill out cervicothoracic regional exam observation:

01
Begin by gathering the necessary equipment for the exam, including a stethoscope, measuring tape, and a pen or pencil.
02
Position the patient in a comfortable sitting or standing position, ensuring that their back is straight and their shoulders are relaxed.
03
Start the observation by visually inspecting the cervicothoracic region, looking for any abnormalities such as swelling, deformities, or asymmetry.
04
Palpate the area gently, feeling for any tenderness, lumps, or abnormalities in the muscles, joints, or bones of the cervicothoracic region.
05
Assess the range of motion of the patient's neck and upper back by asking them to perform movements such as flexion, extension, lateral bending, and rotation. Note any restrictions, pain, or discomfort during these movements.
06
Auscultate the area using a stethoscope, listening for any abnormal sounds such as wheezing, crackles, or diminished breath sounds.
07
Measure the circumference of the patient's neck and note any significant changes in size compared to previous measurements or normal standards.
08
Document your findings in a clear and organized manner, noting any abnormalities, limitations, or symptoms experienced by the patient during the exam.

Who needs cervicothoracic regional exam observation:

01
Individuals with neck or upper back pain or discomfort.
02
Individuals who have suffered trauma or injury to the cervicothoracic region.
03
Patients with suspected or known musculoskeletal or neurological conditions affecting the neck and upper back.
04
Individuals undergoing rehabilitation or physical therapy for conditions related to the cervicothoracic region.
05
Athletes or individuals involved in activities that may put strain or stress on the neck and upper back.
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Cervicothoracic regional exam observation refers to the clinical evaluation focused on the cervical and thoracic regions of the spine, assessing for abnormalities in range of motion, tenderness, and neurological function.
Healthcare professionals, such as physical therapists, chiropractors, and physicians, who perform the cervicothoracic examination are typically required to file the observation.
To fill out a cervicothoracic regional exam observation, one must document the patient's history, symptoms, examination findings, any diagnostic tests performed, and a summary of the clinical assessment.
The purpose of the cervicothoracic regional exam observation is to identify any functional impairments, pain sources, or neurological deficits, and to guide further intervention or treatment strategies.
The information that must be reported includes patient demographics, clinical signs and symptoms, findings from physical examination, range of motion measurements, and any relevant imaging results.
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