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Reflection On Head To Toe Assessment

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Reflection On Head To Toe Assessment
My first encounter with my patient is when I checked his vital signs and did my head to toe assessment. First I introduced myself; my patient was nice and responded appropriately when asked. No sign of difficulty breathing and was relaxed.
When I auscultated his lungs anteriorly the lung sound was clear bilateral then I ask him if he can lean forward so I could listen to his lungs posteriorly. After he lean forward I immediately heard a loud wheezing so I immediately auscultated the lungs. The wheezing is audible in the lungs but the sound is diminished; it sounded that the wheezing is coming from the throat. I checked his respiratory rate again and it was 12 and no use of accessory muscle and no sign of difficulty breathing and his SpO2 was

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