, Non-pitting 2+ Deeper pit, disappears in 10 to 15 seconds
3+ Noticeably deep pit that lasts more than a
minute
4+ Very deep pit that lasts 2 to 5 minutes
Right: Appearance (1/9 point) Right: Nail Changes (1/9 point)
No visible abnormal findings No visible abnormal findings
Visible distortion or swelling Pallor
Discoloration Cyanosis
Skin thickening Splinter hemorrhages
Ulceration Clubbing
Varicose veins
Left: Edema (1/9 point) Left: Severity Of Edema (1/9 point)
No edema No edema
Pitting 1+ Slight pitting
Non-pitting 2+ Deeper pit, disappears in 10 to 15 seconds
3+ Noticeably deep pit that lasts more than a
minute
4+ Very deep pit that lasts 2 to 5 minutes
Left: Appearance (1/9 point) Left: Nail Changes (1/9 point)
No visible abnormal findings No visible abnormal findings
Visible distortion or swelling Pallor
Discoloration Cyanosis
Skin thickening Splinter hemorrhages
Ulceration Clubbing
Varicose veins
Capillary Refill Time (1/9 point)
3 seconds or less
Greater than 3 seconds
Palpated temporal arteries 1 of 1 point
Vibration (1/2 point) Amplitude (1/2 point)
No thrill in either artery 0 Absent
Thrill in right artery 1+ Diminished or barely palpable
Thrill in left artery 2+ Expected
3+ Increased
4+ Bounding pulse
No thrill 0 Absent
Thrill 1+ Diminished or barely palpable
2+ Expected
3+ Increased
4+ Bounding pulse
Left: Vibration (1/4 point) Left: Amplitude (1/4 point)
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