Table 2.

Expert Exemplary Quotes Extracted Verbatim on Muscle Loss

Expert Code	Exemplary Quotes
JF1	“I focus on from head to toe, first would be the temporal, the temple area, then orbital area underneath the eyes... I usually put gloves on and then I touch their face on both sides, rubbing their, like, temporal area and then I take my fingers underneath their eyes feeling for their bone or fat pad.”
N2	“We examine the temples and the orbital areas and the buccal areas for any loss.”
T3	“Okay, I am going to just, kind of, picture a patient. The temporal muscle and then we look around the orbital for any type of fat wasting or the buccal areas.”
JF1	“Okay. The trapezius, the deltoids, the pectorals. We also look at the triceps, the ribs and then we move on down and look at the quads and calf muscle.”
T3	“We look to the clavicle and acromion process and the different areas around the rib. First with the patient sitting up, we examine triceps and note that—we know at that time we are kind of looking globally at the patient and also interviewing them. We’re looking at interosseous muscles in their hands, I think. There again, we’re looking for any type of visuals for the ribs showing or not both front and back. And we are moving on down to like the thigh areas if there is any concaving of the thighs. And then the muscle wasting, we’re actually doing the touching to feel the quality of the muscle, floor of the calves as well as we’re checking for edema also especially in the lower extremities…”
JG5	“….. we would work our way like into the clavicle region, look for any muscle wasting there. From there, we go into the hands, look at the fingernails…. Other things that we will look at will go to the chest region”
R6	“We’ll do the scapula or the SCM. We will have the person either put their arms out front or push against the wall so we can see muscle tone.”
S7	“I would add that we do do lower extremities especially looking for edema and muscle mass of the quadriceps and down also to the calf as well. We do lift their leg and have them engage their lower calf muscles to assess for lower leg loss.”
JF1	“Ribs, The same thing, we move in our hands down the side of their body checking for any muscle loss.”
S7	“And at that same time we are assessing the muscle engagement in the back and then we do the ribcage at the same time to go around their side.”
T3	“And there is a technique with you squeeze the first thumb and the first finger, and there is a pad on the inside of the hand. And when you squeeze that you can actually feel that muscle if you do it yourself and use this, probably hard. But when you get people that have problems, they get real mushy kind of muscle there….There is also another muscle that is in… it’s one of the muscles and when you make the okay sign with your thumb and first finger, you can also feel the muscle, it’s on the inside of the circle that’s on the hand. And you squeeze a little muscle in there and you can see if it’s there.”