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NORMAL AND BASIC COMPLETE PHYSICAL EXAMINATION

created Oct 15th 2014, 20:09 by


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SP ORIENTED IN NAD.
VS WNL.
HEENT: NC/AT, MOIST MUCOUS, NO ERYTHEMA, EDEMA OR EXUDATES. PERRLA, NO ICTEURS, PALLOR OR ERYTHEMA.
NECK: SUPPLE, NO LAD OR THYROMEGALY.
CHEST: NL TO INSPECTION, NO TENDERNESS, CLEAR BREATH SOUNDS BILATERALY.
CV: RRR, NL S1/S2, NO RMG, PMI NONDISPLACED.
ABD: BS + BY 4, SOFT, NONDISTENDED, NO TENDERNESS AND NO HEPATOSPLENOMEGALY.
EXTREMITIES: NO DEFORMITIES, CYANOSIS , ERYTHEMA OR EDEMA IN 4 LIMB. SYMMETRIC PULSES, NL ROM, DTR 2+ AND MS 5/5 IN ALL LIMBS.
NEURO: SP A AND O BY 3, SHORT AND LONG TERM MEMORY, CONCENTRATION AND CN 2-12 GROSSLY INTACT. SENSATION TO SHARP AND DULL GROSSLY INTACT IN 4 LIMBS. NO DYSDIADOCHOKINESIA, - ROMBER AND NL GAIT.

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