NR602 W1D2 - Discussion Part Two(graded Physical...

This preview shows page 1 - 2 out of 3 pages.

Discussion Part Two (graded) Physical Examination Jo: V/S: Height: 109 cm, Weight: 27 kg, B/P:102/60, T: 98.2, HR: 88 BMP/reg., Resp: 18, reg, non-labored, SpO2: 99% General: Cooperative, talkative, appropriate; HEENT: head normocephalic atraumiatic, hair thick and distributed throughout entire scalp; Conjunctiva clear, non-icteric, PERRLA, EOM’s intact; fundoscopic exam unremarkable; vision by snellen exam 20/50 in her left eye, 20/40 in her right, and 20/30 together; tympanic membranes intact, unremarkable; pinna/tragus w/o tenderness; nares patent, unremarkable bil; pharynx unremarkable tonsils 1/4 bil; primary tooth eruption to include first molars upper and lower; no loose teeth; oral exam unremarkable; neck supple w/o lymphadenopathy; thyroid small, firm, equal bil. Cardiopulmonary: Heart RRR w/o murmur; lungs CTA throughout; respirations even and unlabored; abdomen sl. rounded normoactive bowel sounds throughout, soft, non- tender, no masses, or organomegaly; peripheral pulses reg., equal., intact bil radial and pedal; GU – labia majora and minora intact, no erythema or discharge. Musculoskeletal: MAE. Able to do deep knee bends; hop on one foot on either leg, able to balance on each leg for 10 seconds.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture