PT Template.docx - PT: Allergies: NKDA Current Medications:...

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PT:Allergies: NKDACurrent Medications:HOPI:Family History:Social History:Procedural History:ROS:Constitutional: NegativeCardiovascular: NegativeRespiratory: NegativeGI: NegativeNeurological: NegativePhysical Exam:VS: in chart.Constitutional: Appears stated age. No acute distress. Appears comfortable. Alert and oriented andcooperative with exam.Skin: Skin is warm and dry and intact. No rashes. No skin or nail lesions. No clubbing of nails. Nojaundice. No pallor. Good skin turgor.Eyes: Conjunctivae are pink and sclera are without injection or jaundice. Pupils equal in size and reactequally to light.Ears/Nose/Mouth/Throat: Head is normocephalic without scalp or facial tenderness. No sinustenderness. Trachea is midline, thyroid was not palpable. No JVD, Carotid upstrokes were strong without
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Term
Summer
Professor
N/A
Tags
Mucus, Physical examination, Erythema, Medical signs, nail

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