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340L documentation.docx - Ivana Camarillo N340L SEC: 15507...

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Ivana CamarilloN340L SEC: 15507Skin, Hair, Nails Documentation:Skin turgor normal, no tenting present. Skin color appropriate for ethnicity, warm, dry, smooth,and intact. No edema preset in upper or lower extremities. Tattoo present below the ribcage onthe right side. Tattoo present along the back. Capillary refill less than 3 seconds X4 extremities.Nails have no clubbing present, well-manicured, clean, and square shaped. Hair is evenlydisturbed, thick and well groomed. No lesions of scalp present or tenderness. Mole notedbehind left ear.Head and Neck Documentation:Face symmetrical, no dropping noted. Conjunctiva clear, no discharge or evidence of infection.PERRLA. Patient use glasses for near-sightedness. Nose patent, no deviation noted. Mucous
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Term
Fall
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Tags
Mole, Respiratory distress, Mucus, Goiter, Ivana Camarillo

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