No complications or edema Respiratory patient denies shortness of breath cough

No complications or edema respiratory patient denies

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chest discomfort. No complications or edema. Respiratory patient denies shortness of breath cough with sputum production Gastrointestinal patient positive for anorexia increasing belching, epigastric pain. Patient denies nausea vomiting or diarrhea. No blood in her stools Genitourinary patient denies dysuria. States last menstrual period is 1 months ago Neurological: patient denies headaches dizziness syncope paralysis ataxia and numbness and tingling extremities. No change in bowel or bladder control. Musculoskeletal patient denies muscle pain back pain joint pain or stiffness. Hematological patient denies anemia bleeding or bruising. Lymphatics patient denies enlarged lymph nodes no history of splenectomy. Psychiatric patient positive for anxiety denies depression. Endocrine: positive for polydipsia and polyuria. Patient denies sweating cold or heat intolerance Allergies cats penicillin and dust consistency, or frequency. Denies blood in stool, dark stools, or maroon stools. No blood in emesis. No known jaundice, problems with liver or spleen.
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Objective No skin tenting noted Abdomen symmetrical rounded striae noted with excessive hair growth no other abnormalities noted. Lung sounds present in all filled clear to auscultation patient on room air speaking in full sentences no respiratory distress noted. S1 and S2 noted no extra heart sounds noted Abdominal sounds present in all four quadrants normoactive No abdominal aortic bruit is noted No renal artery bruit is noted bilaterally No iliac artery bruit noted bilaterally No femoral artery bruit noted bilaterally All abdomen quadrants generally tympanic Negative for CVA tenderness bilaterall dullness noted over the spleen. liver span is 7 cm in the midclavicular line All four abdominal quadrants pslpsted with light pressure no tenderness reported no masses guarding or distension. All four abdominal quadrants palpated with deep pressure no masses noted. Liver palpable 1 cm below right costal margin Spleen not palpable Kidneys not palpable bilaterally. No diagnostic studies available from this visit General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress. She is alert and oriented. She maintains eye contact throughout interview and examination. • Abdominal: Abdomen is soft and protuberant without scars or skin lesions; skin is warm and dry, without tenting. Bowel sounds present and normoactive in all quadrants. No tenderness to light or deep palpation. Tympanic throughout. Liver is 7 cm at the MCL and 1 cm below the right costal margin. Spleen and bilateral kidneys are not palpable. No CVA tenderness. • Cardiovascular: Regular rate and rhythm, S1 and S2 present, no murmurs, rubs, gallops, clicks, precordial movements. No bruits with auscultation over abdominal
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