or deformities. Canals clear bilaterally, tympanic membranes intact with good movement, no fluid; hearing grossly intact bilaterally; nasal mucosa, septum, and turbinates normal; tongue normal, posterior pharynx without erythema or exudates. The neck is supple, no masses, trachea midline; no thyroid nodules, masses, tenderness, or enlargement. This examination of the patient’s ears nose and throat can be ruled out as a normal examination.
3 3. Skin – was described as having no rashes, being warm and dry with no erythematous areas. The examination of the patient’s skin can be ruled out as a normal exam. 4. Abdomen – upon examination of the abdomen it was described as having normal bowel sounds, upon contact abdomen, was documented to be soft and nontender. This examination can also be ruled out as normal. 5. Extremities – the patient’s extremities were found to be within the normal with no edema, cyanosis or clubbing. Abbreviations within the patient’s History and Physical 1. WDWNWF stands for well developed, well nourished, white female, which describes the results of the patient’s initial physical examination. 2. ORIF stands for open reduction internal fixation; this means that the patient had a fracture which was surgically corrected with an implant.
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- Spring '14
- Mucus, Diabetes mellitus type 1