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Physical exam – BASIC

GENERAL APPEARANCE: AxOx4, generally well-appearing  M/F, no acute distress.

HEENT: NC, AT. MMM. EOMI, clear conjunctiva, oropharynx clear.

NECK: Supple without lymphadenopathy. No stiffness or restricted ROM.

HEART: Normal rate and regular rhythm, normal S1/S1, no m/r/g

LUNGS: CTAB, moving air well. No crackles or wheezes are heard.

ABDOMEN: Soft, nontender, nondistended with good bowel sounds heard.

BACK: No CVAT, no obvious deformity.

EXTREMITIES: Without cyanosis, clubbing or edema.

NEUROLOGICAL: Grossly nonfocal. Alert and oriented, moving all 4 extremities. CN not formally tested but appear grossly intact. Observed to ambulate with normal gait.

Skin: Warm and dry without any rash.

from natedotphrase.com

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