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Physical Exam
EXAM:
Physical Exam:
General appearance:
well-appearing
Vital signs:
normal
,
BP
,
HR
,
RR
,
SpO2
%
,
Temp
°
Eyes: -R:
normal
, -L:
normal
,
Ears: -R:
normal
, -L:
normal
Throat:
normal
Neck:
normal
Heart:
RRR
,
normal S1 and S2
Lungs:
clear
,
retractions
Breasts: -R:
normal
, -L:
normal
Abdomen:
soft
,
non-tender
,
non-distended
,
Anorectal:
DRE
normal
,
prostate
normal
,
anus
normal
Genital:
normal
,
testicles
normal
,
penis
normal
Pelvic: vulva
normal
, vagina
normal
, cervix
normal
, uterus
normal
, adnexa
normal
,
no cervical motion tenderness
Extremities:
edema
,
warm
,
cap refill
< 3 sec
> 3 sec
,
pulses
normal
,
Skin:
no rash
Neurologic: cranial nerves
normal
, strength
5/5 throughout
, sensation
normal
, reflexes
2+ throughout
, cerebellar function
normal
, gait
stable