WebHere is a telemedicine physical exam template for a video visit: all of the above. symmetric spontaneous facial muscle movement. no gross pupillary abnormality. no rash noted on face. Here is what you could elicit based on some instructions: pupils symmetrical. no skin rash, no skin lesions. normal spontaneous muscle movement of all extremities. WebExample of a Complete History and Physical Write-up Patient Name: Unit No: Location: Informant: patient, who is reliable, and old CPMC chart. Chief Complaint: This is the 3rd CPMC admission for this 83 year old woman with a long history of hypertension who presented with the chief complaint of substernal “toothache like” chest pain of 12 hours
OB-GYN Diagram Templates - SmartDraw
WebUsually, menstrual fluid is medium or dark red, and flow lasts for 5 ( ± 2) days, with 21 to 35 days between menses; average blood loss is 30 mL (range, 13 to 80 mL), with the most … Webadvertisement. Pap SOAP Note Name: Jane Doe DOB: xx-xx-1964 S: CC: Annual Women’s visit HPI: 47 yo female presents to Women’s health clinic for routine annual for breast, external genital and pap smear screening with no recent medical issues. She notes that her menstrual cycle occurs approximately every 30 days with 2-3 days of bleeding ... hideaway pizza tulsa hills hours
Normal Pelvic Exam Soap Note
WebTestes descended bilaterally. – SKIN: WWP. No jaundice, new skin rashes, or abnormal lesions. No sacral dimple. – MSK: Normal extremities & spine. No hip clicks or clunks. No clavicular fracture. – NEURO: MAE symmetrically. Normal moro & suck reflexes. WebHere was my copypasta doorway exam that didn’t require any interaction with the patient: Constitutional: no acute distress. Neuro: moving all 4 limbs. HEENT: NCAT, anicteric. Neck: no visible lymphadenopathy or goiter. Pulm: no respiratory distress. Cardiac: extremities appear pink and well-perfused. WebWEIGHT/BMI reviewed. GEN: Healthy appearing, well-developed, NAD. PSYCH: Good Judgment. AOx3. Normal memory, mood, and affect. HEENT -Head: NC/AT; -Eyes: … hideaway pizza tulsa locations