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General WNL
General
• • •
Deformities
HEAD WNL
HEAD
• • •
Facial Asymmetry
EYES WNL
EYES
• • •
Eye abnormalities
ENT WNL
ENT
• • •
ENT abnormalities
NECK WNL
NECK
• • •
Neck abnormalities
BACK WNL
BACK
• • •
Back abnormalities
RESPIRATORY WNL
RESPIRATORY
• • •
Respiratory abnormalities
CV WNL
CV
• • •
Cardiovascular abnormalities
Right > Left mmHg
Left > Right mmHg
ABDOMEN WNL
ABDOMEN
• • •
Abdominal abnormalities
Scar Size
EXTREMITIES WNL
EXTREMITIES
• • •
Abnormalities of extremities
NEUROLOGICAL
NEUROLOGICAL
• • •
Nerve Palsy
Left Upper Strength
Right Upper Strength
Left Lower Strength
Right Lower Strength
LYMPHATICS
LYMPHATICS
• • •
Abnormalities of lymphatics
SKIN WNL
SKIN
• • •
Skin abnormalities
PSYCH WNL
PSYCH
• • •
Psychiatric abnormalities

Physical Exam Medical Form

Cardiologist

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Published: Jan. 7, 2015, 11:21 a.m.
Doctor: Dr. History Physical
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