|
PATIENT INFORMATION
|
VITALS
|
|
ROS ALL NEG
|
ROS POS
|
|
PE Normal
|
PE Abnormal
|
|
Physical Exam - All Systems NS:
|
EXAM ABN
|
|
EYES
• • •
|
EYES ABN
|
|
MOUTH & THROAT
• • •
|
MOUTH & THROAT ABN
|
|
NECK
• • •
|
NECK ABN
|
|
RESPIRATORY
• • •
|
RESPIRATORY ABN
|
|
CARDIOVASCULAR:
• • •
|
CARDIOVASCULAR:
|
|
GASTROINTESTINAL:
• • •
|
GASTROINTESTINAL:
|
|
MUSCULOSKELETAL:
• • •
|
MUSCULOSKELETAL:
|
|
SKIN
• • •
|
SKIN:
|
|
NEUROLOGICAL/PSYCHIATRIC:
• • •
|
NEUROLOGICAL/PSYCHIATRIC:
|
|
GU:
|
LYMPHATIC:
|
|
PATIENT COUNSELING:
|
DATA REVIEW:
|
|
IMPRESSIONS:
|
PLANS:
|
|
OTHER:
|
FOLLOW UP:
|
