|
Pre Op
|
Normal Hysterosalpingogram at CMC
|
|
Constitutional WNL
|
Constitutional Abnormal
• • •
|
|
Constitutional Comments
|
|
|
HEENT WNL
|
HEENT Abnormal
• • •
|
|
HEENT Comments
|
|
|
Neck WNL
|
Neck Abnormal
• • •
|
|
Neck Comments
|
|
|
Respiratory WNL
|
Respiratory Abnormal
• • •
|
|
Respiratory Comments
|
|
|
Cardiovascular WNL
|
Cardiovascular Abnormal
• • •
|
|
Cardiovascular Comments
|
|
|
Breasts WNL
|
Breasts Abnormal
• • •
|
|
Breasts Comments
|
|
|
Abdomen WNL
|
Abdomen Abnormal
• • •
|
|
Abdomen Comments
|
|
|
GENITOURINARY: Deferred
|
|
|
Genitourinary Normal
|
Genitourinary Abnormals
• • •
|
|
Genitourinary
|
|
|
Pap Obtained
|
TV U/S
|
|
IUD Insert
|
Colposcopy
|
|
IUD Removal
|
|
|
IUD Removal and Re-INSERTION
|
Leep
|
|
Nexplanon Removal
|
Nexplanon Insertion
|
|
Colpo w/bx & ecc (paracervical block)
|
Endometrial Biopsy
|
|
Sonohystogram
|
|
|
Skin WNL
|
Skin Lesion
|
|
Skin Comments
|
Skin Biopsy
|
|
Extremities WNL
|
Extrem Abnormal
• • •
|
|
Extrem Comments
|
|
|
MSK WNL
|
MSK Abnormal
• • •
|
|
MSK Comments
|
|
|
Neuro WNL
|
Neuro Abnormal
• • •
|
|
Neuro Comments
|
|
|
Psychiatric WNL
|
Psychiatric abnormal
• • •
|
|
Psychiatric
|
|
