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Inspection
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Inspection
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Right sided Ecchymosis?
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Left sided ecchymosis?
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Right hemithorax erythema?
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Left hemithorax erythema?
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Right hemithorax open wound(s)?
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Left hemithorax open wound(s)?
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Trachea midline at sternal notch?
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Thorax symmetrical with equal rise and fall bilaterally?
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Nails and lips pink?
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Inspection comments
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Palpation
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Palpation
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Tenderness
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Right hemithorax tender?
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Left hemithorax tender?
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Increased Warmth?
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Crepitus?
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SubQ air?
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Palpation comments
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Auscultation
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Auscultation
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Breath sounds equal bilaterally?
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Auscultation comments
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***Overall Exam Comments***
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Exam comments
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Images and Labs
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Any Images/labs Ordered?
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Right Unilateral
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Normal right 3 view rib
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Views
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Views comments
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Comparison
• • •
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Comparison comments
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Normal findings
• • •
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Normal findings comments
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Abnormal Findings
• • •
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Abnormal Findings comments
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Impression
• • •
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Impression comments
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Left Unilateral
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Normal left 3 view rib
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Views
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Views comments
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Comparison
• • •
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Comparison comments
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Normal findings
• • •
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Normal findings comments
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Abnormal Findings
• • •
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Abnormal findings comments
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Impression
• • •
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Impression comments
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Bilateral
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Normal 4 view bilateral rib
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Views
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Views comments
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Comparison
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Comparison comments
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Normal findings
• • •
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Normal findings comments
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Abnormal Findings
• • •
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Abnormal findings comments
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Impression
• • •
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Impression comments
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Diagnosis
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Diagnosis
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