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General
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General WNL
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General assessment findings
• • •
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General Comments
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HEENT
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HEENT WNL
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Head assessment findings:
• • •
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Head additional info:
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Eyes assessment findings
• • •
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Eye additional:
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Ears assessment findings:
• • •
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Ears additional:
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Nose Assessment findings
• • •
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Nose additional:
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Oropharynx assessment findings
• • •
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Oropharynx additional:
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HEENT Comments
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Skin
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Skin WNL
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Skin assessment findings:
• • •
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Skin Comments
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Neck
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Neck WNL
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Neck assessment findings:
• • •
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Neck Comments
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Cardiovascular
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Cardiovascular WNL
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CV Assessment findings
• • •
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Cardiovascular Comments
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Lungs
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Lungs WNL
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Pulmonary assessment findings
• • •
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Lungs Comments
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Abdomen
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Abdomen WNL
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Abdomen Assessment findings
• • •
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Abdomen Comments
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Musculoskeletal
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MSK WNL
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MSK Assessment findings
• • •
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MSK Comments
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Breast
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Breasts WNL
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Breasts Abnormal
• • •
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Breast Assessment findings:
• • •
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Breasts Comments
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Neuro
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Neuro WNL
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Neuro Abnormal
• • •
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Neuro
• • •
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Neuro Comments
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Extremities
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Extremities WNL
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Extrem Abnormal
• • •
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Extrem Assessment
• • •
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Extrem Comments
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