|
Physical Examination
|
|
|
General normal? (well-developed individual sitting upright)
|
General findings
|
|
Eyes normal? (sclerae anicteric; conjunctivae moist and noninjected; pupils equally round)
|
Eye findings
|
|
ENT normal? (oropharynx clear; nares patient)
|
ENT findings
|
|
Neck normal? (trachea midline; no thyroid tenderness)
|
Neck findings
|
|
Heart normal? (S1/S2 present; radial pulse palpable; no gallops or thrills)
|
Heart findings
|
|
Lungs normal? (no accessory muscle use; breath sounds equal bilaterally)
|
Lung findings
|
|
Abdomen normal? (soft and nondistended; no hepatosplenomegaly)
|
Abdomen findings
|
|
Lymphatics normal? (no cervical or supraclavicular lymphadenopathy)
|
Lymphatic findings
|
|
Neuro normal? (all extremities moved with grossly symmetric vigor; face grossly symmetric)
|
Neurologic findings
|
|
Miscellaneous findings
|
|
|
In-Office Test Results, if any
|
|
