General WNL
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General Abnormal
• • •
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General Comments
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HEENT WNL
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HEENT Abnormal
• • •
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HEENT Comments
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Cardiac WNL
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CARDIAC Abnormal
• • •
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Cardiac Comments
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LUNGS WNL
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Lungs Abnormal
• • •
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LUNG Comments
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ABDOMEN WNL
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ABDOMEN Abnormal
• • •
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ABDOMEN Comments
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Skin WNL
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Skin Lesion
• • •
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Skin Comments
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MSK WNL
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MSK Abnormal
• • •
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MSK Comments
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Neuro WNL
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Neuro Abnormal
• • •
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Neuro Comments
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Extremities WNL
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Extrem Abnormal
• • •
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Extrem Comments
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Mental Status Exam:
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Appearance:
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Comments:
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Attitude:
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Comments:
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Behavior:
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Comments:
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Speech:
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Comments:
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Affect:
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Comments:
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Mood:
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Comments:
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Thought Process:
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Comments:
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Thought Content:
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Comments:
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Suicidality:
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Comments:
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Homicidality:
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Comments:
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Perception:
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Comments:
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Orientation:
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Comments:
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Memory and Concentration:
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Comments:
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Impulse Control:
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Comments:
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Insight:
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Comments:
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Judgement:
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Comments:
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