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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Lungs WNL
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Lungs Abnormal
• • •
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Lungs Comments
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Cardiovascular WNL
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Cardiovascular Abnormal
• • •
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Cardiovascular Comments
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Abdomen WNL
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Abdomen Abnormal
• • •
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Abdomen Comments
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Genitourinary Yes = Deferred, No = abnormal
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Genitourinary Abnormal
• • •
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Genitourinary Comments
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Musculoskeletal WNL
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Musculoskeletal Abnormal
• • •
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Musculoskeletal Comments
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Lymphatic WNL
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Lymphatic abnormal
• • •
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Lymphatic
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Skin WNL
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Skin Comment
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Neck WNL
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Neck Abnormal
• • •
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Neck Comments
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Neruological WNL
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Neurological Abnormal
• • •
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Neurological Comments
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