Physical Exam

By Lhims Assistant Team

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OE: ADULT __GENDER__ IN NO OBVIOUS RESP DISTRESS NOR PAIN, NOT PALE, NOT JAUNDICE, AFEBRILE, HYD FAIR RR: CHEST EXPANSION IS ADEQUATE AND SYMMETRICAL, AE ADEQUATE BIL, BS VESICULAR NO ADDED SOUND CVS: S1 + S2 NO MURMUR ABD: FULL, MWR, NON TENDER, NO MASSES NO ORGANOMEGALY CNS: GROSSLY INTACT, GCS 15/15 CONSCIOUS AND ALERT, ORIENTED TO TIME PLACE AND PERSON

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History and Physical Exam

By: Lhims Assistant Team

HistoryPhysical Exam

PC: COMPLAINT- DURATION HPC: ODQ: PMHX: HPT-, DM-, PREV SURGERY, TRANSFUSION, PREV ADMISSION DH...

DRE: GU Findings

By: Lhims Assistant Team

Physical ExamGenitourinary

ANAL HYGIENE WAS __, __GOOD__ SPHINCTER TONE, RECTUM WAS __FILLED WITH SOFT STOOL__, PROSTATE WAS PA...

NEONATE EXAM

By: Lhims Assistant Team

PaediatricsPhysical ExamNeonatal

OE: __GENDER__ NEONATE IN NO OBVIOUS RESP DISTRESS NOR PAIN, NOT PALE, NOT JAUNDICE, AFEBRILE, WELL...

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Author

Lhims Assistant Team

Word Count

61 words

Usage Tips

• Review and customize the template for your specific needs

• Ensure all patient information placeholders are filled

• Follow your institution's documentation guidelines

• Keep templates updated with current best practices

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Physical Exam

By Lhims Assistant Team

Physical Exam

Template Content

OE: ADULT __GENDER__ IN NO OBVIOUS RESP DISTRESS NOR PAIN, NOT PALE, NOT JAUNDICE, AFEBRILE, HYD FAIR RR: CHEST EXPANSION IS ADEQUATE AND SYMMETRICAL, AE ADEQUATE BIL, BS VESICULAR NO ADDED SOUND CVS: S1 + S2 NO MURMUR ABD: FULL, MWR, NON TENDER, NO MASSES NO ORGANOMEGALY CNS: GROSSLY INTACT, GCS 15/15 CONSCIOUS AND ALERT, ORIENTED TO TIME PLACE AND PERSON

Related Templates

History and Physical Exam

By: Lhims Assistant Team

HistoryPhysical Exam

PC: COMPLAINT- DURATION HPC: ODQ: PMHX: HPT-, DM-, PREV SURGERY, TRANSFUSION, PREV ADMISSION DH...

DRE: GU Findings

By: Lhims Assistant Team

Physical ExamGenitourinary

ANAL HYGIENE WAS __, __GOOD__ SPHINCTER TONE, RECTUM WAS __FILLED WITH SOFT STOOL__, PROSTATE WAS PA...

NEONATE EXAM

By: Lhims Assistant Team

PaediatricsPhysical ExamNeonatal

OE: __GENDER__ NEONATE IN NO OBVIOUS RESP DISTRESS NOR PAIN, NOT PALE, NOT JAUNDICE, AFEBRILE, WELL...

Template Information

Author

Lhims Assistant Team

Word Count

61 words

Usage Tips

• Review and customize the template for your specific needs

• Ensure all patient information placeholders are filled

• Follow your institution's documentation guidelines

• Keep templates updated with current best practices

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