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DATA BASE SAMPLE: PHYSICAL EXAMINATION WITH ALL …

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Patient Centered Medicine 2. DATA BASE SAMPLE: PHYSICAL EXAMINATION . WITH ALL NORMAL FINDINGS. GENERAL APPEARANCE: (include general mental status). 45 y/o female who is awake and alert and who appears healthy and looks her stated age VITALS. Temperature: C oral (list the site where the temperature was taken, , oral, rectal, tympanic membrane, axillary). Blood R Arm/Palpation (Systolic)- 120. Pressure: R Arm/Auscultation- 126/70. L Arm/Palpation (Systolic)- 122. L Arm/Auscultation- 126/70. (Document if you need to use a large cuff or thigh cuff for an obese arm.). Heart Rate by radial pulse palpation: 80 regular (this implies 80 beats/minute).

Cranial Nerves: II: Visual Acuity- 20/20 with pocket screener, both eyes Visual Fields- intact in all fields II and III: Pupillary Reaction to Light- direct & consensual nl Accommodation- nl (Can say PERRLA, pupils, equal, round, reactive to light, and accommodation for both) III, IV, VI: EOM- intact

  Examination, Never, Cranial, Cranial nerves

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Nasogastric and Dobhoff Tubes - Loyola University …

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HPI: Mr. PH is a 52 y/o accountant with hypercholesterolemia and polycythemia vera who has been in relatively good health (except for problem #2 below) until one month ago when he noticed chest tightness with exertion. The patient decided to …

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Cranial Nerves II-XII intact. Unable to go from sit to stand on her own. Skin: No rash noted. 5. STUDIES: Laboratory: SMA-6 normal . Cardiac enzymes were negative X 3 sets . LFTs were normal. Fasting lipid profile showed Total Cholesterol 260, HDL 64, LDL 170, and Triglycerides

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DATA BASE SAMPLE: PHYSICAL EXAMINATION WITH ALL …

www.meddean.luc.edu

Cranial Nerves: II: Visual Acuity- 20/20 with pocket screener, both eyes Visual Fields- intact in all fields II and III: Pupillary Reaction to Light- direct & consensual nl Accommodation- nl (Can say PERRLA, pupils, equal, round, reactive to light, and accommodation for both) III, IV, VI: EOM- intact

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www4.stanbridge.edu

Cranial Nerves - intact I(smell) II(vision) III+IV+VI(eye movement) V(sensation of face/oral) VII (facial movement/taste) VIII (hear/balance) IX (taste/swallow) X (chew/gag/speech) XI (shrug/turn head) XII(tongue movement) Pain Character Onset Location Duration Severity Pattern Associated Factors COLDSPA ...

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EAR CONDITIONS (INCLUDING VESTIBULAR AND …

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Apr 16, 2020 · VA may obtain additional medical information, including an examination, if necessary, to complete VA's review of the veteran's application. VA reserves the right to confirm the authenticity of ALL questionnaires completed by providers. ... If checked, ALSO complete Cranial Nerves Questionnaire. Bone loss of skull If checked, indicate severity ...

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Cranial nerves II-XII are normal. Motor and sensory examination of the upper and lower extremities is normal. Gait and cerebellar function are also normal. Reflexes are normal and symmetrical bilaterally in both extremities. Initial Problem List 1. Chest Pain Although you can omit this initial problem list from your

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