|
PHYSICAL EXAMINATION
|
|
|
GENERAL
|
*GENERAL
|
|
- Within normal limits:
|
General WNL
|
|
- Positive / Negative Values:
|
General Values
• • •
|
|
- Comments:
|
General Comments
|
|
|
|
|
SKIN
|
*SKIN
|
|
- Within normal limits:
|
Skin WNL
|
|
- Positive / Negative values:
|
Skin Values
• • •
|
|
- Comments:
|
Skin Comments
|
|
- Free Draw / Picture:
|
Free Draw / Take Picture
|
|
|
|
|
HEENT
|
*HEENT
|
|
- Within normal limits:
|
HEENT WNL
|
|
- Positive / Negative Values:
|
HEENT Values
• • •
|
|
- Comments:
|
HEENT Comments
|
|
- Free Draw / Picture:
|
Free Draw / Take Picture
|
|
|
|
|
NECK
|
*NECK
|
|
- Within normal limits:
|
Neck WNL
|
|
- Positive / Negative Values:
|
Neck Values
• • •
|
|
- Comments:
|
Neck Comments
|
|
- Free Draw / Picture:
|
Free Draw / Take Picture
|
|
|
|
|
BREAST
|
BREAST
|
|
- Within normal limits:
|
Breasts WNL
|
|
- Positive / Negative Values:
|
Breasts Values
• • •
|
|
- Comments:
|
Breasts Comments
|
|
- Not Examined
|
Not Examined
|
|
|
|
|
CARDIOVASCULAR
|
*CARDIOVASCULAR
|
|
- Within normal limits:
|
Cardiovascular WNL
|
|
- Positive / Negative Values:
|
Cardiovascular Values
• • •
|
|
- Comments:
|
Cardiovascular Comments
|
|
|
|
|
LUNGS
|
*LUNGS
|
|
- Within normal limits:
|
Lungs WNL
|
|
- Positive / Negative Values:
|
Lungs Values
• • •
|
|
- Comments:
|
Lungs Comments
|
|
|
|
|
ABDOMEN
|
*ABDOMEN
|
|
- Within normal limits:
|
Abdomen WNL
|
|
- Positive / Negative Values:
|
Abdomen Values
• • •
|
|
- Comments:
|
Abdomen Comments
|
|
- Free Draw / Picture:
|
Free Draw / Take Picture
|
|
|
|
|
URINARY
|
*URINARY
|
|
- Within normal limits:
|
Urinary [-] Normal Values
|
|
- Positive / Negative Values:
|
Urinary Values
• • •
|
|
- Comments:
|
Urinary Comments
|
|
|
|
|
GENITAL MALE
|
GENITAL (Male):
|
|
- Within normal limits:
|
Genital (Male) [-] Normal Values
|
|
- Positive / Negative Values:
|
Genital (Male)
• • •
|
|
- Comments:
|
Genital (Male) Comments
|
|
- Not Examined
|
Not Examined
|
|
|
|
|
GENITAL FEMALE
|
GENITAL (Female):
|
|
- Within normal limits
|
Genital (Female) [-] Normal Values
|
|
- Positive / Negative Values:
|
Genital (Female)
• • •
|
|
- Comments:
|
Genital (Female) Comments
|
|
- Not Examined
|
Not Examined
|
|
|
|
|
RECTAL
|
*RECTAL
|
|
- Comments:
|
Rectal Comments
|
|
- Deferred
|
Deferred
|
|
|
|
|
EXTREMITIES
|
*EXTREMITIES
|
|
- Within normal limits:
|
Extremities WNL
|
|
- Positive / Negative Values:
|
Extrem Values
• • •
|
|
- Comments:
|
Extrem Comments
|
|
- Free Draw / Picture:
|
Free Draw / Take Picture
|
|
|
|
|
MUSCULOSKELETAL
|
*MUSCULOSKELETAL
|
|
- Within normal limits:
|
MSK WNL
|
|
- Positive / Negative Values:
|
MSK Values
• • •
|
|
- Comments:
|
Musculoskeletal Comments
|
|
- Free Draw / Picture:
|
Free Draw / Take Picture
|
|
|
|
|
NEUROLOGICAL
|
*NEUROLOGICAL
|
|
- Within normal limits:
|
Neuro WNL
|
|
- Positive / Negative Values:
|
Neuro Values
• • •
|
|
- Comments:
|
Neuro Comments
|
|
|
|
|
PSYCHIATRIC
|
*PSYCHIATRIC
|
|
- Within normal limits:
|
Psychiatric [-] Normal Values
|
|
- Positive / Negative Values:
|
Psychiatric
• • •
|
|
- Comments:
|
Psychiatric Comments
|
|
|
|
