Exam: Well Woman

Gen: NAD, age appropriate.

 Lymph: No cervical, supraclavicular, axillary lymphadenopathy

 Endo: Normal thyroid

 Breast: Normal breast tissue. Normal nipple. Normal contour. Absent peau d'orange.

 CVS: RRR, nml PMI, no M/R/G

 Pul: CTA, no W/R/R, no fremitus

 Abd: +BS, soft, NT, ND

 GU: Normal meatus & introitus. Normal vagina. Normal cervix. Anteverted uterus. Normal adnexa.

 Skin: Normal vulva, perineum.

 Psych: affect normal
Gen: NAD, age appropriate.

Lymph: No cervical, supraclavicular, axillary lymphadenopathy

Endo: Normal thyroid

Breast: Normal breast tissue. Normal nipple. Normal contour. Absent peau d'orange.

CVS: RRR, nml PMI, no M/R/G

Pul: CTA, no W/R/R, no fremitus

Abd: +BS, soft, NT, ND

GU: Normal meatus & introitus. Normal vagina. Normal cervix. Anteverted uterus. Normal adnexa.

Skin: Normal vulva, perineum.

Psych: affect normal

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 65 boilerplate words
Questions/General site feedback

Send Feedback for this SOAPnote

This site uses Akismet to reduce spam. Learn how your comment data is processed.

More SOAPnotes by this Author: