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[checkbox name="Q1" value="A-OK Physical Exam|Chicken Pox|Normal - Croup Suspected"] [conditional field="Q1" condition="(Q1).is('A-OK Physical Exam')"] CONSTITUTIONAL: Well-nourished, well-developed, appears stated age EYES: PERRL, no conjunctival injection EARS/NOSE/MOUTH/THROAT: Normocephalic, atraumatic, neck supple without meningismus CARDIOVASCULAR: Regular rate and rhythm, warm, well-perfused extremities RESPIRATORY: Clear to auscultation bilaterally, unlabored respiratory effort GASTROINTESTINAL: Soft, non-tender, non-distended, no masses GENITOURINARY: Deferred MUSCULOSKELETAL: No gross deformities appreciated INTEGUMENTARY: Warm, dry. No rashes NEUROLOGICAL: Alert, CNs II-XII grossly intact, sensation and motor function of extremities grossly intact PSYCHIATRIC: Appropriate mood and affect [/conditional] [conditional field="Q1" condition="(Q1).is('Chicken Pox')"] CONSTITUTIONAL: The patient is alert, NAD. Non-toxic appearing. EYES: PERRL, conjunctiva normal. lids are normal. EARS/NOSE: canals and tympanic membranes intact and without erythema bilaterally. MOUTH/THROAT: no ulcers or vesicles. no erythema or exudate at posterior pharynx. HEART: RR, normal heart sounds, no murmur. LUNG: clear without rhonchi or wheezes. INTEGUMENTARY: no vesicular eruption typical of varicella, no areas of impetiginization. EXTREMITIES: capillary refill less than 2 seconds. [/conditional] [conditional field="Q1" condition="(Q1).is('Normal - Croup Suspected')"] General Appearance: no acute respiratory distress. Non-toxic appearing. Without barky cough or hoarse voice. Ears: bilaterally intact TMs without bulging or erythema. Throat: normal, without exudate or tonsillar hypertrophy. Lymph nodes: normal, without anterior or posterior cervical adenopathy. Heart: RR, no murmur/click, S3/S4. Lungs: clear. No nasal flaring. No intercostal retractions. No stridor. No wheezes, rhonchi, or crackles. Abdomen: normal bowel sounds, soft, nontender. Extremities: Capillary refill is normal, less than 2 seconds. Skin: Color is good, without cyanosis. [/conditional]
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Sandbox Metrics: Structured Data Index 1, 4 form elements, 1 checkboxes, 3 conditionals, 3 total clicks
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