PHYSICAL EXAM + REVIEW OF SYSTEMS TEMPLATES

PHYSICAL EXAM:

- GENERAL: Alert and oriented x 3. No acute distress. Well-nourished.

- EYES: EOMI. Anicteric.

- HENT: Moist mucous membranes. No scleral icterus. No cervical lymphadenopathy.

- LUNGS: Clear to auscultation bilaterally. No accessory muscle use.

- CARDIOVASCULAR: Regular rate and rhythm. No murmur. No JVD.

- ABDOMEN: Soft, non-tender and non-distended. No palpable masses.

- EXTREMITIES: No edema. Non-tender.
SKIN: No rashes or lesions. Warm.

- NEUROLOGIC: No focal neurological deficits. CN II-XII grossly intact, but not individually tested.

- PSYCHIATRIC: Cooperative. Appropriate mood and affect.
-----------------------------------------------------------------
ROS:

- CONSTITUTIONAL: Denies weight loss, fever and chills.

- HEENT: Denies changes in vision and hearing.

- RESPIRATORY: Denies SOB and cough.

- CV: Denies palpitations and CP.

- GI: Denies abdominal pain, nausea, vomiting and diarrhea.

- GU: Denies dysuria and urinary frequency.

- MSK: Denies myalgia and joint pain.

- SKIN: Denies rash and pruritus.

- NEUROLOGICAL: Denies headache and syncope.

- PSYCHIATRIC: Denies recent changes in mood. Denies anxiety and depression.