Objective/Exam Elements
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PHYSICAL EXAM:
GENERAL: [checkbox name="variable_1" value="well-developed and well-nourished|alert and cooperative|in no acute distress|well-appearing and nontoxic"], [text name="variable_2" default=""]
HEENT: [checkbox name="variable_3" value="normocephalic|atraumatic|EOMI|vision grossly intact bilaterally|no conjunctival injection or visible discharge|hearing grossly intact bilaterally|no frontal sinus tenderness bilaterally|no maxillary sinus tenderness bilaterally|no oropharyngeal erythema/edema/exudate|no uvular deviation|speaks in clear and unmuffled voice|lips/tongue/dentition/gingiva within normal limits"], [text name="variable_4" default=""]
NECK: [checkbox name="variable_5" value="supple with full range of motion|no stridor|no midline tenderness of stepoff|no cervical lymph node tenderness bilaterally|no cervical lymph node swelling bilaterally|no visible thyromegaly or other masses"], [text name="variable_6" default=""]
RESPIRATORY: [checkbox name="variable_7" value="no audible rales/rhonchi/wheezing|normal respiratory effort|speaking full sentences|no visible signs of tachypnea|no retractions"], [text name="variable_8" default=""]
CARDIOVASCULAR: [checkbox name="variable_9" value="peripheral pulses intact and palpable|pulse felt to be regular rate and rhythm by patient"], [text name="variable_10" default=""]
ABDOMINAL: [checkbox name="variable_11" value="no focal abdominal tenderness elicited upon palpation|no visible abdominal distension|no abnormal masses found upon palpation"], [text name="variable_12" default=""]
BACK: [checkbox name="variable_13" value="no CVAT elicited bilaterally|no midline tenderness or stepoff upon palpation"], [text name="variable_14" default=""]
EXTREMITIES: [checkbox name="variable_15" value="no bony tenderness|no visible gross deformity|no edema|normal range of motion"] of affected area, [text name="variable_16" default=""]
NEUROLOGIC: [checkbox name="variable_17" value="CN III-XII grossly intact|normal-appearing mental status|moving all extremities normally|grossly normal motor strength throughout|sensation to light touch grossly intact throughout|normal speech|normal gait"], [text name="variable_18" default=""]
PSYCH: [checkbox name="variable_19" value="normal-appearing affect"], [text name="variable_20" default=""]
PHYSICAL EXAM:
GENERAL: ,
HEENT: ,
NECK: ,
RESPIRATORY: ,
CARDIOVASCULAR: ,
ABDOMINAL: ,
BACK: ,
EXTREMITIES: of affected area,
NEUROLOGIC: ,
PSYCH: ,
Result - Copy and paste this output: