‘PEgenitalF

GEN: Well appearing, relaxing comfortably, no acute distress
HEENT: Normocephalic, atraumatic, EOMI, hearing grossly normal
Cardiovascular: Regular rate and rhythm, normal S1/S2, no murmurs/gallops/rubs, no peripheral edema
PULM: Symmetric chest rise, no increased work of breathing, lungs clear to auscultation bilaterally, no cough/crackles/wheeze/rhonchi
GI: Flat, normoactive bowel sounds, nondistended, nontender, no masses or hepatosplenomegaly
GU: Chaperone present in room for examination. External vaginal tissue is unremarkable without lesions, rash, abnormalities. Vaginal introitus is unremarkable without evidence of lesions, stenosis. Cervix is visualized midline without notable lesions or discharge. Bimanual examination reveals nontender cervix with unremarkable bilateral ovaries.
MSK: Normal gross movement of bilateral upper and lower extremities
SKIN: Pink, warm, dry; no rashes
NEURO: Alert and oriented, no focal neurologic deficit
PSYCH: Cooperative, answers questions appropriately, pleasant affect
GEN: Well appearing, relaxing comfortably, no acute distress
HEENT: Normocephalic, atraumatic, EOMI, hearing grossly normal
Cardiovascular: Regular rate and rhythm, normal S1/S2, no murmurs/gallops/rubs, no peripheral edema
PULM: Symmetric chest rise, no increased work of breathing, lungs clear to auscultation bilaterally, no cough/crackles/wheeze/rhonchi
GI: Flat, normoactive bowel sounds, nondistended, nontender, no masses or hepatosplenomegaly
GU: Chaperone present in room for examination. External vaginal tissue is unremarkable without lesions, rash, abnormalities. Vaginal introitus is unremarkable without evidence of lesions, stenosis. Cervix is visualized midline without notable lesions or discharge. Bimanual examination reveals nontender cervix with unremarkable bilateral ovaries.
MSK: Normal gross movement of bilateral upper and lower extremities
SKIN: Pink, warm, dry; no rashes
NEURO: Alert and oriented, no focal neurologic deficit
PSYCH: Cooperative, answers questions appropriately, pleasant affect

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