‘PEneuro

Gen: Well appearing. No acute distress.
HEENT: AT/NC, PERRLA/EOMI without injected conjunctiva. External ears are unremarkable. No intra oral lesions. Dentition intact. Posterior oropharynx clear of exudate/erythema. Uvula midline without deviation.
Neck: Supple nontender without anterior chain cervical lymphadenopathy
CVS: RRR, nm S1/S2, without murmur. No pretibial edema noted on exam
Pulm: CTAB, no wheezes, crackles, rhonchi
Abdomen: Soft, nontender, without masses or notable hepatosplenomegaly. Bowel sounds normal
Skin: No lesions, ecchymosis, erythema, rash, masses
MSK: Strength 5/5 in b/l upper and lower extremities
Neuro: A/O x3. CN II-XII intact bilaterally. Sensation intact in b/l upper and lower extremities. Bilateral patellar and bicipital reflexes intact 2/4. Finger to nose and heel to shin appropriate. No gait abnormalities.
Psych: Pleasant, cooperative and appropriate. 
Gen: Well appearing. No acute distress.
HEENT: AT/NC, PERRLA/EOMI without injected conjunctiva. External ears are unremarkable. No intra oral lesions. Dentition intact. Posterior oropharynx clear of exudate/erythema. Uvula midline without deviation.
Neck: Supple nontender without anterior chain cervical lymphadenopathy
CVS: RRR, nm S1/S2, without murmur. No pretibial edema noted on exam
Pulm: CTAB, no wheezes, crackles, rhonchi
Abdomen: Soft, nontender, without masses or notable hepatosplenomegaly. Bowel sounds normal
Skin: No lesions, ecchymosis, erythema, rash, masses
MSK: Strength 5/5 in b/l upper and lower extremities
Neuro: A/O x3. CN II-XII intact bilaterally. Sensation intact in b/l upper and lower extremities. Bilateral patellar and bicipital reflexes intact 2/4. Finger to nose and heel to shin appropriate. No gait abnormalities.
Psych: Pleasant, cooperative and appropriate.

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