GENERAL: No acute distress. Obese, thin. Pt sitting, laying. HEENT: Normocephalic, atraumatic. PERRLA, EOMI. Ear and nose - no erythema or exudate. Dentition intact. Throat, clear, moist, no erythema or exudate. NECK: No apparent thyromegaly, no cervical lymphadenopathy. LUNGS: Quiet, unlabored respiration. No dullness or tenderness. Clear to auscultation b/l. No rales, ronchi, or wheezing. NASAL CANNULA___ CV: No apparent JVD. No bruits. RRR. S1/S2 wnl. No murmurs, rubs, or gallops. Peripheral pulses 2+. No edema, clubbing or cyanosis. Capillary refill <2 sec. ABD: OSTOMY, WOUND, DRAINS. Soft, non-distended, non-tender. + bowel sounds in all 4 quadrants. No apparent hepatosplenomegaly. No CVA tenderness. GU: Foley + or =. Scrotum, penis. NEURO: AOX3. CN2-12 intact. Normal muscle bulk and tone. Strength 5/5 and sensation intact throughout. DTR 2+ and symmetric. Cerebellar testing intact. SKIN: No lesions or rashes. Wound size, color, drainage. MSK: No joint erythema, swelling, or tenderness. Active ROM intact throughout. Normal gait. EXTREMITIES: No edema, clubbing or cyanosis. LINES: PICC, DRAIN, IV Central lines Vent - vent settings
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