Adult Physical Exam

PHYSICAL EXAM:
- GENERAL: AOx4. No acute distress. Well-nourished.
- EYES: EOMI. Anicteric.

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

- LUNGS: CTA bilaterally. No accessory muscle use.

- CARDIOVASCULAR: RRR, S1, S2. No murmur. No JVD.

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

- EXTREMITIES: No edema. Non-tender.
- 
SKIN: No rashes or lesions.Discoloration noted on bilat lateral neck. Warm.
- NEUROLOGIC: No focal neurological deficits. CN II-XII grossly intact, but not individually tested.

- PSYCHIATRIC: Cooperative. Appropriate mood and affect.
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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.