Subjective: [textarea cols=80 rows=1 default="Chief concern:"] [textarea name="variable_2" default="HPI:"] Review of Systems: [textarea name cols=80 rows=8 ="variable_1" default="CONSTITUTIONAL: Denies pain, fever, malaise, fatigue, night sweats. No changes in weight or sleep patterns. SKIN: no rashes, bruising, nail or hair changes EYES: no blurring/double vision/spots. EARS: Denies hearing loss, pain, ringing, vertigo, or discharge. NOSE: No changes to sense of smell, no drainage, obstructions, or bleeding. THROAT/MOUTH: Denies hoarseness, no bleeding, no changes to taste, no pain or trouble swallowing. NECK: no painful nodes, pain or stiffness. ENDOCRINE: Denies fatigue, tremors, palpations, heat or cold intolerance. Denies polyuria, polydipsia, and polyphagia. RESPIRATORY: Denies cough, SOB, and chest pain. No hemoptysis, night sweats. CARDIOVASCULAR: Denies chest pain, heaviness, jaw, or arm pain, no lower extremity edema, or claudication. Denies decrease in activity intolerance. GASTROINTESTINAL: Denies changes in appetite, food intolerances, dysphagia, heartburn, nausea, vomiting, hematemesis. Bowel patterns normal for patient, Denies hemorrhoids, jaundice. GENITOURINARY: Denies dysuria, flank, suprapubic pain. Denies increased urgency, frequency, nocturia, incontinence, hematuria, polyuria, dark urine, loss of stream, or STI's. MUSCULOSKELETAL: Denies pain, weakness, decreases in ROM, redness, or swelling. NEUROLOGICAL: Denies weakness, paralysis, syncope, seizure, tremors, loss of memory, or changes in coordination. PSYCHIATRIC: Denies depression, mood changes, anxiety, agitation, irritability, sleep disturbances or suicidal thoughts."] Objective: Physical Examination: [textarea cols=80 rows=2 default="VITALS: Height/Weight/Temperature/Heart Rate/Blood Pressure/Pain Level"] [textarea cols=80 rows=12 default="Physical Exam Constitutional General appearance: No acute distress, well appearing and well nourished. Eyes Conjunctiva and lids: No swelling, erythema or discharge. Pupils and irises: Equal, round and reactive to light. Pulmonary Respiratory effort: No increased work of breathing or signs of respiratory distress. Auscultation of lungs: Clear to auscultation. Cardiovascular Auscultation of heart: Normal rate and rhythm, normal S1 and S2, without murmurs. Abdomen Abdomen: Non-tender, no masses. Psychiatric: Orientation to person, place, and time: Normal. Mood and affect: Normal."] Laboratory and Radiology: [textarea cols=80 rows=1 default="Results"] [textarea cols=80 rows=2 default="#1 Assessment and Plan"]
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