PE and ROS without complications

PHYSICAL EXAM:

GENERAL: Alert and oriented x 3. No acute distress. Well-nourished.

EYES: EOMI. Anicteric.

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

LUNGS: Clear to auscultation bilaterally. No accessory muscle use.

CARDIOVASCULAR: Regular rate and rhythm. No murmur. No JVD.

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

EXTREMITIES: No edema. Non-tender.

SKIN: No rashes or lesions. Warm.

NEUROLOGIC: No focal neurological deficits. 

PSYCHIATRIC: Cooperative. Appropriate mood and affect.
-----------------------------------------------------------------
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.
PHYSICAL EXAM:

GENERAL: Alert and oriented x 3. No acute distress. Well-nourished.

EYES: EOMI. Anicteric.

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

LUNGS: Clear to auscultation bilaterally. No accessory muscle use.

CARDIOVASCULAR: Regular rate and rhythm. No murmur. No JVD.

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

EXTREMITIES: No edema. Non-tender.

SKIN: No rashes or lesions. Warm.

NEUROLOGIC: No focal neurological deficits.

PSYCHIATRIC: Cooperative. Appropriate mood and affect.
-----------------------------------------------------------------
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.

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