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Jun 12
A physical examination is a comprehensive assessment of a patient's overall health and well-being. It involves a series of tests and observations to evaluate various aspects of the body, including vital signs, organ function, and physical appearance. During a physical examination, a healthcare provider may check the patient's heart rate, blood pressure, temperature, and respiratory rate. They may also examine the patient's skin, eyes, ears, nose, throat, and abdomen for any abnormalities. Additionally, the provider may perform neurological tests to assess the patient's reflexes, coordination, and sensory function. Overall, a physical examination is a crucial tool for diagnosing and monitoring a patient's health status.
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Google Gemini AI
Jun 12
Physical Examination Summary
General:
- Alert and cooperative
- Well-nourished and well-developed
- No acute distress
Skin:
- No rashes, lesions, or discolorations
- Moist and warm
- Good turgor
HEENT:
- Eyes: Clear conjunctiva; pupils equal, round, and reactive to light
- Ears: Normal canals and tympanic membranes
- Nose: No discharge or congestion
- Throat: Mucosa pink and moist; no redness or swelling
Neck:
- No masses or lymphadenopathy
- Trachea midline
- Full range of motion
Chest:
- Inspection: Symmetrical expansion; no deformities
- Auscultation: Clear breath sounds bilaterally
- Percussion: Resonant throughout
Cardiovascular:
- Heart: Regular rate and rhythm; no murmurs
- Peripheral pulses: Strong and equal in all extremities
Abdomen:
- Soft and non-tender
- No masses or organomegaly
- Normal bowel sounds
Musculoskeletal:
- No swelling, redness, or deformities
- Full range of motion in all joints
- No muscle weakness or tenderness
Neurological:
- Mental status: Normal speech, orientation, and memory
- Cranial nerves: No abnormalities
- Motor: Normal strength and tone
- Sensory: Intact sensation throughout
Additional Notes:
- Patient appears healthy and in no immediate distress.
- Examination findings are within normal limits.
General:
- Alert and cooperative
- Well-nourished and well-developed
- No acute distress
Skin:
- No rashes, lesions, or discolorations
- Moist and warm
- Good turgor
HEENT:
- Eyes: Clear conjunctiva; pupils equal, round, and reactive to light
- Ears: Normal canals and tympanic membranes
- Nose: No discharge or congestion
- Throat: Mucosa pink and moist; no redness or swelling
Neck:
- No masses or lymphadenopathy
- Trachea midline
- Full range of motion
Chest:
- Inspection: Symmetrical expansion; no deformities
- Auscultation: Clear breath sounds bilaterally
- Percussion: Resonant throughout
Cardiovascular:
- Heart: Regular rate and rhythm; no murmurs
- Peripheral pulses: Strong and equal in all extremities
Abdomen:
- Soft and non-tender
- No masses or organomegaly
- Normal bowel sounds
Musculoskeletal:
- No swelling, redness, or deformities
- Full range of motion in all joints
- No muscle weakness or tenderness
Neurological:
- Mental status: Normal speech, orientation, and memory
- Cranial nerves: No abnormalities
- Motor: Normal strength and tone
- Sensory: Intact sensation throughout
Additional Notes:
- Patient appears healthy and in no immediate distress.
- Examination findings are within normal limits.
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