physical exam template

1. PHYSICAL EXAMINATION
GENERAL: Patient is in no acute distress.
HEENT: Pupils are equal, round, and reactive to light.
Mucous membranes are moist. There is no pharyngeal erythema.
NECK: Supple without lymphadenopathy.
LUNGS: Clear to auscultation bilaterally. No foreign sounds .
CARDIOVASCULAR: Regular rate and rhythm. No rubs, murmurs or
gallops.
ABDOMEN: Soft, nontender, and nondistended. Bowel sounds are
present.
EXTREMITIES: There is no clubbing or edema.
NEUROLOGIC: Cranial nerves II-XII are grossly intact. Muscle
strength is 5/5 bilaterally.
SKIN: No rash noted
AFFECT is normal