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descriptionHPIhistoryHistorymonitor_heartVital Signsmedical_servicesPhysical Exam

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Scribesmicauto_awesome

Order Setkeyboard_arrow_down

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In Progresskeyboard_arrow_down

Room Inkeyboard_arrow_down

keyboard_arrow_downGeneral

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Apparent Health

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keyboard_arrow_downGeneral

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wellin no distressalert and orientedfrailmuscularthinaverageoverweightobesemorbidly obese

keyboard_arrow_downHygiene

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well groomedunkempt

keyboard_arrow_downApparent Physiologic Age

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youngmiddle agedappearing older than stated ageappearing as stated age

keyboard_arrow_downHabitus

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robustfrailweaknormal

keyboard_arrow_downNutrition

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thincachecticoverweightobesenormal

keyboard_arrow_downMental Status

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alertorientedsomnolentdrowsyunconscious

keyboard_arrow_downBehavior

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calmanxious lookingdepressedirritablerestlesscooperativeun-cooperativeaggressiveverbally aggressive

keyboard_arrow_downPosture

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comfortablein painin distressdyspneiclying still

keyboard_arrow_downGross Deformities

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amputationkyphosisother

keyboard_arrow_downAmbulation

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ambulatorywalking with difficultyambulatory with support(cane)ambulatory with support(crutches)ambulatory with support(walker)in wheel chairdifficulty in standing

Supine blood pressure

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Pulse Rate

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Respiration

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Temperature

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Height

Feet4567keyboard_arrow_down

Inches01234567891011keyboard_arrow_down

Weight

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keyboard_arrow_downHead

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Head

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TMJ

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keyboard_arrow_downScalp

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normallesionsscalybruised

keyboard_arrow_downHair

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normalthinoilydrybaldnessalopecia

keyboard_arrow_downEyes

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Visual Acuity

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Visual Field

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Conjunctivae

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Sclerae

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EOM Intact

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check

Sclerae

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Risk

LowModerateHigh

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Sclerae

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YesNo

EOM Intact

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Last seen

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Allergies

Eyelids

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