clbarry8033
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I was just wondering if you guys would count this as a comprehensive exam in 95 guidelines.
CC: Abdominal pain.
Vital signs: Stable. He is afebrile.
Cardiovascular: Reveals good respiratory effort. Pulses are regular.
Abdomen: Soft. RUQ pain to palpation.
Extremities: No cyanosis, clubbing, or edema. No calf tenderness.
General: He is alert and oriented x3. No apparent distress.
HEENT: Pupils are equally round and reactive to light. Nares are patent.
Neck: Trachea is midline.
I was thinking there were 8 OS. Aren't we supposed to put exam elements into the correct organ system?
Constitutional: Vitals
Cardiovascular: Pulses
Respiratory: Respiratory effort
GI: RUQ pain to palpation
Musculoskeletal: Extremities
Psych: A&O x3
Eyes: Pupils equal
ENT: Nares are patent/trachea is midline
Thank you for your help!
CC: Abdominal pain.
Vital signs: Stable. He is afebrile.
Cardiovascular: Reveals good respiratory effort. Pulses are regular.
Abdomen: Soft. RUQ pain to palpation.
Extremities: No cyanosis, clubbing, or edema. No calf tenderness.
General: He is alert and oriented x3. No apparent distress.
HEENT: Pupils are equally round and reactive to light. Nares are patent.
Neck: Trachea is midline.
I was thinking there were 8 OS. Aren't we supposed to put exam elements into the correct organ system?
Constitutional: Vitals
Cardiovascular: Pulses
Respiratory: Respiratory effort
GI: RUQ pain to palpation
Musculoskeletal: Extremities
Psych: A&O x3
Eyes: Pupils equal
ENT: Nares are patent/trachea is midline
Thank you for your help!