KRED
Contributor
I'm trying to determine if I'm coming up with the correct number of bullets. We use the 97 guidelines
The physical exam states
Vital Signs: Temp 98.2, Pulse 51, Resp Rate 100, BP 157/87, Pulse ox 98%
General Appearance: The pt is lying in the bed. he is not in any medical distress, however, he is uncomfortable and he staes tht he has significant abdominal pain. he cannot find a position where he is comfortable.
Psych: No signs of anxiety or depression. Alert and oriented x 3.
HEENT: Normocephalic, atraumatic. no rashes seen on the face.
Eyes: Nonicteric. pupils equally round and reactive to light
Neck Tracheal midline. No JVD
Resp: Clear to auscultation bilaterally. No wheeze or rhonchi.
Cardiac: RRR. No murmurs
Abd: Not distended. No guarding or rebound. Significant epigastric pain to palpation. He does have diminished, but present bowel sounds.
Musculoskeletal: 5/5 strength throughout. No lower extremity edema.
I am coming up with 14 bullets.
The physical exam states
Vital Signs: Temp 98.2, Pulse 51, Resp Rate 100, BP 157/87, Pulse ox 98%
General Appearance: The pt is lying in the bed. he is not in any medical distress, however, he is uncomfortable and he staes tht he has significant abdominal pain. he cannot find a position where he is comfortable.
Psych: No signs of anxiety or depression. Alert and oriented x 3.
HEENT: Normocephalic, atraumatic. no rashes seen on the face.
Eyes: Nonicteric. pupils equally round and reactive to light
Neck Tracheal midline. No JVD
Resp: Clear to auscultation bilaterally. No wheeze or rhonchi.
Cardiac: RRR. No murmurs
Abd: Not distended. No guarding or rebound. Significant epigastric pain to palpation. He does have diminished, but present bowel sounds.
Musculoskeletal: 5/5 strength throughout. No lower extremity edema.
I am coming up with 14 bullets.