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The patient is seen to be a well developed, well nourished (age) year-old { | left handed | right handed | ambidextrous}{Oriental | | Caucasian | Black | Hispanic | Asian | Indian | American Indian} (sex) in no acute distress. (He_She) is {4' 6" | 4' 7" | 4' 8" | 4' 9" | 4' 10" | 4' 11" | 5' 0" | 5' 1" | 5' 2" | 5' 3" | 5' 4" | 5' 5" | 5' 6" | 5' 7" | 5' 8" | 5' 9" | 5' 10" | 5' 11" | 6' 0" | 6' 1" | 6' 2" | 6' 3" | 6' 4" | 6' 5" | 6' 6"} tall and weighs {75 | 80 | 85 | 90 | 95 | 100 | 105 | 110 | 115 | 120 | 125 | 130 | 135 | 140 | 145 | 150 | 155 | 160 | 165 | 170 | 175 | 180 | 185 | 190 | 195 | 200 | 205 | 210 | 215 | 220 | 225 | 230 | 235 | 240 | 245 | 250} pounds.
On examination of the head and neck the patient is normocephalic with eyes PERRLA, EOMS intact, face is symmetrical, cranial nerves II-XII are intact, pharynx is clear with good dentition. | Fundoscopic exam reveals papiledema and AV nicking. | On examination of the head and neck the patient is normocephalic with eyes PERRLA, EOMS intact, face is asymmetrical, cranial nerves II-XII show a deficit to the buccal branch of the facial nerve, pharynx is clear with poor dentition.: {On examination of the head and neck the patient is normocephalic with eyes PERRLA, EOMS intact, face is symmetrical, cranial nerves II-XII are intact, pharynx is clear with good dentition. | Fundoscopic exam reveals papiledema and AV nicking. | On examination of the head and neck the patient is normocephalic with eyes PERRLA, EOMS intact, face is asymmetrical, cranial nerves II-XII show a deficit to the buccal branch of the facial nerve, pharynx is clear with poor dentition.}
Auscultation of bilateral lung fields reveals no rales, rhonchi, or wheezes. | Auscultation of bilateral lung fields reveals no rales, rhonchi, or wheezes. Also, on palpation no tactile fremitus is detected. | Auscultation of bilateral lung fields reveals no rales, rhonchi, wheezes, or egophony.: {Auscultation of bilateral lung fields reveals no rales, rhonchi, or wheezes. | Auscultation of bilateral lung fields reveals no rales, rhonchi, or wheezes. Also, on palpation no tactile fremitus is detected. | Auscultation of bilateral lung fields reveals no rales, rhonchi, wheezes, or egophony.}
Regular rate and rhythm, S1 and S2 are within normal limits. | Regular rate and rhythm, S1 and S2 are within normal limits and no audible S3 or S4. | Regular rate and rhythm, with splitting of S1 on inspiration. | Regular rate and rhythm, with no lifts, heaves, or rubs. | Regular rate and rhythm, with a grade II holosystolic murmur at the left apex.: {Regular rate and rhythm, S1 and S2 are within normal limits. | Regular rate and rhythm, S1 and S2 are within normal limits and no audible S3 or S4. | Regular rate and rhythm, with splitting of S1 on inspiration. | Regular rate and rhythm, with no lifts, heaves, or rubs. | Regular rate and rhythm, with a grade II holosystolic murmur at the left apex.}
The patients abdomen is non-tender and non-distended with bowel sounds present in all four quadrants. | The patients abdomen is tender with distention and palpable ascities with varicosities.: {The patients abdomen is non-tender and non-distended with bowel sounds present in all four quadrants. | The patients abdomen is tender with distention and palpable ascities with varicosities.}
Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. | Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. No adenopathy or discharge noted. | Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. No adenopathy or discharge noted. IMC-NAC 11cm on the right, 10 cm on the left. | Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. No adenopathy or discharge noted. IMC-NAC 11cm on the right, 10 cm on the left, SN-NIP 32 cm bilaterally. | Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. No adenopathy or discharge noted. IMC-NAC 11cm on the right, 10 cm on the left, SN-NIP 32 cm bilaterally. Grade III ptosis.: {Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. | Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. No adenopathy or discharge noted. | Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. No adenopathy or discharge noted. IMC-NAC 11cm on the right, 10 cm on the left. | Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. No adenopathy or discharge noted. IMC-NAC 11cm on the right, 10 cm on the left, SN-NIP 32 cm bilaterally. | Symmetrical, approximately 1000 gm breast tissue, with densities in the lower poles. No adenopathy or discharge noted. IMC-NAC 11cm on the right, 10 cm on the left, SN-NIP 32 cm bilaterally. Grade III ptosis.}
The extremeties are noted to be acyanotic without edema. | The extremeties are noted to be acyanotic without edema. Pulses are 2+ at DP, PT, POP, FEM, and radial. | The extremeties are noted to be acyanotic without edema. No palpable nodes.: {The extremeties are noted to be acyanotic without edema. | The extremeties are noted to be acyanotic without edema. Pulses are 2+ at DP, PT, POP, FEM, and radial. | The extremeties are noted to be acyanotic without edema. No palpable nodes.}
The patient is alert and oriented X 3 and moves all extremities without assistance. | The patient is obtunded and has a lack of coordinated motor response. | The patient is aggitated with gog-wheel motor response to upper extremities.: {The patient is alert and oriented X 3 and moves all extremities without assistance. | The patient is obtunded and has a lack of coordinated motor response. | The patient is aggitated with gog-wheel motor response to upper extremities.}
Normal. | The patients skin shows stasis dermatitis in the lower extremities. | The patients skin shows excessive hair growth to the facial region. | The patients skin shows signs of self mutilation.: {Normal. | The patients skin shows stasis dermatitis in the lower extremities. | The patients skin shows excessive hair growth to the facial region. | The patients skin shows signs of self mutilation.}
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