Mental Status Cranial Nerves Motor System Sensory System Reflexes Additional Examinations
Rectal Examination In Men Genital and Rectal Examination In Women RECORDING YOUR FINDINGS
Tips for a Clear and Accurate Write-Up Order of the Write-Up Degree of Detail Example of Mrs. N
Chief Complaint Present Illness Past History
Childhood Illnesses Adult Illnesses Health Maintenance Family History Personal and Social History Review of Systems General Skin
Head, Eyes, Ears, Nose, and Throat (HEENT)
Physical Examination C Vital Signs
Head, Eyes, Ears, Nose, and Throat (HEENT) Neck
Thorax and Lungs
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