Lu

Nervous System

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)

Neck

Breasts

Respiratory

Cardiovascular

Gastrointestinal

Urinary

Genital

Peripheral Vascular

Musculoskeletal

Neurologic

^S Hematologic

O Endocrine

^^ Psychiatric

Physical Examination C Vital Signs

O Skin

Head, Eyes, Ears, Nose, and Throat (HEENT) Neck

^ Lymph Nodes

Thorax and Lungs

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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