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Physical Exam
By: CTCia | Date: Mar 13 2007 09:02 | Format: None | Expires: never | Size: 900 B | Hits: 1403

  1. Body height:168cm,Body weight:68kg                            
  2. Conscious level: GCS    E: 4   V: 5   M: 6   Total: 15          
  3. Vital signs:  BP: mmHg, PR: /min, RR: /min, BT: ℃
  4. Skin: rashes(-),tattoo(-), skin turgor:normal                
  5. HEENT: normal. conjunctival pallor (-)
  6. Chest:  chest deformity(-),asymmetrical expansion(-)
  7.         clear breathing sounds                  
  8. Heart:  regular heart beats, no murmur, split S1.      
  9. Abdomen: flat, scar (-), hyperactive bowel sounds
  10.          low abdominal tenderness over suprapubic region.
  11. Rectal digital exam: Negative finding                    
  12. Genital: penile lesion(-)
  13.          prostate: soft, smooth, central sulcus (+)
  14.                    L't > R't
  15. Extremities: freely movable, deformity(-), clubbing finger or toe(-)
  16. Neurological examination: grossly normal                                    
  17.