Gen: NAD, age appropriate.
ENT: TM clear, nares clear, pharynx clear
Lymph: No cervical lymphadenopathy
Endo: Normal thyroid
CVS: RRR, nml PMI, no M/R/G
Pul: CTA, no W/R/R, no fremitus
Abd: +BS, soft, NT, ND
Ext: no C/C/E
Psych: affect normal
We are full spectrum Family Medicine.
Our graduates are empowered to serve with continuity of care in all settings, valuing all peoples.
All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Do not merely copy and paste a prewritten note element into a patient's chart - "cloning" is unethical, unsafe, and potentially fradulent.