jeudi 9 avril 2015

Detailed exam, 1995 exam

Does below meet 1995 detailed exam guidelines "2-7 extended exam of areas or systems"

I was told if there's atleast 3 or more bullets in two or more systems and/or areas, its considered extended exam.


c/o heaviness of the head and dizziness


General Examination:


GENERAL APPEARANCE: in no acute distress, well developed, well nourished. (extended?)

EYES: pupils equal, round, reactive to light and accommodation. (extended?)

NECK: supple, no JVD. (limited?)

HEART: no murmurs, regular rate and rhythm, S1, S2 normal. (extended?)

LUNGS: clear to auscultation bilaterally. (limited)

EXTREMITIES: no clubbing, cyanosis, or edema. (extended?)

NEUROLOGIC: nonfocal, motor strength normal upper and lower extremities, sensory exam intact.(extended?)








Last edited by JesseL; Today at 04:03 PM.




Detailed exam, 1995 exam

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