Physical Assessment
OVERALL HEALTH STATUS: conscious, coherent, oriented to place, time and person,responsive, and person, responsive to inquiries and in slight respiratory distress, with productivecough with yellowish phlegm to greenish phlegm and dysuria, with left flank pain.Vital Signs
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BP= 120/80 mmHgPR= 83 bpmUO= 30 cc within 8 hours
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RR= 24 cpmTemperature= 36.4cHead: normal shaped of the skull, normal head size, round, noPresence of any scars and lesionsHair: thin with course black hair evenly distributed on the scalpEyes: slightly pale palpebral conjunctivaEye Brows: thin hairs are evenly distributed and skin is intactEye Lashes: equally distributedEye Lids: skin is intactEars: auricles aligned at the outer canthus of the eyes, symmetricaland color as same as the facial skin
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