Scribd Logo
Upload

Welcome to Scribd!

  • Sample PDFa

    Uploaded by

    claverialc10
    3 views1 page
    The physical examination findings are summarized for various body systems. For the chest and lungs, findings included asymmetrical chest expansion, decreased breath sounds, and wheezes. For the cardiovascular system, findings included displaced apex beat, heaves and/or thrills, and murmur. For the abdomen, findings included abdominal rigidity and tenderness, and hyperactive bowel sounds. For the skin and extremities, findings included clubbing, edema/swelling, and decreased mobility. For the neurologic exam, findings included abnormal gait, abnormal position sense, and abnormal/decreased sensation.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The physical examination findings are summarized for various body systems. For the chest and lungs, findings included asymmetrical chest expansion, decreased breath sounds, and wheezes. For the cardiovascular system, findings included displaced apex beat, heaves and/or thrills, and murmur. For the abdomen, findings included abdominal rigidity and tenderness, and hyperactive bowel sounds. For the skin and extremities, findings included clubbing, edema/swelling, and decreased mobility. For the neurologic exam, findings included abnormal gait, abnormal position sense, and abnormal/decreased sensation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    Sample PDFa

    Uploaded by

    claverialc10
    The physical examination findings are summarized for various body systems. For the chest and lungs, findings included asymmetrical chest expansion, decreased breath sounds, and wheezes. For the cardiovascular system, findings included displaced apex beat, heaves and/or thrills, and murmur. For the abdomen, findings included abdominal rigidity and tenderness, and hyperactive bowel sounds. For the skin and extremities, findings included clubbing, edema/swelling, and decreased mobility. For the neurologic exam, findings included abnormal gait, abnormal position sense, and abnormal/decreased sensation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    5.

    Physical Examination continued (Pertinent Findings per System)


    CHEST/LUNGS Essentially normal Asymmetrical chest expansion Decreased breath sounds Wheezes

    Lump/s over breast(s) Rales/crakles/rhonchi Intercostal rib/ clavicular retraction


    Others :
    CVS Essentially normal Displaced apex beat Heaves and /or thrills Pericardial buldge

    Irregular rhythm Muffled heart sounds Murmur


    Others :
    ABDOMEN Essentially normal Abdominal rigidity Abdominal tenderness Hyperactive bowel sounds

    Palpable mass(es) Tympanitic/dull abdomen Uterine contraction


    Others :
    GU (IE) Essentially normal Blood stained in exam finger Cervical dilitation Presence of abnormal discharge
    Others :
    SKIN/EXTREMITIES Essentially normal Clubbing Cold clammy skin Cyanosis/ mottled skin

    Edema/ swelling Decreased mobility Pale nailbeds Poor skin turgor

    Rashes/Petechiae Weak pulses


    Others :
    NEURO-EXAM Essentially normal Abnormal gait Abnormal position sense Abnormal/ decreased sensation

    Abnormal reflex(es) Poor/altered memory Poor muscle tone/strength Poor coorination


    Others :
    IV . COURSE IN THE WARD (Attach photocopy lab./iamging results ) [ ] check box if there is/are additional sheet(s).
    DATE DOCTORS ORDER/ACTION
    SURGICAL PROCEDURE (attach photocopy of ORtechnique) :
    V. DRUGS AND MEDICINES [ ] check box if there is/are additional sheet(s).
    Generic Name Quantity/Dosage/Route Total Cost
    Quantity:50 Pieces Dosage:0
    Acetylcysteine 50,000.00
    Frequency:Not Applicable Route:NOT APPLICABLE
    VI. OUTCOME OF TREATMENT

    IMPROVED HAMA EXPIRED ABSCONDED TRANSFERRED

    Specify reason:
    VI. CERTIFICATION OF HEALTH CARE PROFESSIONAL
    Certification of Attending Health Care Professional

    I certify that all above information given in this form are based from the patient's chart including attach laboratory imaging results, are true and correct

    Date Signed

    SANDY GERALDINE B. BAUTISTA, MD 0 6 2 1 2 0 2 3


    _________________________________________________________
    month day year
    Signature Over Printed Name of Attending Health Care Professional

    You might also like