Normal Physical Exam Template

Well developed well nourished in no acute distress.

Normal physical exam template. The patient is an awake and alert very socially engaging xx month old male who is accompanied to this visit by both of his parents. Pupils are 4 mm and briskly reactive to light. Fundoscopic exam is normal with sharp discs. If your department uses the 1997 guidelines read through the bullets and pick 2 per system to include in your exam.

T max was 100 currently 97 5 blood pressure 110 60 respirations 22 and heart rate 88. Hearing is normal to rubbing fingers. Inspection of the skin reveals no rashes ulcerations or petechiae. Physical exam format 1.

The patient is alert oriented and has a bandage over his left eye. Visual acuity is 20 20 bilaterally. Documentation serves two very important purposes. Subheadings in all caps and flush left to the margin.

Normal physical exam template. Normal memory mood and affect. Face is symmetric with normal eye closure and smile. Normal physical examination template format for medical transcriptionists this page has moved and can be found at the link below normal physical exam template format for medical transcriptionists.

Eomi no nystagmus no ptosis cn v. The patient is a x year old well developed well nourished male female in no acute distress. Work smarter not harder. Physical exam template format 1.

First it keeps you out of jail. He is in no acute distress. Physical exam template physical exam. Normal physical examination template format for medical transcriptionists.

Cn iii iv vi. Healthy appearing well developed nad. Develop a structured comprehensive exam that you can perform on nearly any patient and use the normal findings for this exam as your documentation template. Normal physical exam template.

Well developed well nourished in no acute distress.