2020-Summary 3.1. DNA- Code of Li
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Physical Exam/Findings: Objective Data-(Your findings) General: thin female in no apparent acute distress Weight-122lbs Height-5’4 Vital Signs: T-99.1, Pulse-105, RR-17, BP-105/64, O2 Sat-99% on ... room air, Pain-4/10 Skin: no rashes, skin warm/dry, hair-unremarkable, nails-unremarkable, quarter-size fluid filled furuncle noted to left groin with erythema around edges. Neurological: alert, oriented x3, speech clear, facial movements symmetric, pupils equal and reactive, steady gait Head and neck: symmetrical, full rom of neck, no neck swelling Eyes: conjunctiva clear and free of erythema or exudate, pupils round, regular, equal and reactive, sclera is white Throat/mouth: dry mucous membranes, mucous membranes pink, mucous membranes intact Cardiovascular: tachycardia, no edema, no JVD Pulmonary: normal breathing pattern, normal respiratory effort, lungs clear, equal expansion Abdomen: no distention, bowel sounds active x4, no guarding Reproductive: white, thick, curd-like vaginal discharge Abnormal Laboratory Data: WBC-high Hemoglobin-normal Hematocrit-normal Platelets-normal Glucose-196 Sodium-135 Potassium-3.5 Urinalysis-+ glucose [Show More]
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