PE Normal Px Note

Question 1

HEENT Short PN

Answer 1

-HEENT: NC/AT; EOMI; PERRLA; no cyanosis, no icterus, no conjunctival pallor; moist mucous membranes; no tonsillar erythema, enlargement or exudates.

Question 2

Neck Short PN

Answer 2

-NECK: supple, no thyromegaly, no LAD.

Question 3

Chest/Respiratory Short PN

Answer 3

-CHEST/RESP: CTAB; no rales, rhonchi, wheezing, or rubs; no tenderness on palpation.

Question 4

CVS Short PN

Answer 4

-CVS: RRR, S1/S2 WNL, no M/R/G, no JVD, PMI not displaced

Question 5

Abdomen Short PN

Answer 5

-ABD: soft, NT, ND, BS+ in all 4Q; no HSM; no palpable masses; neg. for: rebound tenderness, psoas etc..

Question 6

Musculoskeletal Short PN

Answer 6

-MSK: motor strength 5/5 in all 4 ext. full ROM at joints; special tests..

Question 7

Extremities Short PN

Answer 7

-Extremities: pulses +2 b/l, no cyanosis, clubbing or edema.

Question 8

Neuro Short PN

Answer 8

-NEURO: Alert and oriented x3; cranial nerves 2-12 intact; DTRs (biceps and patellar) WNL; Motor and sensation intact in all 4 ext.; special tests.