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Physical Examination Findings. General Conscious, coherent, wheelchair-borne, not in cardiorespiratory distress Vital Signs BP: 110/70 (right and left arm, seated) PR: 79 beats/ min,regular RR: 19 breaths/min, regular Temp: not assessed. Measurements Height: not assessed
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Physical Examination Findings General • Conscious, coherent, wheelchair-borne, not in cardiorespiratory distress Vital Signs • BP: 110/70 (right and left arm, seated) • PR: 79 beats/min,regular • RR: 19 breaths/min, regular • Temp: not assessed
Measurements • Height: not assessed • Weight: not assessed • BMI: not assessed Skin • Dry skin, No skin discolorations, No skin lesions
HEENT • Normocephalic, no facial asymmetry • Normal eye position and alignment, hyperemic sclera, pink conjunctiva, no corneal and lens opacities, no exudates • No ear deformities, lesions, nodules, discharge, odor, swelling, redness, foreign bodies, (+) dry cerumen • Nose and throat not assessed
Chest and Lungs • Not assessed Heart • Not assessed Abdomen • Not assessed
Extremities (0) = absent (+) = decreased (++) = normal (+++) = hyperactive (Br) = bruit
Musculoskeletal Examination Cervical Spine
Musculoskeletal Examination Shoulder Joint
Musculoskeletal Examination Forearm
Musculoskeletal Examination Ankle joint and foot
Neurologic Examination • CN II: (+) Red-orange reflex • CN VIII:Rinne (+), Weber – no lateralization