asap=as soon as possible aut=As-U-Type awnu=I agree with nursing assesment and plan. bid=every 12 hours BID=every 12 hours EALL=Pt appears well, vital signs are as noted by the nurse. Ears normal. Throat and pharynx normal. Neck supple. No adenopathy in the neck. Nose is congested. Sinuses non tender. The chest is clear, without wheezes or rales. Heart regular rate and rhythm. Abdomen is non-tender and non-distended. EASTH=Vital signs stable^^Gen: Patient alert and orientated to person, place and time.^^HEENT: Moist Mucous membranes, EOMI^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: positive breath sounds bilateral, no wheezes, rales or rhonchi present. Good air entry bilateral.^^Abdomen: soft, + bowel sounds in all quadr ECP=Gen: Patient alert and orientated to person, place and time.^^HEENT: Moist Mucous membranes, EOMI^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: positive breath sounds bilateral, no wheezes, rales or rhonchi present. Good air entry bilateral.^^Abdomen: soft, + bowel sounds in all quadrants. No mid-epigastric tenderness present.^^Lower extremity: No swelling, cyanosis of edema. Peripheral pulses intact and equal bilate EFABD=Vital signs stable^^Gen: Patient alert and orientated to person, place and time.^^HEENT: Moist Mucous membranes, EOMI^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: + breath sounds bilateral, no wheezes, rales or rhonchi. ^^Abdomen: soft, + bowel sounds in all quadrants. No rebound tenderness, no guarding. Tenderness to deep palpation in region.^^Pelvic: normal external genitalia, no vaginal or cervical lesions. No discharge or bleeding present. No uterine or adenexal tendern EGERD=Gen: Patient alert and orientated to person, place and time.^^HEENT: Moist Mucous membranes, EOMI, PERRLA^^Neck: positive paraspinal muscle tenderness with reduced range of motion due to pain.^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: positive breath sounds bilateral, no wheezes, rales or rhonchi present. Good air entry bilateral.^^Abdomen: soft, + bowel sounds in all quadrants. Mid-epigastric tenderness present with deep palpation. No rebound tenderness or guarding pre EGI=Gen: Patient alert and orientated to person, place and time.^^HEENT: Moist Mucous membranes, EOMI^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: positive breath sounds bilateral, no wheezes, rales or rhonchi present. Good air entry bilateral.^^Abdomen: soft, + bowel sounds in all quadrants. No mid-epigastric tenderness present. No rebound tenderness or guarding presen EHA=Gen: Patient alert and orientated to person, place and time.^^HEENT: Moist Mucous membranes, EOMI, PERRLA^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: positive breath sounds bilateral, no wheezes, rales or rhonchi present. Good air entry bilateral.^^Neurological: CN II- XII grossly intact, good sensation in the lower extremity bilateral. Muscle strength 5/5 bilateral, reflexes 2/4 bilateral. Cerebellar functions int EHTN=Gen: Patient alert and orientated to person, place and time.^^HEENT: Moist Mucous membranes, EOMI^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: positive breath sounds bilateral, no wheezes, rales or rhonchi present. Good air entry bilateral.^^Abdomen: soft, + bowel sounds in all quadrants. No mid-epigastric tenderness present.^^Lower extremity: No swelling, cyanosis or edema. Peripheral pulses intact and equal bilateral. ^^Neurological: good sensation in the lower extremity bilateral. Muscle strength 5/5 bilateral, reflexes 2/4 bilate ELAC=Patient appears well, vitals are normal. Laceration of cm noted on the. Description: . Neurovascular and tendon structures are intact.^ ELANK=Patient appears well, vital signs are normal. There is swelling and tenderness over the left lateral malleolus. No tenderness over the medial aspect of the ankle. The fifth metatarsal is not tender. The ankle joint is intact without excessive opening on stressing. The rest of the foot, ankle and leg exam is normal.^ ELBP=Vital signs within normal limits. Patient appears to be in mild to moderate pain. Antalgic gait noted. Lumbosacral spine area reveals no local tenderness or mass. Painful and reduced range of motion of the lumbar spine noted. Deep tendon reflexes, motor strength and lower extremity sensation all within normal limits including heel and toe gait. Peripheral pulses are palpable. ELCONJ=Patient appears well, vitals signs are normal. Eyes: left eye with findings of typical conjunctivitis noted; erythema and discharge. PERRLA, no foreign body noted. No periorbital cellulitis noted. The corneas are clear and fundi normal. Visual acuity is normal. ELKNEE=Extremity: Left knee negative drawer test. Negative McMurry's test. Negative Apley's compression and distraction. Right knee within normal limits. ELOM=Pt appears well, vital signs are as noted by the nurse. Throat and pharynx normal. Moist mucous membranes. Neck supple. Submandibular adenopathy noted in the neck. Nose is congested. Sinuses non tender. There is erythema of the TM on the left but the right is normal. The chest is clear, without wheezes or rales. Heart regular rate and rhythm. Abdomen is non-tender and non-distended.^ EMABD=Gen: Pt alert and orientated to person, place and time.^^HEENT: Moist mucous membranes^^Lungs Clear to Ascultation bilateral^^Heart Regular rate and rhythm, -murmurs^^Abdomen: soft, + bowel sounds in all quadrants. No rebound tenderness, no guarding. Tenderness to deep palpation in region.^^Gen: no penile discharge present. Testicles non-tender. No inguinal hernias presen ENECK=Gen: Patient alert and orientated to person, place and time.^^HEENT: Moist Mucous membranes, EOMI, PERRLA^^Neck: positive paraspinal muscle tenderness with reduced range of motion due to pain.^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: positive breath sounds bilateral, no wheezes, rales or rhonchi present. Good air entry bilateral.^^Neurological: CN II- XII grossly intact, good sensation in the lower extremity bilateral. Muscle strength 5/5 bilateral, reflexes 2/4 bilateral. Cerebellar functions intact ENM=Gen: Patient alert and orientated to person, place and time. Vital signs within normal limits.^^HEENT: Moist Mucous membranes, EOMI, PERRLA, TM's clear bilateral^^CV: Regular rate and rhythm. No murmurs, rubs or gallops.^^Respiratory: positive breath sounds bilateral, no wheezes, rales or rhonchi present. Good air entry bilateral.^^Abdomen: soft, + bowel sounds in all quadrants. No mid-epigastric tenderness present.^^Lower extremity: No swelling, cyanosis of edema. Peripheral pulses intact and equal bilateral. ^^Neurological: reflexes 2/4 BL, muscle strength 5/5 bilateral.^^Skin: No rashes or lesions p ERANK=Patient appears well, vital signs are normal. There is swelling and tenderness over the right lateral malleolus. No tenderness over the medial aspect of the ankle. The fifth metatarsal is not tender. The ankle joint is intact without excessive opening on stressing. The rest of the foot, ankle and leg exam is normal.^ ERCONJ=Patient appears well, vitals signs are normal. Eyes: right eye with findings of typical conjunctivitis noted; erythema and discharge. PERRLA, no foreign body noted. No periorbital cellulitis noted. The corneas are clear and fundi normal. Visual acuity is normal. ERKNEE=Extremity: Right knee negative drawer test. Negative McMurry's test. Negative Apley's compression and distraction. Left knee within normal limits. EROM=Pt appears well, vital signs are as noted by the nurse. Throat and pharynx normal. Moist mucous membranes. Neck supple. Submandibular adenopathy noted in the neck. Nose is congested. Sinuses non tender. There is erythema of the rightTM but the left is normal. The chest is clear, without wheezes or rales. Heart regular rate and rhythm. Abdomen is non-tender and non-distended. EURI=Pt appears well, vital signs are as noted by the nurse. Ears normal. Throat and pharynx normal. Neck supple. No adenopathy in the neck. Nose is congested. Sinuses non tender. The chest is clear, without wheezes or rales. Heart regular rate and rhythm. Abdomen is non-tender and non-distended. EUTI=Patient appears well and in no apparent distress. Vital signs are normal. The abdomen is soft without tenderness, guarding, mass, rebound or organomegaly. No CVA tenderness or inguinal adenopathy noted. fu=Follow up if symptoms persist. graf=Grafenwoehr Health Clinic Graf=Grafenwoehr Health Clinic HADHD=Patient presents to the clinic for a refill of medication for ADHD. Parents report the child has been doing better in school and wishes to continue the medication at the current dosage. Parents or child denies any new complaints. HALL=Patient presents with a day history of clear rhinorrhea and. Patient denies any shortness of breath, fevers, chills, nausea, vomiting or diarrhea. HASTH=Patient presents for a follow visit for asthma. Patient reports that the symptoms have been generally controlled with the medications. Patient denies having to us the albuterol inhaler more frequently. HCP=Patient presents with a day history of chest pain. Patient reports a onset of the pain but denies shortness of breath. Patient reports radiation to the. Patient also denies being able to reproduce these symptoms. Patient denies symptoms similar to this in the past. Pt denies any other complaints. HFABD=Patient presents with a day history of pain in her abdomen. Patient reports a sudden insidious onset of pain accompanied by. She reports the pain radiates to the. Patient denies being able to reproduce these systems. Patient any new sexual partners. Patient denies any other complaints. ^ HGERD=Patient presents with a history of pain and burning in the upper abdomen for the past. Patient reports that the symptoms are worse at night after big meals of certain foods. Patient denies any vomiting of blood or dark stools. Patient denies any other complaints. HGI=Patient presents with complaint of for days. Pt denies any blood in the stool. Patient denies any recent travel history. Patient denies any other complaints. HHA=Patient presents who complains of headaches for the past days. Patient reports that the headaches are mainly located in the part of the head. Duration of individual headaches is. The usual frequency is every.^^Associated symptoms are generally. Patient has been taking for pain relief: Precipitating factors include. Patient denies a history of recent head injury. ^ HHTN=Patient presents for a follow up for hypertension. Patient reports being compliant with the prescribed medications and denies any side effects. Patient denies any other complaints. HLAC=Patient presents who sustained laceration of hours ago. Nature of injury was. Tetanus vaccination status reviewed tetanus is up to date. Patient denies any other injuries. HLANK=Patient presents with an inversion sprain to his left ankle days ago. Patient reports the mechanism of the injury was. Immediate symptoms were pain and swelling on the lateral aspect of the left ankle, but the patient has been able to bear some weight on the ankle. Pt denies any other injuries. HLBP=Patient presents with low back pain for the last day(s). Patient any new injuries. Patient positional pain with bending and lifting and radiation down legs. Precipitating factors include:. Pt prior history of low back problems in the past. Pt numbness and tingling in the legs. Pt denies any other complaints. HLCONJ=Patient presents with burning, redness, discharge and discharge in left eye for days. No other symptoms reported. No significant prior ophthalmological history. No change in visual acuity, no photophobia, no severe eye pain reported. HLKNEE=Patient presents who sustained a left knee injury ago. The patient reports that the mechanism of injury was. Immediate symptoms were. Symptoms have been since that time. Patient denies prior history of knee problems. Patient denies any other injury. HLOM=Patient is brought by parent with day history of pain and pulling at the left ear. Parent also reports symptoms of. Parent reports that the child's temperature was elevated at home. Parent denies any other complaints. HMABD=Patient presents with a day history of pain in his abdomen. Patient reports a sudden insidious onset of pain accompanied by. He reports the pain radiates to the. Patient denies being able to reproduce these systems. He any new sexual partners. Patient denies any other complaints. HNECK=Patient presents who complains of neck pain starting ago. The pain is positional with movement of neck without radiation of pain down the arms.^^Mechanism of injury was. Symptoms have been constant since that time. Patient denies prior history of neck problems. Patient denies any other injuries or complaints HO=Handoff communication completed-patient given DD2766 HRANK=Patient presents with an inversion sprain to his right ankle days ago. Patient reports that the mechanism of injury was. Immediate symptoms were pain and swelling on the lateral aspect of the right ankle, but the patient has been able to bear some weight on the ankle. Pt denies any other injuries. HRCONJ=Patient presents with burning, redness, discharge and discharge in right eye for days. No other symptoms reported. No significant prior ophthalmological history. No change in visual acuity, no photophobia, no severe eye pain reported. HRKNEE=Patient presents who sustained a right knee injury ago. The patient reports that the mechanism of injury was. Immediate symptoms were. Symptoms have been since that time. Patient denies prior history of knee problems. Patient denies any other injury.^ HROM=Patient is brought by parent with day history of pain and pulling at the right ear. Parent also reports symptoms of. Parent reports that the child's temperature was elevated at home. Parent denies any other complaints. HURI=Pt presents with a day history of . Patient denies any. Patient denies any other complaints. HUTI=Patient presents with urinary frequency, urgency and dysuria for days. Patient denies any flank pain, fevers, chills or abnormal vaginal bleeding or discharge. Patient denies any other complaints. hx=history hxuri=Pt presents with a day history of . Patient denies any. Patient denies any other complaints. PALL=Medication as directed. Symptomatic therapy suggested. Lack of antibiotic effectiveness discussed with patient. May use normal saline nasal spray as needed. Call or return to clinic prn if these symptoms worsen or fail to improve as anticipated.^ PANK=Patient was instructed to rest, ice and elevate the ankle as much as possible. Activity as tolerated. Patient is to take NDSAIDS as needed. Follow Up If Symptoms Persist. PASTH=Medications as directed. Patient is to return to the clinic if there is increased wheezing or shortness of breath. Also return to the clinic if there is an increased use of albuterol. PCONJ=Hygiene discussed. Patient to apply warm packs as directed. Call or return to clinic as needed if these symptoms worsen or fail to improve as anticipated. PEX=Patient examined and forms completed. Age-appropriate anticipatory guidance given. Patient is discharged to return to the clinic for next scheduled exam and or the presentation of any new symptoms. PGERD=The pathophysiology of reflux is discussed. Anti-reflux measures such as raising the head of the bed, avoiding tight clothing or belts, avoiding eating late at night and not lying down shortly after mealtime and achieving weight loss are discussed. Avoid ASA, NSAID's, caffeine, peppermints, alcohol and tobacco. OTC H2 blockers and/or antacids are often very helpful for PRN use. However, for chronic or daily symptoms, prescription strength H2 blockers or a trial of PPI's should be used. Patient should alert me if there are persistent symptoms, dysphagia, weight loss or GI bleeding. Follow up to the clinic if symptoms persist. ^ PGI=I have recommended clear fluids and the BRAT diet. Medications as directed. Return to the clinic if symptoms persist or worsen; I have alerted the patient to call if high fever, dehydration, marked weakness, fainting, increased abdominal pain, blood in stool or vomit. PHTN=Continue current medications as directed. Continue to monitor blood pressure at home. Continue low sodium diet and continue exercise program. Return to the clinic if any new symptoms. PKNEE=Patient was instructed to rest, ice and elevate leg. Medications as directed. May take NSAIDS as needed. Call or return to clinic as needed if these symptoms worsen or fail to improve as anticipated. PLAC=Anesthesia with 1% Lidocaine Epinephrine applied. Wound cleansed, debrided of visible foreign material and necrotic tissue, and sutured. Antibiotic ointment and dressing applied. Wound care instructions provided. Observe for any signs of infection or other problems. Return for suture removal in days. PLBP=For acute pain, rest, intermittent application of heat (do not sleep on heating pad), analgesics and muscle relaxants are recommended. I discussed longer term treatment plan of PRN NSAIDS and I discussed a home back care exercise program with a flexion exercise routine. Proper avoidance of heavy lifting discussed. Consider physical therapy and addition radiology if not improving. Call or return to clinic as needed if these symptoms worsen or fail to improve as anticipated. PNECK=For acute pain, rest, intermittent application of heat (do not sleep on heating pad), analgesics and muscle relaxants are recommended. I discussed longer term treatment plan of PRN NSAIDS and I discussed a home neck care exercise program with a flexion exercise routine. Proper avoidance of heavy lifting discussed. Consider physical therapy and addition radiology if not improving. Call or return to clinic as needed if these symptoms worsen or fail to improve as anticipated. POM=Treatment as ordered. Symptomatic therapy suggested of fluids and rest. May take Tylenol or Motrin for fevers. Call or return to clinic as needed if these symptoms worsen or fail to improve as anticipated pt=patient Pt=Patient PURI=Treatment as ordered. Symptomatic therapy suggested of fluids and rest. Lack of antibiotic effectiveness discussed with patient. Patient may use normal saline nasal spray as needed. Call or return to clinic as needed if these symptoms worsen or fail to improve as anticipated. PUTI=Medications as directed. Patient is also to push fluids and may use Pyridium over the counter as needed. Call or return to clinic as needed if these symptoms worsen or fail to improve as anticipated. qd=once a day QD=once a day qid=every 6 hours RALL=Gen: Pt denies any recent change in weight or^^appetite^^Head: Pt denies any head injuries, trauma or headaches.^^ENT: Pt denies any headaches or visual changes but reports congestion with clear nasal mucous.^^Resp: Pt denies increasing SOB with activity and at rest but reports some coughing.^^Cardiac: Pt denies any CP or angina symptoms ^^GI: Pt denies any N/V/D^^Neuro: Pt denies any numbness or weakness^^skin: Pt denies any rashes or l RASTH=Gen: Pt denies any recent change in weight or appetite.^^Head: Pt denies any head injuries or trauma.^^ENT: Pt denies any headaches or visual changes.^^Respiratory: Pt denies increasing shortness of breath with activity or at rest. Patient denies any wheezing or increasing cough.^^Cardiac: Pt denies any chest pain or angina symptoms.^^GI: Pt denies any nausea, vomiting or diarrhea.^^Neurological: Pt denies any numbness or weakness.^^Dermatological: Pt denies any rashes or les RCONJ=Gen: Pt denies any recent change in weight or appetite.^^Head: Pt denies any head injuries or trauma.^^ENT: Pt denies any headaches but reports redness in the eye as stated above^^Respiratory: Pt denies increasing shortness of breath with activity and or at rest.^^Cardiac: Pt denies any chest pain or angina symptoms. ^^GI: Pt denies any nausea, vomiting or diarrhea.^^Neurological: Pt denies any numbness or weakness.^^Dermatologic: Pt denies any rashes or les RCP=Gen Pt denies any recent weight change or change in appetite.^^Head: Pt denies any congestion or epistaxis.^^Eyes: Pt denies any visual changes.^^Neck: Pt denies any pain or stiffness.^^Respiratory: Pt denies any shortness of breath or wheezing.^^Chest: Pt reports chest pain with details stated above.^^ABD: Pt denies and nausea, vomiting or diarrhea.^^GU: PT denies any dysuria or hematuria.^^Neurological: Pt denies any numbness or w RFABD=Gen Pt denies any recent weight change or change in^^appetite^^Head: Pt denies any congestion or epistaxis.^^Eyes: Pt denies any visual changes.^^Neck: Pt denies any pain or stiffness.^^Respiratory: Pt denies any shortness of breath or wheezing.^^Chest: Pt reports chest pain with details stated above.^^ABD: Pt denies and nausea, vomiting or diarrhea.^^GU: PT denies any dysuria or hema RGERD=Gen Pt denies any recent weight change or change in^^appetite^^Head: Pt denies any congestion or epistaxis.^^Eyes: Pt denies any visual changes.^^Neck: Pt denies any pain or stiffness.^^Respiratory: Pt denies any shortness of breath or wheezing.^^Chest: Pt reports chest pain with details stated above.^^ABD: Pt denies and nausea, vomiting or diarrhea.^^GU: PT denies any dysuria or he RGI=Gen: Pt denies any recent change.^^Head: Pt denies any head injuries, trauma or headaches.^^ENT: Pt denies any headaches or visual changes.^^Respiratory: Pt denies increasing shortness of breath or cough.^^Cardiac: Pt denies any chest pain or increased heart rate. ^^GI: Pt reports gastrointestinal symptoms as stated above.^^Neurological: Pt denies any numbness or weakness.^^Dermatological: Pt denies any rashes or les RHA=Gen: Pt denies any recent change in weight or appetite.^^Head: Pt denies any head injuries, trauma but reports headaches as stated above.^^ENT: Pt denies any headaches or visual changes.^^Respiratory: Pt denies increasing SOB with activity and at rest.^^Cardiac: Pt denies any chest pain or angina symptoms.^^GI: Pt denies any nausea, vomiting or diarrhea.^^Neurological: Pt denies any numbness or weakness in the lower extremity.^^Extremity: Patient denies any lower extremity sw RHTN=Gen: Pt denies any recent change in weight or appetite.^^Head: Pt denies any head injuries, trauma or headaches.^^ENT: Pt denies any headaches or visual changes.^^Respiratory: Pt denies increasing SOB with activity and at rest.^^Cardiac: Pt denies any chest pain or angina symptoms.^^GI: Pt denies any nausea, vomiting or diarrhea.^^Neurological: Pt denies any numbness or weakness.^^skin: Pt denies any rashes or lesions.^^Extremity: Patient denies any lower extremity swelling, numbness or tin RLANK=Gen: Pt denies any recent change in weight or^^appetite.^^MS: Pain and swelling over the left ankle. ^^Neuro: Patient denies any numbness or tingling in the feet. RLBP=Gen: Pt denies any recent change in weight or appetite.^^Head: Pt denies any head injuries, trauma or headaches.^^ENT: Pt denies any headaches or visual changes.^^Respiratory: Pt denies increasing SOB with activity and at rest.^^Cardiac: Pt denies any chest pain or angina symptoms.^^GI: Pt denies any nausea, vomiting or diarrhea.^^Neurological: Pt denies any numbness or weakness in the lower extremity.^^Extremity: Patient denies any lower extremity swelling.^^Back: Pain as stated RLKNEE=Gen: Pt denies any recent change in weight or appetite.^^Head: Pt denies any head injuries, trauma or headaches.^^ENT: Pt denies any headaches or visual changes.^^Respiratory: Pt denies increasing SOB with activity and at rest.^^Cardiac: Pt denies any chest pain or angina symptoms.^^GI: Pt denies any nausea, vomiting or diarrhea.^^Neurological: Pt denies any numbness or weakness.^^Extremity: Patient reports left knee pain as stated above. Patient denies right knee RMABD=Gen Pt denies any recent weight change or change in^^appetite^^Head: Pt denies any congestion or epistaxis^^Eyes: Pt denies any visual changes^^Neck: Pt denies any pain or stiffness^^Respiratory: Pt denies any SOB or wheezing^^Chest: Pt denies any chest pain.^^ABD: Pt denies and nausea, vomiting or diarrhea. Abdominal pain as stated above.^^GU: PT denies any dysuria or hema RNECK=Gen: Pt denies any recent change in weight or appetite.^^Head: Pt denies any head injuries, trauma but reports headaches as stated above.^^ENT: Pt denies any headaches or visual changes.^^Neck: neck pain as stated above^^Respiratory: Pt denies increasing SOB with activity and at rest.^^Cardiac: Pt denies any chest pain or angina symptoms.^^GI: Pt denies any nausea, vomiting or diarrhea.^^Neurological: Pt denies any numbness or weakness in the lower ext RNM=Gen: Pt denies any recent change in weight or^^appetite^^Head: Pt denies any head injuries or trauma^^ENT: Pt denies any headaches or visual changes^^Resp: Pt denies increasing SOB with activity and at^^rest.^^Cardiac: Pt denies any CP or angina symptoms ^^GI: Pt denies any N/V/D^^Neuro: Pt denies any numbness or weakness^^skin: Pt denies any rashes or ROM=Gen: Pt denies any recent change in weight or appetite^^Head: Pt denies any head injuries, trauma or headaches.^^ENT: Pt denies any headaches or visual changes but reports congestion and sore throat. Ear pain as stated above.^^Respiratory: Pt denies increasing shortness of breath with activity or at rest but reports some coughing.^^Cardiac: Pt denies any chest pain or angina symptoms ^^GI: Pt denies any nausea, vomiting or dia RRANK=Gen Pt denies any recent weight change or change in^^appetite^^Head: Pt denies any congestion or epistaxis.^^Eyes: Pt denies any visual changes.^^Neck: Pt denies any pain or stiffness.^^Respiratory: Pt denies any shortness of breath or wheezing.^^Chest: Pt reports chest pain with details stated above.^^ABD: Pt denies and nausea, vomiting or diarrhea.^^GU: PT denies any dysuria or he RRKNEE=Gen: Pt denies any recent change in weight or appetite.^^Head: Pt denies any head injuries, trauma or headaches.^^ENT: Pt denies any headaches or visual changes.^^Respiratory: Pt denies increasing SOB with activity and at rest.^^Cardiac: Pt denies any chest pain or angina symptoms.^^GI: Pt denies any nausea, vomiting or diarrhea.^^Neurological: Pt denies any numbness or weakness.^^Extremity: Patient reports right knee pain as stated above. Patient denies left knee RURI=Gen: Pt denies any recent change in weight or^^appetite^^Head: Pt denies any head injuries, trauma or headaches.^^ENT: Pt denies any headaches or visual changes but reports congestion and sore throat^^Resp: Pt denies increasing SOB with activity and at^^Rest but reports some coughing.^^Cardiac: Pt denies any CP or angina symptoms ^^GI: Pt denies any N/V/D^^Neuro: Pt denies any numbness or weakness^^skin: Pt denies any rashes o RUTI=Gen: Pt denies any recent change in weight or^^appetite^^Head: Pt denies any head injuries or trauma^^ENT: Pt denies any headaches or visual changes^^Resp: Pt denies increasing SOB with activity and at^^rest.^^Cardiac: Pt denies any CP or angina symptoms ^^GI: Pt denies any N/V/D^^Neuro: Pt denies any numbness or weakness^^skin: Pt denies any rashes or lesions^^GU: Urinary symptoms as stated above. No other discharg tyvm=thank you very much