Date of Examination: 15/02/2024
General Appearance: Well-nourished, alert, no acute distress
Vital Signs:
HEENT:
Neck: Supple, no lymphadenopathy, thyroid not enlarged
Cardiovascular: Regular rate and rhythm, no murmurs, rubs, or gallops
Respiratory: Clear to auscultation bilaterally, no wheezes, rales, or rhonchi
Abdomen: Soft, non-tender, no organomegaly, bowel sounds present
Musculoskeletal: Full range of motion in all extremities, no joint swelling or deformities