Normocephalic and atraumatic

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Physical Exam Constitutional: Appearance: Well groomed, in no acute distress HENT: Head: Normocephalic and atraumatic. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: No murmur heard. No gallop. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: No stridor. No wheezing or rales. Genitourinary: Anus: external hemorrhoids present; small well-circumscribed opening in the skin visualized between gluteal cleft superior to the anus with scant serous drainage; surrounding area tender to palpation; surrounding skin clean dry intact with no erythema, edema, or warmth to touch Skin: General: Skin is warm and dry. Assessment and plan.

Reference no: EM133965014

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