Clinic Note

Clinic Note

HPI:

|AGE| years old |RACE| |SEX|

 

 

 

|PSA|

|A1C HGB|

BMI: |BMI|

 

Surgical:

|SURGICAL HX|

|SURGERY LIST|

 

Past Medical History:

|AP|

 

Medications:

|ACTIVE MEDICATIONS|

 

Allergies:

|ALLERGIES/ADR|

 

Social History:

denies etoh, tobacco, illicits

 

 

Physical Exam:

 

General: Alert and oriented x3, no distress

HEENT: Normocephalic, moist mucous membranes

Lungs:no respiratory distress

Heart:Warm and Well perfused

Abdominal: soft, nontender, nondistended

Extremities: walks unassisted

 

Assessment/Plan:

|AGE| years old |RACE| |SEX|