NU650 DOCUMENTATION OF NORMAL FINDINGS TEMPLATE
Regular findings change over time. Assume every affected person has introduced to the clinic for a complete wellness examination. Subjective and goal findings are NORMAL. Exhibit that you understand particular inquiries to ask to acquire an in depth subjective historical past for the main target system for a particular (pediatric, grownup, OR geriatric) affected person, and goal findings for a targeted bodily examination, together with specialty maneuvers for a pediatric, grownup, AND geriatric affected person. Full this template for EACH focus system.
Focus System (Choose one): __ Pores and skin __HEENT __ Thorax/Lungs __ Musculoskeletal __ Neurological
Subjective Historical past (choose just one): ___ pediatric ___ grownup ___ geriatric affected person:
Goal Findings for Sufferers Throughout the Lifespan:
Pediatric Affected person Grownup Affected person Geriatric Affected person
Age of Affected person ______
Goal examination findings: Age of Affected person _____
Goal examination findings: Age of Affected person _____
Goal examination findings:
Focus System (Choose one): __ Stomach __ Neck __ Cardiac/PV __ Male/Feminine GU (embody each feminine and male findings)
Subjective Historical past (choose just one): ___ pediatric ___ grownup ___ geriatric affected person:
Goal findings for sufferers throughout the lifespan:
Pediatric Affected person Grownup Affected person Geriatric Affected person
Age of Affected person ______
Goal examination findings: Age of Affected person _____
Goal examination findings: Age of Affected person _____
Goal examination findings:
