appropriately and patient denies having any allergies.Head: clean hair‚ well kept‚ facial features symmetrical‚ clear speech‚ PEARRLA‚ no drainage from eye or ears‚ mucus membranes moist and pink‚ teeth in good condition‚ no observed mouth ulcers. Neck supple‚ without palpable nodes‚ no vein distention. Patient able to move head in all directions well. Lungs clear throughout‚ symmetrical expansion with inspiration‚ clear to auscultation. No cough as also denied by patient. Heart S1 S2 noted‚ no mummer
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plastic surgery”. At your ex 80’s‚ you wouldn’t imagine her appearance‚ she searched much younger than your ex counterparts. Rivers admitted to own undergone several nose careers‚ liposuction‚ an eye surgical treatment‚ a number of botox injections‚ neck lift and several facelifts. Her nose has been thinned while still in college‚ next was an eye lift in 1965 while in her thirties. Although the lady still maintained a greater look without signs connected with aging or wrinkles‚ she couldn’t resist
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Neck supple good range of motion. No significant adanapate. Back exam benign. Chest is relatively clear although he does have diminshed breath sounds in the basis. Cardo vascular S1‚ S2‚ without rubs or murmurs. Abdomen bowels sounds present‚ abdomen is soft
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amount of my medication. The first pose is cat pose is one of the poses that we learned in class. Sanskrit term for cat pose is Marjaryasana. When we do this pose‚ you want your shoulder to relax‚ do not shrug in your shoulder. We also should let our neck free‚ also do not force our head into our chest. Cat pose supposes to loosen the back and spine. The follow-up pose is cow pose (Bitilasana). Preparation poses for cat pose are eagle pose (Garudasana)‚ child pose (Balasana). The sequences of poses
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respirations 22. Blood pressure 108/60. GENERAL: physical exam revels a well-developed‚ well-nourished 35-year-old white female is the moderate amount of distress at the time of the examination‚ HEENT are all remarkable except poor indentation. Neck is soft and supple. CHEST: Lungs are clear in both fields. HEART: Regular rate and rhythm. ABDOMEN: soft but positive tenderness of her lower abdominal area. Fundus was not palpable above the pubic area. Left adnexal are more than tender than the right. VAGINAL
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who shot an eagle out of the sky only to find that a weasel was fixed by its jaws to the eagle’s throat. Dillard states‚ “The supposition is that the eagle had pounced on the weasel and the weasel swiveled and bit as instinct taught him‚ tooth to neck‚ and nearly won.” The weasel acted upon instinct‚ disregarding the size and power of the eagle. Dillard uses this bizarre image to show her admiration for the instinct and determination of this small creature‚ as well as a basis for the premise of
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Chief complaint is chest pain. HISTORY OF PRESENT ILLNESS Ms. [Name] is a 49-year-old female who has a history of hypertrophic cardiomyopathy with an _____ in place‚ and also has a history of atrial fibrillation. She comes to the emergency department today complaining of chest discomfort. It began 3 days ago and has been constant and persistent since then. The pain is located on center and left side of her chest. It is associated with some shortness of breathe. The pain feels like tightness.
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BP: 118/60. HR: 76. R: 14. W: 113. General A well-developed‚ well-nourished female no acute distress seated comfortably in the exam room. She has good eye contact. Answers questions appropriately. Alert and oriented. Very pleasant. Neck Supple. No bruits or JVD. No masses or tenderness. Heart Regular rate and rhythm. Normal S1‚ S2. No murmurs‚ rubs‚ or gallops. Lungs Clear bilaterally. Good breath sounds. No wheeze‚ no rhonchi. Abdomen Soft‚ nontender. No masses or discomfort
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Mental status is good. Pupils are equal and react to light. EAC are clear. TM are normal. Extraocular muscles are intact. Tongue protrudes in the midline. I hear no carotid bruits. The neck is supple. Lung fields show a few scattered rhonchi‚ but no worrisome wheezes. No consolidations noted. His heart rhythm is regular. No ectopy is noted. The PMI is displaced slightly laterally. Abdomen is soft‚ nontender. No organomegaly is noted
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CC Taylor is an 18-year-old female here today to discuss her menstrual cycles. HPI The patient tells me her menstrual cycles are "not great". She says that she is noticing that they are very heavy. They are lasting about a week to a week and a half and she is having a lot of dysmenorrhea as well. In addition‚ they are not regular. She said this is they way they have been since she was 13. We have talked about this in the past and it one point‚ she was placed on birth control using Tri Sprintec
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