Normal lungs and clear abdomen

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Clinic Note This 57-year-old female patient comes to the clinic today. HEENT: Normal LUNGS: Clear ABDOMEN: Soft, nontender RECTAL EXAM: Refused NEUROLOGICAL: Congenital spastic paralysis, left leg There are no physical findings that need to be addressed at this time. I have reviewed her care plan, and she should continue per her care plan at the residential home where she resides.

Reference no: EM133604918

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