Reference no: EM132763470

Directions:

Retype the following data into Physical Examination outline by using the Basic Block Format. Be alert to proper grammar and punctuation. This patient, Joseph R. Balentine.

This is all about Medical Transcription.

The patient is a well-developed, muscular, slightly pale young man in somewhat acute distress secondary to the apprehension and bleeding. Blood pressure is one hundred ten over seventy. Pulse is seventy four. Respirations are sixteen. HEENT: Head is normocephalic. Eyes are round, regular and equal and bilaterally react to light and accommodation. There is bilateral cerumen in the ears, TMs are normal. The right nasal cavity was somewhat congested to the nasopharynx. There is active bleeding from the left nasal cavity. There are no palpable nodes in the neck, and the thyroid is in the midline. The chest is symmetric; normal male breasts. The lungs are clear bilaterally, no rales or wheezes. There is a pneumonectomy scar, left anterolateral chest. The heart is normal in size. There is normal sinus rhythm, no murmurs, thrills, or rubs. The abdomen is soft, no tenderness. The rectal exam is deferred. The extremities are symmetrical, no cyanosis, edema, or deformities. There is normal range of motion. Reflexes are physiological. Pulses are two plus and equal bilaterally. There is no cranial or neurological deficit. The impression is left posterior epistaxis, recurrent.