Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam
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Get it written →Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use "WNL" or "normal." You must describe what you see. Always document in head to toe format ie. General: Head- RENT- etc
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