The patient presented with unspecified chief complaints and medical history. A review of systems found no significant positive findings. On physical exam, vital signs were normal and the general exam was unremarkable. Laboratory tests including a CBC, CK, troponin, ECG, and urinalysis were ordered. A chest x-ray was also ordered. The patient's history, medications, allergies, family history, and social history were also documented.
The patient presented with unspecified chief complaints and medical history. A review of systems found no significant positive findings. On physical exam, vital signs were normal and the general exam was unremarkable. Laboratory tests including a CBC, CK, troponin, ECG, and urinalysis were ordered. A chest x-ray was also ordered. The patient's history, medications, allergies, family history, and social history were also documented.
The patient presented with unspecified chief complaints and medical history. A review of systems found no significant positive findings. On physical exam, vital signs were normal and the general exam was unremarkable. Laboratory tests including a CBC, CK, troponin, ECG, and urinalysis were ordered. A chest x-ray was also ordered. The patient's history, medications, allergies, family history, and social history were also documented.
The patient presented with unspecified chief complaints and medical history. A review of systems found no significant positive findings. On physical exam, vital signs were normal and the general exam was unremarkable. Laboratory tests including a CBC, CK, troponin, ECG, and urinalysis were ordered. A chest x-ray was also ordered. The patient's history, medications, allergies, family history, and social history were also documented.
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Med-Source
H&PE
Name: Sex: Age / DOB:
Date:
CC: Meds:
HPI:
Allergies:
Gen: fevers / chills /sweats / wt / fatigue
Skin: rashes / scaling / moles
Birth Hx: Head: HA / faint / seizures / LOC / concussion