Neuro exam template
[DOC File]MUSCULOSKELTAL SAMPLE WRITE-UP
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MUSCULOSKELTAL SAMPLE WRITE-UP. Below is a sample write-up of a patient without any significant physical exam findings. Please pretend as though you saw one of disease cases from the handout given in class & replace the physical exam findings below with those listed in the case.
Neurological Examination Templates – NeurologyResidents
NEURO: Mental status: The patient is alert, attentive, and oriented. Speech: clear and fluent with good repetition, comprehension, and naming. She recalls 3/3 objects at 5 minutes. Cranial nerves: CN II: Visual fields are full to confrontation. Fundoscopic exam is normal with sharp discs. Pupils are 4 …
[DOC File]Brain Death Examination Checklist
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Body Temperature Body temperature should be above 35 degrees C (95 F) prior to physician exam for adults and children. Neuroactive drugs worn off e.g. narcotics, sedatives, barbiturates, atropine, etc. Absence of Confounding Factors Significant electrolyte, metabolic or endocrine abnormalities.
[DOCX File]Office Visit Note for Grace Primary Care Physicians
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ROM Strength Tone Diabetic Foot Exam. Neuro: A&O X 3 II-XII intact Sens/Motor DTR’s Gait Coordination Abnormal: _____ Psych: Affect Demeanor Speech pattern . Thought: No SI. No HI. Exams: PE: (Circle= exam normal unless otherwise described ...
[DOCX File]‘Go-By’ For all Undersea / Dive medical exams:
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A detailed neuro exam must be performed & documented. The information is conveniently provided for you in box 44. If using the electronic 2808 form provided from NASNI, the examiner must manually circle with pen the Yes or No items for complete documentation that these exams were performed. The examiner’s marks will approapriately appear in a ...
[DOC File]LAB 4: NEURO - Carle Illinois College of Medicine
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neurological physical exam Below is a sample write-up of a patient without any significant physical exam findings. Please pretend as though you saw one of disease cases from the handout given in class & replace the physical exam findings below with those listed in the case.
[DOC File]Neurovascular Observations For Orthopaedic Patients
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Standard Operating Procedure . Neurovascular Observations for Orthopaedic Patients Purpose. To accurately assess the nerve and vascular supply to a limb thereby identifying any signs and symptoms that has the potential to affect neurovascular function.
[DOC File]COMPLETE PHYSICAL EXAM ABBREVIATIONS:
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Vital Signs: T, HR, RR, BP, SPO2. SYSTEM. GEN: No acute distress, alert, awake, and oriented times 4 to name, place, time, purpose, Well developed well nourished
[DOCX File]Department of Emergency Medicine | University of Washington
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Physical Exam. Level 1 – one system. Level 2-3 – 2 systems. Level 4 – 5 systems. Level 5 – 8 systems. High Acuity caveat documentation-- it is acceptable to use these phrases when appropriate if you are unable to complete portions of the HPI or PE: unable to obtain history due to … unable to perform full exam due to … (crashed to OR ...
[DOC File]Fall Prevention and Management Program
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Use the same protocol outlined above and, in addition, perform neuro-checks every two hours for the first 12 hours, every three hours for the next 24 hours, and every four hours for the following 24 hours. Alert the attending physician for any changes. Alert attending physician for all falls with head trauma in residents receiving anticoagulants.
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