i don't understand some of this but here is his physical exam
eyes: clear conjunctiva, schera, and cornea
oral: teeth, gums and tongue unremarkable
nose: no discharge, bleeding or discoloration, no obious FB, no nasal congestion noted: no sneesing noted during exam
ears: no inflammation or discharge
C-V heart auscults normal
Resp: breaht sounds ausculted in all fields
GI: non-painful abdominal palpation, no masses appreciated, smooth bowel
U-G: urinary bladder not palpated
Musculoskeletal: BSC 5/9 coordinated gait: bilateral luxating patellas
Neurological: grossly normal: deferred detailed exam
Skin: grossly normal: no petechiae etc noted
Lymph Nodes: less than 1-2 cm
Temp 102.6
Acute onset of multiple bouts of sneezing this am w/production of small amount of blood after sneezing multiple times. non nasal d/c or epistaxis noted. Poss light cough noted as well. otherwise doing well no VD reported...
if anyone understands this please fill me in ....... this was Harley's exam....
__________________ KELLY,
HARLEY & HALEY |