The writer is very fast, professional and responded to the review request fast also. Thank you.
HPI
OLDCART” which stands for Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors/Radiation and Treatment
Medications -state how long she is taking the drug and if she’s compliant with her prescriptions
Hospitalizations-rearrange it according to dates, first is when she was 8
Family history-state cause of death of the parents and you stated the age of her siblings twice
Social history
ROS
General- is wt loss sudden?
PhysicalExam
General- Appears alert?
Skin – pls describe the color of skin not the race, is the skin cold?warm to touch?
HEENT- describe the color of sclera
GI-what do you mean by the abdomen is obese? Pls describe using appropriate medical terms
Breast-I’m sorry i did not understand what you meant by breast is selling and palpable axillary lymph?
Musculoskeletal- i think you no longer need to state that you observed the rom on waiting area?
Neuro – are you not required to take the reflexes such as tendon reflex, etc?
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