Normal Documentation Skin, Eyes, Ears, Nose, Mouth/Throat

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5 Terms

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Skin

No lesions or rashes, temperature, turgor and texture are WNL. Nails without deformity, no clubbing or cyanosis

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Eyes

Eye lids without swelling or lesions. Near vision acuity = 20/20 OS, OD, OU, (corrected/uncorrected). Sclera white and anicteric. Conjunctiva clear and without pallor. Pupils equally round and reactive to light and accomodation. (PERRLA). Fundi - red reflex present bilaterally. No AV nicking or hemorrhage, no exudates or papilledema.

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Ears

Auricles symmetrical without deformities. Canals patent, tympanic membranes pearly gray bilaterally, light reflex/landmarks intact. Hearing grossly intact to whispered voice bilaterally.

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Nose

Nose without asymmetry or deformity. Nasal mucosa pink, septum midline, without perforations. Turbinates non-edematous, no nasal discharge, nares patent bilaterally.

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Mouth/Throat

Lips, tongue, and oral mucosa without lesions. Teeth/gums in good repair. Posterior pharynx pink, 1+ tonsils bilaterally without erythema or exudates.