Integumentary: Denies new lesions, rashes, color change or itching. HEENT:
Integumentary: Denies new lesions, rashes, color change or itching. HEENT: Denies diplopia, blurring, hearing impairment, no history of head injury, sore throat Cardiovascular: Denies chest pain; no history of murmur, syncope. Denies hematuria and excessive bruising. Respiratory: Denies shortness of breath, dyspnea on exertion, paroxysmal nocturnal dyspnea. Gastrointestinal: Denies anorexia, abdominal pain; no constipation, diarrhea, nausea, vomiting, black or clay colored bowel movements. Genitourinary: Denies dysuria. Musculoskeletal: Denies joint and back pain. Physical Examination (PE): Vital signs: Temperature 98.4; pulse 80 bpm, respirations 20/min; BP 96/60 mm Hg Height: 5 ft 6in; weight 133 lbs. Questions: 1. Identify the systems that should be listed in the PE. Then include the documentation the FNP should document in each system based on the CC. 2. Identify screenings, labs, diagnostics or immunizations that should be ordered during this visit. 3. Identify 3 differential diagnoses, include an explanation/description of why you chose the DDx. 4. Indicate your final DDx.
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