Transcriptionist SuperExport Format 1.0
{styles: [], class: '|template|, title: "Physical Exam", author: "J Rick Adams, M.D.", text: "<Physical Exam picker>", appSym: '|Palmedic:JRAd|, need: TRUE, }

{styles: [], class: '|template|, need: TRUE, title: "Physical Exam (complete)", author: "J Rick Adams", viewState: '|styled|, labels: NIL, text: "general: <physical exam (general)>
skin: <physical exam (skin)>
HEENT: <physical exam (HEENT)>
CV: <physical exam (CV)>
Iungs: <physical exam (lungs)>
abdomen: <physical exam (abdomen)>
extremities: <physical exam (extremities)> 
neuro: <physical exam (neuro)>", }

{styles: [], class: '|template|, need: TRUE, title: "Physical Exam (normal)", author: "John R. Adams", viewState: '|styled|, labels: NIL, text: "general: A&O x3
HEENT: NCAT, PERRLA, E0MI, sclera non-icteric, retina nL, ¿ papilladema, tympanic   membranes nL, mucosa pink and moist, neck supple with full ROM, ¿ lymphadenopathy, ¿ thyromegaly, trachea midline, car otid upstrokes 2+ bilaterally
CV: RRR without M/G/R
Lungs: CTA bilaterally
Abdomen: soft, NTND, normo-active bowel sounds, no masses, no HSM
Extremities: ¿ c/c/e, pulses 2+ throughout
Neuro: CN 2-12 grossly intact, strength 5/5 throughout, sensation intact, DTRs 2+/4 throughout", }

{styles: [], class: '|template|, need: TRUE, title: "physical exam (rash)", author: "J Rick Adams, M.D.", text: "a rash is located over the <location> |Anatomy|. It is characterized as <rash type>.", appSym: '|Palmedic:JRAd|, }

{class: '|macro|, multiple: TRUE, choices: ["[Physical Exam (complete)]","[Physical Exam (normal)]","{Physical Exam}","{Physical Exam (admission)}","vitals: {Vital signs}","vitals: BP: |Number|/|Number|; P: |Number|; R: |Number|; T: |Number|","general: <physical exam (general)>","skin: <physical exam (skin)>","HEENT: <physical exam (HEENT)>","CV: <physical exam (CV)>","lungs: <physical exam (lungs)>","abdomen: <physical exam (abdomen)>","extremities: <physical exam (extremities)>","neuro: <physical exam (neuro)>","nodes: <physical exam (nodes)>","pelvic: <physical exam (pelvic)>","rectal: <physical exam (rectal)>",], dynamicSort: NIL, title: "Physical Exam picker", outlineFormat: TRUE, labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["alert and oriented x3","in no apparent distress","appropriate for age","pleasant","cooperative","non-responsive","responds only to pain",], title: "physical exam (general)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["no rashes","<symbol:(-)> jaundice","<symbol:(+)> skin tenting","<symbol:(+)> telangectasias","<symbol:(+)> petechiae","[physical exam (rash)]",], title: "physical exam (skin)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["normal","PERRLA","EOMI","sclera anicteric","sclera icteric","retina normal","retina wIth fibrinous exudates","¿ lymphadenopathy","¿ thyromegaly","mucosa pink and moist","tonsilar exudates","pharynx erythematous","poor dentition","tympanic membranes normal",], dynamicSort: TRUE, title: "physical exam (HEENT)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["regular rate and rhythm","no murmurs, gallops or rubs","PMI non-displaced","I/VI systolic murmur","II/VI systolic murmur","heard best over base","heard best over apex","tachycardic","bradycardic","irregularly irregular",], title: "physical exam (CV)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["clear to auscultation bilaterally","coarse crackles in bilateral bases","coarse breath sounds throughout",], title: "physical exam (lungs)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["soft","non-tender","non-distended","obese","tense","distended","no hepatosplenomegaly","normoactive bowel sounds","hypoactive bowel sounds","hyperactive bowel sounds","abdominal girth of |Number| cm","liver span of |Number| cm","palpable spleen","<severity> pain on palpation of  <location> quadrant","voluntary gaurding","involuntary gaurding","<symbol:(-)> fluid wave","<symbol:(-)> shifting dullness",], title: "physical exam (abdomen)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["no clubbing","no cyanosis","no edema","dorsalis pedis pulse 2+","posterior tibial pulse 2+","capillary refill < 2 seconds","trace edema","1+ edema","2+ edema","3+ edema","4+ edema","no splinter hemorrhages",], title: "physical exam (extremities)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["CN II-XII grossly intact","no focal abnormalities","sensation WNL","strength WNL","strength |Number|<symbol>/|Number| <location>","reflexes WNL",], title: "physical exam (neuro)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["anterior cervical: <node description>","axillary: <node description>","epitrochlear: <node description>","femoral: <node description>","inguinal: <node description>","occipital: <node description>","postauricular: <node description>","posterior cervical: <node description>","preauricular: <node description>","submandibular: <node description>","submental: <node description>","supraclavicular: <node description>","tonsillar: <node description>",], dynamicSort: TRUE, title: "physical exam (nodes)", outlineFormat: TRUE, labels: '|_all|, }

{class: '|macro|, multiple: TRUE, choices: ["vaginal mucosa pink and moist","vaginal mucosa atrophic","cervix without lesions","cervix not present","no discharge","<symbol> cervical motion tenderness",], title: "physical exam (pelvic)", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["normal sphincter tone","no masses palpated","guiaic <symbol>","no stool in vault",], title: "physical exam (rectal)", labels: NIL, }

{class: '|macro|, choices: ["(+)","(-)","(?)","(n/a)",], title: "symbol", labels: NIL, }

{class: '|macro|, choices: ["mild","moderate","severe",], title: "severity", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["caudal","dorsal","left","lower","middle","right","third","upper","ventral",], dynamicSort: TRUE, title: "location", labels: NIL, }

{class: '|macro|, multiple: TRUE, choices: ["soft","firm","hard","mobile","fixed","tender","non-tender","|Number| cm in diameter",], title: "node description", labels: '|_all|, }

{class: '|macro|, choices: ["absent","diffuse","erythematous","macular","maculo-papular","papular","petechial","well circumscribed",], title: "rash type", labels: NIL, }