shanamarie
Guru
Hello, Looking for some opinions on if this qualifies for a comprehensive exam by 97 guidelines?
General observation finds patient to be pleasant and appearing to be in good general health. There is no acute distress. Auscultation reveals a regular rate and rhythm without murmur. Patient is oriented, fluent and follows commands without difficulty. Attention and concentration are normal. Memory, fund of knowledge and insight are good. Visual fields are full. Optic discs sharply marginated. Pupils are equal. Extraocular movements are full without nystagmus or diplopia. Facial sensation is symmetric. No facial paresis. Hearing is symmetric for finger rub. Tongue and palate are midline. Shoulder shrug strength is normal. No tremor. Motor tone, bulk and strength are normal throughout the upper and lower extremities. Deep tendon reflexes are symmetrically depressed in the arms and legs, absent at the ankles. Plantar responses are flexor. There is diminished vibratory sensation at the ankles and toes. Coordination is normal. Gait is normal. Can toe and heel walk. There is some difficulty with tandem walking. Romberg is negative. The feet are warm and well perfused. There is no plantar tenderness. Also, there is no hyperpathia to light touch over the feet. 3 vital signs are also documented in the note.
General observation finds patient to be pleasant and appearing to be in good general health. There is no acute distress. Auscultation reveals a regular rate and rhythm without murmur. Patient is oriented, fluent and follows commands without difficulty. Attention and concentration are normal. Memory, fund of knowledge and insight are good. Visual fields are full. Optic discs sharply marginated. Pupils are equal. Extraocular movements are full without nystagmus or diplopia. Facial sensation is symmetric. No facial paresis. Hearing is symmetric for finger rub. Tongue and palate are midline. Shoulder shrug strength is normal. No tremor. Motor tone, bulk and strength are normal throughout the upper and lower extremities. Deep tendon reflexes are symmetrically depressed in the arms and legs, absent at the ankles. Plantar responses are flexor. There is diminished vibratory sensation at the ankles and toes. Coordination is normal. Gait is normal. Can toe and heel walk. There is some difficulty with tandem walking. Romberg is negative. The feet are warm and well perfused. There is no plantar tenderness. Also, there is no hyperpathia to light touch over the feet. 3 vital signs are also documented in the note.