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Exam 1:
No increased jugular distention, Heart RRR,S1,S2,Lungs clear,Extremities No edema.Ingrown left second toe nail with onychomycosis.
Exam 2:
In no acute distress BP 130/90. No increased jugular venous distention.Heart:RRR,S1-S2.No S3,S4 murmur.Lungs clear.Extremities No edema.
Exam 3: BP 101/60.Heart rate 75.BMI 38.65. No increased jugular venous distention Heart:RRR,S1-S2.No S3,S4 murmur.Lungs clear.Extremities No edema.
These were documented by my providers and we use 1995 guidelines to audit their charts.
Does JVD and Edema and Heart be rolled into Cardiovascular and count as 1 organ system
or can I give 3 points for Edema(for Extremity),JVD(for Neck) and Heart.
No increased jugular distention, Heart RRR,S1,S2,Lungs clear,Extremities No edema.Ingrown left second toe nail with onychomycosis.
Exam 2:
In no acute distress BP 130/90. No increased jugular venous distention.Heart:RRR,S1-S2.No S3,S4 murmur.Lungs clear.Extremities No edema.
Exam 3: BP 101/60.Heart rate 75.BMI 38.65. No increased jugular venous distention Heart:RRR,S1-S2.No S3,S4 murmur.Lungs clear.Extremities No edema.
These were documented by my providers and we use 1995 guidelines to audit their charts.
Does JVD and Edema and Heart be rolled into Cardiovascular and count as 1 organ system
or can I give 3 points for Edema(for Extremity),JVD(for Neck) and Heart.