HPI:

History not limited

ROS:
  GENERAL(System): (-)fever, ()fatigue
  SKIN(System): (-)rash
  EYES(System): (-)visual change
  ENT(System): (-)sore throat ()earache
  RESPIRATORY(System): (-)cough , (-)SOB
  CARDIOVASCULAR(System): (-)chest_pain, ()palpitations, ()DOE
  GASTROINTESTINAL(System): (-)abdominal pain, (-)nausea, (-)vomiting, ()diarrhea, ()constipation
  GENITOURINARY(System): (-)dysuria, (-)hematuria, ()discharge
  MUSCULOSKELETAL(System): (-)arthralgias, (-)myalgias, ()back pain
  NEUROLOGICAL(System): (-)headache, ()weakness, ()numbness, ()dizzy, ()syncope
  PSYCHIATRIC(System): ()depression

PMH:
PSH:
Meds:
All:
FH:
SocHx:
  Alcohol -
  Smoking -
  Substance Abuse -

PHYSICAL EXAM:
  GENERAL APPEARANCE: NAD, no stridor
  EYES: conjunctiva clear
  ENT\HEAD\NECK:
            HEAD: atraumatic appearance
            EARS:
            NOSE: no nasal discharge
            THROAT: uvula midline, no pharyngeal exudates or erythema, no drooling
            MOUTH: moist mucous membranes
            NECK:
  CARDIOVASCULAR:
            HEART: RRR, S1/S2, no M/R/G
  RESPIRATORY:
            LUNGS: CTAB/L, good air movement, no wheeze, no rales, no accessory muscle use
  GASTROINTESTIONAL:
            ABDOMEN: soft, non-ttp, non-distended, no organomegaly
  MUSCULOSKELETAL:
            EXTREMITIES: distal NVI x 4 ext, no edema
            BACK:
            CHEST_WALL:
  SKIN: warm
  NEURO: GCS 15, gait steady, motor 5/5 x 4 ext, SILT x 4 ext, CN 2-12 intact
  HEMATOLOGY: (-)bruising

DIFFERENTIAL Dx: