HISTORYHEADEREND|1|||0||MR_COMSUM^``^#`END^``^#`History^``^#`0^``^#`4303691.163843^``^#`0^``^#`1001^``^#`MR_COMSUM^``^#`END^``^#`History^``^#`0^``^#`4303691.163843^``^#`0^``^#`1001^``^#`
HISTORYHEADEREND|1|||0||CERMSGR|0|379924:21080220902;2096886:21080221101,1||1||
CERMSGR|0|379924:21080220902;2096886:21080221101,1||1||

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Assessment and Plan:
ASSESSPLAN1|1|||1||Annual physical exam
-     CBC with Differential; Future
-     Comprehensive Metabolic Panel; Future
-     Thyroid Stimulating Hormone; Future
-     Thyroxine, Free; Future
-     Lipid Panel; Future

Acute pain of right foot
-     Amb Referral to Orthopedic Surgery

ASSESSPLAN1|1|||1||ASSESSNOHEADERBEGIN|1|||1||MR_COMSUM^``^#`BEGIN^``^#`Assessment^``^#`2^``^#`4303712.573767^``^#`0^``^#`3^``^#`MR_COMSUM^``^#`BEGIN^``^#`Assessment^``^#`2^``^#`4303712.573767^``^#`0^``^#`3^``^#`
SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`Assessment^``^#`2^``^#`4303712.573767^``^#`0^``^#`3^``^#`SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`Assessment^``^#`2^``^#`4303712.573767^``^#`0^``^#`3^``^#`
ASSESSNOHEADERBEGIN|1|||1||Assessment & Plan

Followup: FOLLOWUP|1|||1||
No follow-ups on file.
FOLLOWUP|1|||1||"

HISTORYHEADERBEGIN|1|||1||MR_COMSUM^``^#`BEGIN^``^#`History^``^#`0^``^#`4303712.580245^``^#`0^``^#`1001^``^#`MR_COMSUM^``^#`BEGIN^``^#`History^``^#`0^``^#`4303712.580245^``^#`0^``^#`1001^``^#`History
SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`History^``^#`0^``^#`4303712.580245^``^#`0^``^#`1001^``^#`SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`History^``^#`0^``^#`4303712.580245^``^#`0^``^#`1001^``^#`
HISTORYHEADERBEGIN|1|||1||PREFNAME|0|||1||Devin SlickPREFNAME|0|||1||is a AGE|0|||1||36 y.o.AGE|0|||1||SEX|0|||1||maleSEX|0|||1||who is seen today for CCN|1|||1||Well Adult Exam (Pt is here for the annual exam and future lab work.)
CCN|1|||1||Pt is here for annual exam he feels well he denies any real concerns
History of Present Illness

HISTORYHEADEREND|1|||1||MR_COMSUM^``^#`END^``^#`History^``^#`0^``^#`4303712.601696^``^#`0^``^#`1001^``^#`MR_COMSUM^``^#`END^``^#`History^``^#`0^``^#`4303712.601696^``^#`0^``^#`1001^``^#`
HISTORYHEADEREND|1|||1||OBSERVHEADERBEGIN|1|||1||MR_COMSUM^``^#`BEGIN^``^#`Observations^``^#`0^``^#`4303712.603066^``^#`0^``^#`1002^``^#`MR_COMSUM^``^#`BEGIN^``^#`Observations^``^#`0^``^#`4303712.603066^``^#`0^``^#`1002^``^#`Observations
SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`Observations^``^#`0^``^#`4303712.603066^``^#`0^``^#`1002^``^#`SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`Observations^``^#`0^``^#`4303712.603066^``^#`0^``^#`1002^``^#`
OBSERVHEADERBEGIN|1|||1||CERMSGR|0|2099019:20831,1||1||CERMSGR|0|2099019:20831,1||1||
VS|1|||1||BP 110/80 (BP Location: Left Arm, Patient Position: Sitting, Cuff size: LAd)  | Pulse 64  | Temp 97.7 F (36.5 C) (Temporal)  | Resp 16  | Wt 97.1 kg (214 lb)  | SpO2 98%  | BMI 29.85 kg/m
VS|1|||1||Physical Exam

BLOCKBEGIN|HTPNPHYEXAMBYAGE|BLOCKBEGIN|HTPNPHYEXAMBYAGE|Physical ExamBLOCKEND|HTPNPHYEXAMBYAGE|BLOCKEND|HTPNPHYEXAMBYAGE|
General appearance: alert, appears stated age, and cooperativeHead: Normocephalic, without obvious abnormality, atraumaticEyes: 201|22|22"
conjunctivae/corneas clear. PERRL, EOM's intact. Fundi benign.201|22|22"
Ears: 5207|23|23"
normal TM's and external ear canals both ears5207|23|23"
Nose: Nares normal. Septum midline. Mucosa normal. No drainage or sinus tenderness.Throat: lips, mucosa, and tongue normal; teeth and gums normalNeck: no adenopathy, no carotid bruit, no JVD, supple, symmetrical, trachea midline, and thyroid not enlarged, symmetric, no tenderness/mass/nodules
Lungs: clear to auscultation bilaterallyHeart: 5510|28|28"
regular rate and rhythm, S1, S2 normal, no murmur, click, rub or gallop5510|28|28"

Abdomen: soft, non-tender; bowel sounds normal; no masses,  no organomegalyExtremities: 5109|30|30"
extremities normal, atraumatic, no cyanosis or edema5109|30|30"
Skin: Skin color, texture, turgor normal. No rashes or lesionsLymph nodes: Cervical, supraclavicular, and axillary nodes normal.Neurologic: Grossly normalResults

OBSERVHEADEREND|1|||1||MR_COMSUM^``^#`END^``^#`Observations^``^#`0^``^#`4303712.620435^``^#`0^``^#`1002^``^#`MR_COMSUM^``^#`END^``^#`Observations^``^#`0^``^#`4303712.620435^``^#`0^``^#`1002^``^#`
OBSERVHEADEREND|1|||1||CERMSGREFRESH|0|2108023041:CERMSGREFRESH|0|2108023041:Documentation for this medical note was completed using Nuance DAX Copilot. This document reflects the decisions made by me. Some incorrect words or phrases may have been missed during proofreading.
ME|0|||1||Kimberly Diann Benko, APRN, ANP
ME|0|||1||CERMSGR|0|379924:21080220902;2096886:21080221101,1||1||
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CERMSGR|0|2108023043:21080230405;2108023042:21080230404,1||1||"
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CERMSGREFRESH|0|2108023041:CERMSGREFRESH|0|2108023041:CERMSGR|0|379924:21080220902;2096886:21080221101,1||1||
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CERMSGR|0|2108023043:21080230405;2108023042:21080230404,1||1||"
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