What is felt is not the blood pulsing through the arteries (as is commonly supposed) but a shock wave that travels along the walls of the arteries as the heart contracts. Other sites for pulse measurement include the side of the neck (carotid artery), the antecubital fossa (brachial artery), the temple (temporal artery), the anterior side of the hip bone (femoral artery), the back of the knee (popliteal artery), and the instep (dorsalis pedis artery). the beat of the heart as felt through the walls of a peripheral artery, such as that felt in the radial artery at the wrist. No unilateral focal neurological deficits are appreciated. Neurological: Pt displays horizontal nystagmus, slurred speech, and unsteady gait. No midline bony tenderness, deformities, or step-offs. Pulmonary/Chest: No respiratory distress. HENT: Mucous membranes are moist and intact. The patient has the strong odor of the impurities of alcohol on their breath. No saddle anesthesia.Ĭonstitutional: No acute distress. No acute focal neurological deficits can be appreciated. Strength is equal and 5/5 in the lower extremities bilaterally. Neurological: Alert, awake, and oriented x4. Musculoskeletal: Full range of motion in all extremities. No midline bony tenderness, deformities, or step-offs of the thoracic or lumbar spine. Pulmonary/Chest: No evidence of respiratory distress. No cervical midline bony tenderness, deformities, or step-offs. Non-focal neurological examination.Ĭonstitutional: Well developed, well nourished. There is equal 5/5 strength in the bilateral upper and lower extremities. Back: No midline bony tenderness, deformities, or step-offs of the thoracic or lumbar spine. There is no bony tenderness or deformities. No external evidence of abdominal trauma. No crepitus, no external evidence of trauma to the chest. Pulmonary/Chest: Lungs are clear bilaterally. Peripheral pulses are 2+ in all extremities. Moves all extremities x 4 without focal neurologic deficits.Ĭonstitutional: No acute distress. SKIN: No rashes, no petechiae, normal color, no cyanosis, normal skin turgor NEURO: Awake and alert. Moves all extremities X 4 without focal neurologic deficits. NECK: Supple, no masses, no meningismus, no lymphadenopathy RESPIRATORY: No respiratory distress, breath sounds normal, no accessory muscle use, no wheezes, no grunting, no stridor CVS: Regular rate & rhythm, heart sounds normal, capillary refill normal ABDOMEN: Nontender, no distention, no organomegaly, normal bowel sounds GENITALIA: Normal inspection. No rhinorrhea THROAT: Mucous membranes are moist. No signs of sepsis, dehydration, or meningitis HEAD: Atraumatic, normocephalic EARS: Right TM is normal. GENERAL: Normal consolability, normal feeding/suck, flat anterior fontanel. PSYCH: Patient's mood, affect and interaction are appropriate for patient's age, development and setting. Moves all extremities x 4 without focal neurologic deficits. No ecchymosis, lacerations, or abrasions. SKIN: No rashes, no petechiae, normal color, no cyanosis, normal skin turgor. No visible stigmata of nonaccidental trauma. GENITALIA: Normal external inspection EXTREMITIES: Nontender, no deformities, normal ROM. ABDOMEN: Nontender, no distention, no organomegaly, normal bowel sounds. Chest wall is exposed and fully visualized. CVS: Regular rate & rhythm, heart sounds normal, capillary refill normal. Patient exhibits no retraction, nasal flaring, or grunting. RESPIRATORY: No respiratory distress, breath sounds normal, no accessory muscle use, no wheezes, no stridor. NECK: Supple, no masses, no meningismus, no cervical lymphadenopathy. There is/is not_ tonsillar exudate or pus. No rhinorrhea THROAT Mucous membranes are moist. Face is symmetric, round, full and expressive. Hearing is adequate to conversational voice. No evidence of dehydration, meningeal signs, or lethargy. GENERAL: Active, playful, smiles, normal attentiveness, good eye contact, no acute distress. No acute focal neurological deficits are appreciated. Muscle strength 5/5, sensation intact to light touch. All fingers and toes are warm and well perfused. Extremities: Full range of motion in all extremities. Patient is speaking in full sentences without accessory muscle usage. Oropharynx is clear and symmetric, without erythema or exudates. Normal interaction, affect, and behavior.Ĭonstitutional: Well developed, well nourished. Pt is moving all extremities x 4, and speaking in full sentences. Neurological: Alert, awake, and oriented to person, place, time, and situation. ENT: Mucous membranes are moist and intact. Constitutional: Well developed, well nourished.
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