General

Vital Signs: Temperature, respirations, heart rate, blood pressure.

Eyes: Pupils equally round and react to light and accommodation (PERRLA); extraocular movements intact (EOMI).

Neck: Jugular venous distention (JVD), thyromegaly, masses, lymphadenopathy.

Chest: Equal expansion, rales, breath sounds.

Heart: Regular rate and rhythm (RRR), first and second heart sounds, murmurs.

Breast: Skin retractions, masses (mobile, fixed), erythema, axillary or supraclavicular node enlargement.

Abdomen: Scars, bowel sounds, masses, hepatosplenomegaly, guarding, rebound, costovertebral angle tenderness, hernias.

Genitourinary: Urethral discharge, uterus, adnexa, ovaries, cervix. Extremities: Cyanosis, clubbing, edema. Neurological: Mental status, strength, tendon reflexes, sensory testing. Laboratory Evaluation: Electrolytes, glucose, liver function tests, INR/PTT, CBC with differential; X-rays, ECG (if >35 yrs or cardiovascular disease), urinalysis. Assessment and Plan: Assign a number to each problem. Discuss each problem, and describe surgical plans for each numbered problem, including preoperative testing, laboratory studies, medications, and antibiotics.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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