Week 3: Neurologic,
Musculoskeletal, and Cardiopulmonary Assessment
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Using a friend, family member, or
colleague, perform a neurovascular (include all cranial nerves),
musculoskeletal, and cardiopulmonary (includes the heart, lungs, and peripheral
vasculature) exam. Document the physical examination findings in the SOAP note
format.
Even though your patient may have abnormal
findings, you must document the expected normal exam findings for the system.
If you would like to include the abnormal findings they should be noted in
parenthesis next to the normal expected findings. The complete subjective and
objective sections must be included. You
may include the assessment and plan portion of the SOAP note, but these
sections will not be graded.
You should devise a chief complaint so that
you may document the OLDCART (HPI) data. You must use the chief complaint of
headache, back pain, and cough. You should also focus the ROS based on the
patient’s chief complaint and the body systems being examined. Refer to the
SOAP Note Format document in Course Resources as necessary. This will be the
same format that faculty will follow during the immersion weekend.
Please note the first post is due
by Tuesday, 11:59 p.m. MT.
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