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pt note help..urgent - vicodin
#1
if we have a case of chest: do we write HEENT also ...


and if we write HEENT...do we have to include the headings like:

HEAD: NC/AT
EYE: Perrla, eomi, fundoscopy normal, no jaundice

do we have to write the headings....and another question i have is...when do u write full examination and when do u just write down ausculation findings....

i hope someone can help me.

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#2
http://www.usmleforum.com/showthread.php?tid=544680
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#3
anyone.....
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