Consult Note: Pathology

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Clinic Name
Clinic Address
Clinic Phone Number
Clinic Email

OMFS Pathology Consultation

CC: ***

HPI: Patient is a *** who presents to the OMFS clinic today as a referral from *** for evaluation of ***.

PMH: denies

PSH: denies

Meds: denies

Allergies: NKDA

SH: denies tobacco, EtOH, RDU

ROS: good exercise tolerance, no chest pain, shortness of breath, coughing, wheezing, palpitations

PE

Gen: NAD, AAOx3

Head: NC AT

Eyes: EOMI b, sclera white

Ears: normal external appearance, EAC clear

Nose: nares patent

Throat: normal oropharyngeal tone, tonsillar pillars symmetric

Mouth: MIO 45mm

Imaging: ***

Assessment: ***  with  ***

Plan: