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: