Get Butler County Community College Physical Examination Form 2002
Bnormal Check appropriately and describe abnormalities Head, Scalp and Face Eyes Date of last Exam Vision: with glasses without glasses Right: Left: Color vision: Ears Nose Mouth and throat Teeth Last Exam: Neck Lungs Heart Breasts Abdomen Rectal Hernia Adenopathy Musculo-skeletal Neurological Skin Femoral and pedal pulses PELVIC: Ext. Gen and BUS Vagina Cervix Uterus AF M RF Adnexa Recto-Vag Labwork: __________Pap Smear ___________ GC ___________ Chlamydia ___________ UA _________ _________CBC .
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