College

**History and Physical Report**

**Patient Overview:**
- The patient is a well-developed, muscular, slightly pale young man in somewhat acute distress due to apprehension and bleeding.

**Vital Signs:**
- Blood Pressure: 110/70
- Pulse: 74
- Respirations: 16

**HEENT:**
- **Head:** Normocephalic
- **Eyes:** Round, regular, equal, and react to light and accommodation bilaterally
- **Ears:** Bilateral cerumen, TMs are normal
- **Nose:** Right nasal cavity somewhat congested to the nasopharynx; active bleeding from the left nasal cavity
- **Neck:** No palpable nodes, thyroid is midline

**Chest:**
- Symmetric with normal male breasts
- Lungs clear bilaterally, no rales or wheezes
- Left anterolateral chest pneumonectomy scar

**Heart:**
- Normal in size
- Normal sinus rhythm, no murmurs, thrills, or rubs

**Abdomen:**
- Soft, no tenderness

**Rectal Exam:**
- Deferred

**Extremities:**
- Symmetrical, no cyanosis, edema, or deformities
- Normal range of motion

**Neurological:**
- Reflexes are physiological
- Pulses are two plus and equal bilaterally
- No cranial or neurological deficit

**Impression:**
- Left posterior epistaxis, recurrent

Answer :

The history and physical report will include Pulse, Eyes, bilateral cerumen, rectal exam etc.

What is a report?

The official and comprehensive assessment of the patient and the issue is the history and physical.

H&P stands for the formal document that doctors create after speaking with the patient, performing a physical examination, and summarising any results of recent or forthcoming tests.

To diagnose and treat both acute and chronic health issues, the initial history and physical examination are crucial.

The domestic medical examinations assist refugees in gaining confidence in the US healthcare system and providers.

Due to anxiety and bleeding, the patient is a well-built, muscular, slightly pale young man in rather acute anguish.

He have a blood pressure of 110 over 70. The pulse rate is 74. There are sixteen breaths. There is no cyanosis, edoema, etc., and the extremities are symmetrical.

Thus, this way, the history and physical report should encompass.

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