Office Visit Note
Narrative: Anxiety Big feelings that are hard to regulate Using swear words General: healthy Eyes: PERRLA, EOEMI HENT: TM clear and normal B, throat clear, normal dentition Neck: supple Resp: lungs clear CVS: heart normal, no murmur Abdom: no HSM, soft and non tender GU: healthy and normally developed for age MSS: good generalized gross and fine motor Skin: no rash Assessment: Healthy child on routine physical examination Z00.129 Reason: well check