Physical Exam Builder

Visit type (click again to remove)

Quick fill (sets typical findings; click again to take back)
HEENT
C-spine
L-spine
Shoulder
Elbow
Wrist/hand
Hip
Knee

Systems

Lymph node map (head and neck)
Finding
RLright preauricularleft preauricularright tonsillar (jugulodigastric)left tonsillar (jugulodigastric)right submandibularleft submandibularsubmentalright anterior cervicalleft anterior cervicalright supraclavicularleft supraclavicular
Front (patient's right on the left)
side ***preauricular (side not set)posterior auricular (side not set)occipital (side not set)tonsillar (jugulodigastric) (side not set)submandibular (side not set)submentalanterior cervical (side not set)posterior cervical (side not set)supraclavicular (side not set)
Side:

Pick a finding, then click nodes; click again to remove. Writes the Neck line.

General

Appearance

Respiratory

Effort
Auscultation

Cardiovascular

Rhythm
Heart sounds

Neuro (brief)

Mental status

Physical Exam

General Appearance: No acute distress.
Respiratory: Nonlabored respirations. Lungs clear to auscultation bilaterally.
Cardiovascular: Regular rate and rhythm. Normal heart sounds.
Neurological: Patient awake, alert, and cooperative with exam.

In Epic, F2 jumps to each ***. Only what you click (plus the .ddape baseline) is written; remove a system you didn't examine.