venturafamilymed

Sep 8, 20211 min

Exam: Newborn

Gen: healthy appearing newborn in no distress

HEENT: no caput or cephalhematoma, normal ears: no pits or tags, nares patent; fontanelles level

Eye: Red reflex present & equal

Clavicles: no crepitus noted

Mouth: Lip and palate intact, good suck

Pul: CTA Bilateral, no W/R/R

CVS: RRR, normal S1/S2. no murmur/rub/gallop

MSK: Good muscle tone, Neg Barlow, neg Ortolani

Abdomen: Soft without organomegaly or masses noted, umbilicus clean and dry

Back: Normal spine without significant sacral dimple.

Vasc: Femoral Pulse: Present and palpable equal bilaterally

Anus: Patent

Genitalia: Normal __male.

Skin: No rashes noted. Minimal sacral melanocytosis

Neuro: Intact moro, suck, and grasp, toes upgoing bilaterally

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