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Documentation / Electronic Health Record. Notes ... Musculoskeletal exam performed on Ms. Jones. Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal ...

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Documentation / Electronic Health Record. Document: Provider Notes. Student ... Jones presents to the clinic complaining of back pain th began 3 days ago after ...

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She denies numbness, tingling, muscle weakness, bowel or bladder incontinence. She presents today as the pain has continued and is interfering with her ...

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