Discussion Part Two (graded) Physical examination: Vital Signs: Height: 6’0 Weight: 140 pounds; BMI: 19.0 BP: 156/84 P: 84 regular R: 20 HEENT: normocephalic, symmetric PERRLA, EOMI; poor dentition NECK: left neck supple; non-palpable lymph nodes; no carotid bruits. Limited ROM LUNGS: rhonchi in anterior chest bilaterally. HEART: S1 and S2 audible; regular rate and rhythm ABDOMEN: active bowel sounds all 4 quadrants; Normal contour; RUQ tenderness; liver palpable NEUROLOGIC: negative GENITOURINARY: negative MUSCULOSKELETAL: negative PSYCH: PHQ-9 is 15 SKIN: oral mucosa irritated-stomatitis Discussion Part Two: Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.
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