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Rod Howard, MD
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Service: Neonatal
Manatee Memorial Hospital
PremiEHR Patient Management
Patient:
Jamie Casimiro
Search
MRN: 1234556
Admission #: 1029876172
Daily Measurements
Curr. Weight
kgs
On
Prev. Weight
kgs
Change
Weight
Length
Length
Head Circ
Pain Score
Vital Signs
Current Status
critical
fair
good
grower
improved
poor
recovering
serious
stable
unchanged
unstable
worsening
Type of Bed
crib
isolette
radiant warmer
Temperature
Heart Rate
Resp Rate
Blood Press
Urine Output
Gluc Screen
Physical Findings
HEENT
fontanelle
caput succedaneum
cataract
epicanthal folds
exophthalmos
facial bruising
facial weakness
forceps mark
macrocephaly
microcephaly
micrognathia
microphthalmia
molding
periorbital edema
scalp bruising
scalp edema
thrush
everted eyelid
flat nasal bridge
low-set ears
obstructed nares
posteriorly rotated ears
short palpebral fissures
small eye
small oral cavity
cephalohematoma
conjunctival hemorrhage
hemangioma
preauricular pit
scalp laceration
sutures
bruit
cleft lip
cleft palate
cleft soft palate
Down syndrome facies
ear tag
ears normally placed
fixed and dilated pupil
fused eyelid
long philtrum
lop ear
macroglossia
mouth and throat clear
normocephalic
palate intact
patent nares
PERL
red reflex
thin upper lip
tracheostomy
tympanic membrane
VP shunt
normocephalic patent sutures ears normally placed PERL patent nares bilaterally mouth and throat clear red reflex bilaterally
Resp
fontanelle
caput succedaneum
cataract
epicanthal folds
exophthalmos
facial bruising
facial weakness
forceps mark
macrocephaly
microcephaly
micrognathia
microphthalmia
molding
periorbital edema
scalp bruising
scalp edema
thrush
everted eyelid
flat nasal bridge
low-set ears
obstructed nares
posteriorly rotated ears
short palpebral fissures
small eye
small oral cavity
cephalohematoma
conjunctival hemorrhage
hemangioma
preauricular pit
scalp laceration
sutures
bruit
cleft lip
cleft palate
cleft soft palate
Down syndrome facies
ear tag
ears normally placed
fixed and dilated pupil
fused eyelid
long philtrum
lop ear
macroglossia
mouth and throat clear
normocephalic
palate intact
patent nares
PERL
red reflex
thin upper lip
tracheostomy
tympanic membrane
VP shunt
normocephalic patent sutures ears normally placed PERL patent nares bilaterally mouth and throat clear red reflex bilaterally
Cardiac
fontanelle
caput succedaneum
cataract
epicanthal folds
exophthalmos
facial bruising
facial weakness
forceps mark
macrocephaly
microcephaly
micrognathia
microphthalmia
molding
periorbital edema
scalp bruising
scalp edema
thrush
everted eyelid
flat nasal bridge
low-set ears
obstructed nares
posteriorly rotated ears
short palpebral fissures
small eye
small oral cavity
cephalohematoma
conjunctival hemorrhage
hemangioma
preauricular pit
scalp laceration
sutures
bruit
cleft lip
cleft palate
cleft soft palate
Down syndrome facies
ear tag
ears normally placed
fixed and dilated pupil
fused eyelid
long philtrum
lop ear
macroglossia
mouth and throat clear
normocephalic
palate intact
patent nares
PERL
red reflex
thin upper lip
tracheostomy
tympanic membrane
VP shunt
normocephalic patent sutures ears normally placed PERL patent nares bilaterally mouth and throat clear red reflex bilaterally
Abdomen
fontanelle
caput succedaneum
cataract
epicanthal folds
exophthalmos
facial bruising
facial weakness
forceps mark
macrocephaly
microcephaly
micrognathia
microphthalmia
molding
periorbital edema
scalp bruising
scalp edema
thrush
everted eyelid
flat nasal bridge
low-set ears
obstructed nares
posteriorly rotated ears
short palpebral fissures
small eye
small oral cavity
cephalohematoma
conjunctival hemorrhage
hemangioma
preauricular pit
scalp laceration
sutures
bruit
cleft lip
cleft palate
cleft soft palate
Down syndrome facies
ear tag
ears normally placed
fixed and dilated pupil
fused eyelid
long philtrum
lop ear
macroglossia
mouth and throat clear
normocephalic
palate intact
patent nares
PERL
red reflex
thin upper lip
tracheostomy
tympanic membrane
VP shunt
normocephalic patent sutures ears normally placed PERL patent nares bilaterally mouth and throat clear red reflex bilaterally
Skin
fontanelle
caput succedaneum
cataract
epicanthal folds
exophthalmos
facial bruising
facial weakness
forceps mark
macrocephaly
microcephaly
micrognathia
microphthalmia
molding
periorbital edema
scalp bruising
scalp edema
thrush
everted eyelid
flat nasal bridge
low-set ears
obstructed nares
posteriorly rotated ears
short palpebral fissures
small eye
small oral cavity
cephalohematoma
conjunctival hemorrhage
hemangioma
preauricular pit
scalp laceration
sutures
bruit
cleft lip
cleft palate
cleft soft palate
Down syndrome facies
ear tag
ears normally placed
fixed and dilated pupil
fused eyelid
long philtrum
lop ear
macroglossia
mouth and throat clear
normocephalic
palate intact
patent nares
PERL
red reflex
thin upper lip
tracheostomy
tympanic membrane
VP shunt
normocephalic patent sutures ears normally placed PERL patent nares bilaterally mouth and throat clear red reflex bilaterally
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Women's and Children's Services