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General Appearance: no acute distress Eyes: conjunctiva and lids normal, PERRLA, EOMI, fundi WNL Ears, Nose, Mouth, Throat: TM clear, nares clear, oral exam WNL Respiratory: clear to auscultation and percussion, respiratory effort normal Cardiovascular: regular rate and rhythm, S1-S2, no murmur, rub or gallop, no bruits, peripheral pulses normal and symmetric, no cyanosis, clubbing, edema or varicosities Skin: clear, good turgor, color WNL, no rashes, lesions, or ulcerations Assessment Problems (including changes): Feet are inspected and there are no callouses, no compromised skin. No vision complaints. Chest xray negative done with no indications of pneumonia Impression: Sub optimal sugar, control with retinopathy and neuropathy, high glucometer readings.
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