Heart: Showed a normal S1, S2, with regular rate and rhythm and no murmur Breasts: Without masses. Self breast examination was taught and encouraged on a monthly basis. Axillary is unremarkable. Abdomen: Soft and nontender with no hepatosplenomegaly present Genitalia: External genitalia normal. Cervix was absent. Vaginal Pap smear was done. Bimanual exam revealed an absent uterus and nonpalpable ovaries. Rectal exam was normal. Neurological: Exam intact Psychiatric: Patient is alert and oriented to person, place, and time. No defects. Well groomed. No counseling is indicated. Assessment: 1. Headaches, exact etiology not clear. I am going to check her sed rate. If that is normal, then will proceed with CT scan of the head. 2. Routine physical I will write to her with the test results. If she does not hear from me in two weeks, she will give me a call. Otherwise, I will see her right after her head CT. Assign the correct codes for this visit: a. Z00.01, Z01.149, Z12.72, Z90.710, Z80.0, R51.9, 99396, 99212-25 b.
[Solved]: Heart: Showed a normal S1, S2, with regular rate…
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