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Care module This visit General OPD
Step 3

Physical Examination

CESJUJM2606002

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Module: General OPD

Review only — saving is disabled on this step for now

You can open any step to follow the pathway. To save data here, complete each earlier step in order and use Save & Continue (or the step’s continue action) so the visit advances. Once this visit has reached this stage, saving will be enabled.

Physical examination

Choose a section on the left. Turn on Examination performed to record each step (look, feel, tap, listen). For each step, answer whether it appears normal; add a description next to that question if you need to explain. If it does not appear normal, tick what applies and use Other with the text box when needed.

General examination

Suggested

Turn on Examination performed and complete each step below.

Examination performed

Turn on Examination performed to answer look / feel / tap / listen for this section.

Look (inspection)

Does it appear normal?

Feel (palpation)

Does it appear normal?

Tap (percussion)

Does it appear normal?

Listen (auscultation)

Does it appear normal?
Additional notes
Who is entering?

Optional. Use when the person entering data differs from the logged-in user, or for documentation.

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