Writing it up
•General- Ms. Hills is well nourished, well developed, and appears her stated age. She is well groomed and in no acute distress.
•Vital Signs-Temp 98.6°, Pulse 82 and regular, Respirations 12 and unlabored, BP 114/68 both arms, seated; Ht 5’8”, Wt 110, BMI 16.7
•Skin/Hair/Nails-Skin is warm, dry, and soft throughout, turgor with instant recoil. No rashes or abnormal lesions noted. Hair is soft, silky, and well groomed with normal distribution. Nail beds pink without clubbing. Nails smooth, well attached, nontender, without deformity or pitting.