1. General Appearance
    1. Normal statement
    2. clinical description
    3. findings
      1. general observations
        1. pallor
        2. flushed
        3. jaundiced
        4. clammy
        5. sweating
        6. cyanosed
      2. appearance
        1. nutrition
          1. obese
          2. morbidly obese
          3. well nourished
          4. under nourished
          5. cachectic
          6. anorexic
        2. self care
          1. cleanliness
          2. grooming
          3. odor
          4. state of dress
        3. physique
          1. thin
          2. tall
          3. short
          4. normal weight for height
          5. slightly overweight for height
          6. slightly underweight for height
          7. overweight for height
          8. average height
        4. posture
      3. function
        1. behavior
          1. normal and appropriate
          2. mood description
          3. unusual behavior details
        2. speech
        3. involuntary movements
        4. handedness
          1. left handed
          2. right handed
      4. smell
        1. smells of alcohol
        2. smells of ketones
        3. specific smell
          1. name
          2. description
          3. body site
          4. degree
      5. obvious abnormality on inspection
  2. Vital Signs
    1. blood pressure
      1. data
        1. any event
          1. data
          2. systolic
          3. diastolic
          4. mean arterial pressure
          5. pulse pressure
          6. comment
          7. state
          8. position
          9. standing
          10. sitting
          11. reclining
          12. lying flat
          13. lying with lateral tilt
          14. confounding factors
          15. exertion
          16. exercise intensity
          17. description
          18. intensity
          19. low intensity
          20. medium intensity
          21. high intensity
          22. flat out
          23. measured
          24. phase
          25. at rest
          26. during exertion
          27. post exertion
          28. sleep status
          29. alert and awake
          30. sleeping
          31. tilt
        2. 24 hour average
          1. data
          2. comment
          3. systolic
          4. diastolic
          5. mean arterial pressure
          6. pulse pressure
          7. state
          8. tilt
          9. position
          10. lying with lateral tilt
          11. standing
          12. sitting
          13. reclining
          14. lying flat
          15. confounding factors
          16. exertion
          17. phase
          18. at rest
          19. during exertion
          20. post exertion
          21. exercise intensity
          22. description
          23. intensity
          24. low intensity
          25. medium intensity
          26. high intensity
          27. flat out
          28. measured
          29. sleep status
          30. sleeping
          31. alert and awake
        3. postural change
          1. state
          2. tilt
          3. position
          4. lying with lateral tilt
          5. standing
          6. sitting
          7. reclining
          8. lying flat
          9. confounding factors
          10. exertion
          11. phase
          12. at rest
          13. during exertion
          14. post exertion
          15. exercise intensity
          16. description
          17. intensity
          18. low intensity
          19. medium intensity
          20. high intensity
          21. flat out
          22. measured
          23. sleep status
          24. sleeping
          25. alert and awake
          26. data
          27. comment
          28. systolic
          29. diastolic
          30. mean arterial pressure
          31. pulse pressure
      2. protocol
        1. cuff size
          1. adult
          2. large adult
          3. pediatric / child
          4. adult thigh
          5. neonatal
          6. infant
          7. small adult
        2. location
          1. location of measurement
          2. right arm
          3. left arm
          4. right thigh
          5. left thigh
          6. right wrist
          7. left wrist
          8. right ankle
          9. left ankle
          10. finger
          11. toe
          12. intraarterial
          13. specific location
        3. method
          1. auscultation
          2. palpatation
          3. machine
          4. invasive
        4. mean arterial pressure formula
        5. diastolic endpoint
          1. phase IV
          2. phase V
        6. device
    2. Body mass index
      1. quantity (body mass index)
      2. protocol
        1. method
          1. direct entry
          2. automatic calculation
        2. formula
    3. body weight
      1. weight
      2. comment
      3. state of dress
        1. lightly clothed / underwear
        2. naked
        3. fully clothed including shoes
        4. diaper / nappy
      4. confounding factors
    4. height/length
      1. height/length
      2. comment
      3. position
        1. lying down
        2. standing
    5. body temperature
      1. data (temperature)
      2. state
        1. body exposure
          1. naked
          2. reduced clothing / bedding
          3. appropriate clothing / bedding
          4. increased clothing / bedding
        2. environmental conditions
        3. exertion
        4. menstrual cycle
        5. description of thermal stress
      3. protocol
        1. site of measurement
          1. mouth
          2. ear canal
          3. axillia
          4. rectum
          5. nasopharynx
          6. urinary bladder
          7. intravascular
          8. skin
          9. vagina
          10. oesophagus
          11. inguinal skin crease
        2. device
    6. pulse
      1. data
        1. description
        2. rate
          1. rate
          2. description
          3. sinus rhythm
          4. tachycardia
          5. bradycardia
          6. mixed tachycardia and bradycardia
        3. rhythm
          1. regular
          2. irregular
          3. irregularly irregular
          4. bidgeminy
          5. tridgeminy
          6. occasional mixed beats
          7. frequent missed beats
          8. sinus rhythm
        4. volume
          1. large/full
          2. normal
          3. low/small
          4. half
          5. quarter
        5. character
          1. description
          2. characteristics
          3. bounding
          4. thready
          5. normal
          6. slow-rising
          7. water-hammer
          8. collapsing
          9. bisferiens
          10. paradoxical
        6. number of missed beats
        7. pulse deficit
          1. deficit
          2. sites
          3. ulnar artery
          4. brachial artery
          5. dorsalis pedis
          6. tibialis posterior
          7. radial artery
          8. apex of the heart
          9. carotid artery
          10. femoral artery
          11. popliteal
      2. protocol
        1. device
        2. location of measurement
    7. respirations
      1. data
        1. rate
        2. rhythm
          1. regular
          2. irregular
        3. depth
          1. normal
          2. shallow
          3. deep
          4. variable
        4. descriptiono
        5. abnormal respiratory pattern
      2. state
        1. ambient oxygen
        2. confounding factors
        3. exertion
  3. examination
    1. musculoskeletal exam
      1. Joint examination findings
        1. movement
          1. general movement
          2. description
          3. relative range of movement
          4. no movement
          5. severe restriction
          6. moderate restriction
          7. minor restriction
          8. full range of movement
          9. associated pain
          10. none
          11. mild
          12. moderate
          13. severe
          14. extreme
          15. specific movement
          16. type of movement
          17. active movement
          18. passive movement
          19. movement
          20. flexion
          21. inversion
          22. rotation
          23. opening
          24. closing
          25. extension
          26. abduction
          27. adduction
          28. internal rotation
          29. external rotation
          30. supination
          31. pronation
          32. eversion
          33. description
          34. arc of movement
          35. angle or plane measured in degrees
          36. relative range of movement
          37. no movement
          38. severe restriction
          39. moderate restriction
          40. minor restriction
          41. full range of movement
          42. associated pain
          43. none
          44. mild
          45. moderate
          46. severe
          47. extreme
          48. abnormal movement
          49. ligament testing
          50. name
          51. movement or stress
          52. finding
          53. normal
          54. lax
          55. subluxing
        2. palpatation
          1. Tenderness
          2. depth of palpatation
          3. superficial
          4. deep
          5. Degree
          6. absent
          7. mild
          8. moderate
          9. marked
          10. extreme
          11. Category
          12. superficial tenderness
          13. deep tenderness
          14. rebound tenderness
          15. tenderness
          16. rigidity
          17. Body Site
          18. Temperature
          19. cold
          20. cool
          21. normal
          22. warm
          23. hot
          24. Guarding
          25. Degree
          26. not present
          27. mild
          28. moderate
          29. gross
          30. Nature
          31. voluntary
          32. involuntary
          33. uncertain
          34. localized palpatation
          35. Body site
          36. Deformity
          37. Cough impulse
          38. true
          39. false
          40. surface/border
          41. site description
          42. consistency
          43. hard/rigid
          44. firm
          45. soft
          46. boggy
          47. indents
          48. features
          49. smooth
          50. craggy
          51. irregular
          52. nodular
          53. crepitus present
          54. true
          55. false
          56. locking of joint present
          57. true
          58. false
          59. effusion
          60. present
          61. true
          62. false
          63. description
          64. degree
          65. Absent
          66. mild
          67. moderate
          68. large
          69. comparison to the other side
          70. specific test
          71. name of test
          72. outcome of test
          73. comments
          74. (other exam details)
        3. inspection
          1. color description
          2. deformity
          3. location
          4. description
          5. shape or distribution
          6. description
          7. symmetrical
          8. true
          9. false
          10. contour
          11. overlying skin or surface
          12. surrounds
          13. edge
          14. description
          15. definition
          16. well defined
          17. moderately defined
          18. poorly defined
          19. translucent
          20. true
          21. false
          22. muscle wasting
          23. involved muscle group
          24. description
          25. other detail
          26. drawing
      2. examination of bone
        1. name of bone
        2. normal statement
        3. clinical description
        4. findings
          1. details
          2. abnormal findings
          3. location
          4. clinical description
          5. breach of bone integrity
          6. angulation present
          7. crepitus present
          8. image
      3. examination of joints bones and muscles of:
        1. head and neck
        2. spine, ribs and pelvis
        3. right upper extremity
        4. left upper extremity
        5. right lower extremity
        6. left lower extremity
    2. General physical exam
      1. eyes
        1. pupils
          1. normal statements
          2. findings
          3. side
          4. details
          5. size
          6. left
          7. right
          8. both eyes
          9. direct light reflex present
          10. consensual pupillary light reflex present
          11. shape
          12. pupillary accommodation reflex
          13. speed of pupillary response
          14. sluggish
          15. normal
          16. brisk
        2. fundoscopic examination of the eyes
          1. clinical description
          2. side
          3. details
          4. red reflex
          5. lens
          6. optic disc
          7. papilloedema
          8. macula
          9. retinal arteries
          10. retinal veins
          11. 'Cotton Wool' artefacts
          12. retinal background
          13. vitreous
          14. visualisation
          15. ease of visualisation
          16. fully visualised
          17. partially visualised
          18. not visualised
          19. comment
      2. ears, nose, mouth, and throat
        1. examination of nose
          1. normal statements
          2. examination normal
          3. clinical description
          4. findings
          5. inspection
          6. external
          7. clinical description
          8. detail
          9. nares
          10. nares patent?
          11. description
          12. nasal breathing?
          13. internal
          14. clinical description
          15. nasal septum
          16. description
          17. septal haematoma
          18. detail
          19. nasal mucosa
          20. description
          21. detail
          22. turbinates
          23. description
          24. detail
          25. discharge
          26. description
          27. details
          28. palpation
          29. clinical description
          30. details
        2. ear examination
          1. normal statements
          2. both ears normal
          3. left ear normal
          4. right ear normal
          5. clinical description
          6. lateral findings
          7. side
          8. left
          9. right
          10. physical
          11. external ear
          12. inspection
          13. normal statements
          14. external ear normal
          15. pinna normal
          16. external auditory canal normal
          17. clinical description
          18. findings
          19. color description
          20. location
          21. anatomical area
          22. pinna
          23. external auditory canal
          24. description
          25. shape or destribution
          26. description
          27. Hypoplasia
          28. atresia
          29. bat
          30. symmetrical
          31. contour
          32. overlying skin or surface
          33. surrounds
          34. edge
          35. description
          36. definition
          37. well defined
          38. moderately defined
          39. poorly defined
          40. translucent
          41. operative scars
          42. detail
          43. drawing
          44. palpatation
          45. normal statements
          46. normal
          47. probably normal
          48. no abnormality detected
          49. soft
          50. no tenderness
          51. no masses
          52. no foreign bodies
          53. no hernias
          54. clinical description
          55. findings
          56. part of the ear palpatated
          57. auricle
          58. mastoid
          59. external meatus
          60. other sites
          61. tenderness
          62. depth of palpation
          63. superficial
          64. deep
          65. degree
          66. absent
          67. mild
          68. moderate
          69. moderate
          70. marked
          71. extreme
          72. category
          73. superficial tenderness
          74. deep tenderness
          75. rebound tenderness
          76. tenderness
          77. rigidity
          78. other site
          79. temperature
          80. cold
          81. cool
          82. normal
          83. warm
          84. hot
          85. guarding
          86. degree
          87. not present
          88. mild
          89. moderate
          90. gross
          91. nature
          92. voluntary
          93. involuntary
          94. uncertain
          95. localized palpation
          96. cough impulse
          97. surface/border
          98. site description
          99. consistency
          100. hard/rigid
          101. firm
          102. soft
          103. boggy
          104. indents
          105. features
          106. smooth
          107. craggy
          108. irregular
          109. nodular
          110. detail
          111. auditory canal
          112. inspection
          113. normal statements
          114. ear canal normal
          115. no foreign body
          116. clinical description
          117. findings
          118. color description
          119. location
          120. shape or distribution
          121. description
          122. symmetrical
          123. contour
          124. overlying skin or surface
          125. surrounds
          126. edge
          127. description
          128. definition
          129. well defined
          130. moderately defined
          131. poorly defined
          132. translucent
          133. foreign body
          134. present
          135. name/identification
          136. description
          137. presence of wax
          138. discharge
          139. present
          140. detail
          141. detail
          142. tympanic membrane
          143. inspection
          144. findings
          145. color description
          146. location
          147. shape or distribution
          148. description
          149. symmetrical
          150. surface
          151. no evidence of inflammation
          152. evidence of inflammation
          153. surrounds
          154. edge
          155. description
          156. definition
          157. well defined
          158. moderately defined
          159. poorly defined
          160. translucent
          161. true
          162. false
          163. adequacy of view
          164. specific appearance
          165. clinical description
          166. light reflex present
          167. contour
          168. retraction
          169. air/fluid level visible
          170. scarring
          171. description of scarring
          172. evidence of atrophy
          173. evidence of typanosclerosis
          174. clinical description
          175. ventilation tube
          176. perforation
          177. detail
          178. normal statements
          179. tympanic membrane normal
          180. clinical description
          181. functional
          182. whisper test
          183. rinne test
          184. detail
          185. central findings
          186. functional
          187. weber test
        3. examination of the mouth
          1. normal statements
          2. clinical description
          3. findings
          4. detail
          5. lips
          6. clinical description
          7. details
          8. angle of mouth
          9. details
          10. clinical description
          11. hard palate
          12. clinical description
          13. soft palate
          14. flexible and mobile
          15. gag response
          16. description of swallowing
          17. clinical description
          18. uvula
          19. deviation
          20. none
          21. deviation to right
          22. deviation to left
          23. clinical description
          24. tonsillar fossa
          25. tonsils present
          26. relative size
          27. absent
          28. reduced in size
          29. expected size
          30. enlarged
          31. grossly enlarged
          32. clinical description
          33. pharynx
          34. clinical description
          35. tongue
          36. details
          37. clinical description
      3. neck
        1. general examination
        2. examination of thyroid
          1. normal statements
          2. clinical description
          3. findings
          4. inspection
          5. visible abnormality
          6. exam details
          7. palpation
          8. mobile on swallowing
          9. left lateral lobe
          10. right lateral lobe
          11. isthmus
          12. detail
      4. respiratory
        1. examination of the chest
          1. normal statements
          2. clinical description
          3. findings
          4. trachea
          5. midline
          6. deviated to the left
          7. deviated to the right
          8. apex beat
          9. visible
          10. palpatation
          11. palpable
          12. maximal location
          13. breathing
          14. description
          15. type
          16. diaphragmatic breathing
          17. thoracic breathing
          18. effort
          19. normal breathing effort
          20. mild increase in effort
          21. moderate increased effort
          22. major increased effort
          23. signs of increased effort
          24. sign
          25. intercostal recession
          26. sternal recession
          27. rib retraction
          28. suprasternal recession
          29. subcostal recession
          30. using accessory muscles
          31. paradoxical movement (flail chest)
      5. cardiovascular
        1. postural edema
          1. normal statements
          2. object
          3. clinical findings
          4. clinical description
          5. edema
          6. character
          7. description
          8. pitting
          9. extent
          10. degree
          11. comments
        2. ascultation of the chest
          1. normal statements
          2. clear
          3. normal second heart sound
          4. no bronchial breathing
          5. no amophoric breathing
          6. normal vocal resonance
          7. no abnormal added sounds
          8. no rhonchi
          9. no wheeze
          10. no crepitations
          11. no crackles
          12. two hear sounds, no bruits
          13. two heart sounds, no murmurs
          14. two normal heart sounds
          15. normal first heart sound
          16. no murmur
          17. no bruit
          18. normal bowel sounds
          19. no abnormality detected
          20. clinical description
          21. findings
          22. heart sounds and bruits
          23. first heart sound
          24. volume
          25. splitting
          26. no splitting
          27. physiological splitting
          28. fixed splitting
          29. paradoxical splitting
          30. exaggerated splitting
          31. clinical description
          32. second heart sound
          33. volume
          34. splitting
          35. exaggerated splitting
          36. no splitting
          37. physiological splitting
          38. fixed splitting
          39. paradoxical splitting
          40. clinical description
          41. Added heart sound
          42. specific sound
          43. opening snap
          44. ejection click
          45. pericardial rub
          46. third heart sound
          47. fourth heart sound
          48. prosthetic valve sound
          49. gallop rythm
          50. phase of heart cycle
          51. continuous
          52. systolic
          53. diastolic
          54. pan-systolic
          55. pan-diastolic
          56. early systolic
          57. mid-systolic
          58. late systolic
          59. early diastolic
          60. mid-diastolic
          61. late diastolic
          62. volume
          63. clinical description
          64. bruits
          65. maximal location
          66. radiation
          67. grading
          68. character
          69. pitch
          70. phase of heart cycle
          71. late diastolic
          72. continuous
          73. systolic
          74. diastolic
          75. pan-systolic
          76. pan-diastolic
          77. early systolic
          78. mid-systolic
          79. late systolic
          80. early diastolic
          81. mid-diastolic
          82. clinical description
          83. lung
          84. area
          85. region
          86. phase of respiratory cycle
          87. inspiratory
          88. expiratory
          89. early inspiratory
          90. late inspiratory
          91. early expiratory
          92. late expiratory
          93. findings
          94. clinical description
          95. Bowel sounds
          96. specific findings
          97. absent bowel sounds
          98. decreased bowel sounds
          99. increased bowel sounds
          100. tinkling bowel sounds
          101. clinical description
          102. Vessel bruit
          103. vessel name
          104. maximal location
          105. description
          106. other sounds
          107. description
          108. maximal location
          109. localised auscultation
          110. site or region
      6. chest (breasts)
      7. gastrointestinal
        1. abdominal exam
          1. normal statements
          2. clinical description
          3. findings
          4. abdominal wall
          5. description
          6. exam details
          7. abdominal region
          8. region
          9. left upper quadrant
          10. epigastrium
          11. right upper quadrant
          12. right loin
          13. central/peri-umbilical
          14. right iliac fossa
          15. left iliac fossa
          16. exam details
          17. description
          18. abdomen contents
          19. exam details
          20. organs
          21. liver
          22. exam details
          23. dimensions
          24. mass
          25. palpation
          26. percussion
          27. relative position
          28. size
          29. description
          30. spleen
          31. exam details
          32. size
          33. dimensions
          34. mass
          35. palpation
          36. percussion
          37. relative position
          38. description
          39. kidney
          40. exam details
          41. size
          42. dimensions
          43. mass
          44. palpation
          45. percussion
          46. relative position
          47. description
          48. bowel
          49. exam details
          50. size
          51. dimensions
          52. mass
          53. palpation
          54. percussion
          55. relative position
          56. description
          57. description
          58. detail
        2. rectal
      8. genitourna (male)
      9. Gentournary (female)
      10. lymphatic
        1. examination of lymph nodes
          1. normal statement
          2. lymph node group
          3. findings
          4. size
          5. individual nodes
          6. node name
          7. description
      11. musculoskeletal
      12. neurologic
        1. tendon babinski reflexes
          1. biceps
          2. left
          3. reflex not evident
          4. reflex possibly present - markedly reduce amplitude
          5. reflex present but reduced amplitude
          6. reflex normal
          7. reflex increased
          8. reflex markedly increased
          9. right
          10. reflex not evident
          11. reflex possibly present - markedly reduce amplitude
          12. reflex present but reduced amplitude
          13. reflex normal
          14. reflex increased
          15. reflex markedly increased
          16. triceps
          17. left
          18. reflex not evident
          19. reflex possibly present - markedly reduce amplitude
          20. reflex present but reduced amplitude
          21. reflex normal
          22. reflex increased
          23. reflex markedly increased
          24. right
          25. reflex not evident
          26. reflex possibly present - markedly reduce amplitude
          27. reflex present but reduced amplitude
          28. reflex normal
          29. reflex increased
          30. reflex markedly increased
          31. supinator
          32. left
          33. reflex not evident
          34. reflex possibly present - markedly reduce amplitude
          35. reflex present but reduced amplitude
          36. reflex normal
          37. reflex increased
          38. reflex markedly increased
          39. right
          40. reflex not evident
          41. reflex possibly present - markedly reduce amplitude
          42. reflex present but reduced amplitude
          43. reflex normal
          44. reflex increased
          45. reflex markedly increased
          46. knee
          47. left
          48. reflex not evident
          49. reflex possibly present - markedly reduce amplitude
          50. reflex present but reduced amplitude
          51. reflex normal
          52. reflex increased
          53. reflex markedly increased
          54. right
          55. reflex not evident
          56. reflex possibly present - markedly reduce amplitude
          57. reflex present but reduced amplitude
          58. reflex normal
          59. reflex increased
          60. reflex markedly increased
          61. ankle
          62. left
          63. reflex not evident
          64. reflex possibly present - markedly reduce amplitude
          65. reflex present but reduced amplitude
          66. reflex normal
          67. reflex increased
          68. reflex markedly increased
          69. right
          70. reflex not evident
          71. reflex possibly present - markedly reduce amplitude
          72. reflex present but reduced amplitude
          73. reflex normal
          74. reflex increased
          75. reflex markedly increased
          76. babinski response
          77. left
          78. reflex not evident
          79. reflex possibly present - markedly reduce amplitude
          80. reflex present but reduced amplitude
          81. reflex normal
          82. reflex increased
          83. reflex markedly increased
          84. right
          85. reflex not evident
          86. reflex possibly present - markedly reduce amplitude
          87. reflex present but reduced amplitude
          88. reflex normal
          89. reflex increased
          90. reflex markedly increased
        2. cranial nerve
          1. normal statements
          2. normal sense of smell
          3. first cranial nerve normal
          4. normal oculomotor movements
          5. full range of ocular movements
          6. normal cranial nerve examination
          7. cranial nerves - no abnormality detected
          8. second cranial nerve normal
          9. normal corneal reflex
          10. pupils equal and reactive to light and accomodation
          11. findings
          12. clinical description
          13. first cranial nerve
          14. odor tested
          15. result
          16. correctly identified
          17. incorrectly identified
          18. comment
          19. second cranial nerve
          20. fundoscopic examination
          21. right
          22. left
          23. visual field testing
          24. clinical description
          25. third, fourth and sixth cranial nerves
          26. fith cranial nerve
          27. abnormal corneal reflex
          28. sensory examination findings
          29. clinical description
          30. motor examination findings
          31. seventh cranial nerve
          32. normal statements
          33. eyebrow elevation
          34. forehead wrinkling
          35. frowning
          36. tightly closed eyes
          37. showing teeth
          38. whistling
          39. puff out cheeks
          40. smile
          41. abnormal findings
          42. abnormal statements
          43. smile
          44. eyebrow elevation
          45. forehead wrinkling
          46. frowning
          47. tightly closed eyes
          48. showing teeth
          49. whistling
          50. puff out cheeks
          51. level of lesion
          52. upper motor neuron
          53. lower motor neuron
          54. clinical description
          55. eighth cranial nerve
          56. hearing test results
          57. vestibular testing results
          58. clinical description
          59. ninth and tenth cranial nerves
          60. eleventh cranial nerve
          61. clinical description
          62. twelfth cranial nerve
          63. tongue inspection
      13. psychiatric
      14. Skin
        1. normal statements
        2. clinical description
        3. findings
          1. method
          2. direct visualisation
          3. wood's lamp
          4. dermatoscope
          5. color description
          6. location
          7. shape or distribution
          8. description
          9. symmetrical
          10. contour
          11. surface
          12. thickness
          13. thickened
          14. normal
          15. thinned/atrophic
          16. surrounds
          17. pigmentation
          18. edge
          19. description
          20. definition
          21. well defined
          22. moderately defined
          23. poorly defined
          24. translucent
          25. detail
        4. inspection of scalp
          1. Skin findings
          2. method
          3. direct visualisation
          4. wood's lamp
          5. dermatoscope
          6. color description
          7. location
          8. shape or distribution
          9. description
          10. symmetrical
          11. contour
          12. surface
          13. thickness
          14. thickened
          15. normal
          16. thinned/atrophic
          17. surrounds
          18. pigmentation
          19. edge
          20. description
          21. definition
          22. well defined
          23. moderately defined
          24. poorly defined
          25. translucent
          26. detail
          27. normal statements
          28. clinical description
          29. hair
          30. clinical description
          31. color
          32. distribution of hair
          33. thickness of hair
      15. Neck, nodes
        1. examination of thyroid
          1. normal statements
          2. clinical description
          3. findings
          4. inspection
          5. visible abnormality
          6. exam details
          7. palpation
          8. mobile on swallowing
          9. left lateral lobe
          10. right lateral lobe
          11. isthmus
          12. detail
        2. general examination