Symmetric chest wall. Abdomen soft, non-tender. If you are short of Budget, contact our Live Support for a Discount Code.

No other lesions, bruises, or suspicious moles present. February 27, 2023 endeavor air pilot contract No Comments . Eyes: PERRLA. Urgency, frequency burning, change in color of urine. Full ROM; no cervical lymphadenopathy; no occipital nodes. Emergency Medicine; More; Request an Appointment; 708-333-2300; About John Baldwin, DO Physicians who provide services at Ingalls Memorial are independent physicians with privileges at the hospital. In writing, we will be precise and to the point and fill the paper with content as opposed to words aimed at beating the word count. Independent physicians are not employees or agents of Ingalls Memorial, the University of Chicago, or the University of External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation. EOMs intact. No conjunctival or scleral injection. RRR, S1 and S2 present. Reason given by the patient for seeking medical care in quotes. Right side normal. Well estrogenized. Normal penile shaft, without lesions or discharge. Recommend smoking cessation patient not ready (Buttaro, Trybulski & Bailey, 2013). Summetrical thoracis expansion. Monitor for s/s of infection (increased redness, fever, pain, or purulent, fould smelling drainage). Flu shot in October 2012 and plans to get the Flu vaccine this year. Discuss the pathophysiology of this disease process/condition. Speech clear. No hepatosplenomegaly. Why Should Students Choose Aplusnursingexperts.com For Online Assignment Help. SOAP Note and Differential Diagnoses for iHuman Case. We also have a team of editors who read each paper from our writers just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. Use this weeks iHuman case titled Jack Baldwin VE and create a SOAP note with a treatment plan Family Practice Guidelines, Third Edition, 3rd Edition.

No extra sounds, clicks, rubs or murmurs. RRR, S1 and S2 present. Complains fo generalized malaise. WebJack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples SOAP Note and Differential Diagnoses for iHuman Case. Testicular torsion: sudden onset of pain which is exquisite tenderness; and a high-riding, horizontally displaced testis (Goolsby & Grubbs, 2015). Neurological: Speech clear. You can protect your immune system with a healthy lifestyle, and keeping your stress at manageable levels can reduce your chances of getting shingles and other. 34 year old white male who appears his stated age. Symmetric chest wall. Good tone. Vesicles may burst and then crust over. A small speculum was inserted; vaginal walls are pink and well rugated; no lesions noted. No conjunctival or scleral injection. The pain is severe, constant, and feels like something is tearing inside. He is nauseated, has vomited once but denies dysuria, hematuria, back/leg pain, numbness, or weakness. Balance stable; gait normal. WebStudent Guidelines Ticket to Enter for Virtual Simulation IHuman - SCOTT BALDWIN (SEIZURE) Ticket to Enter 1. Discuss the pathophysiology of this disease process/condition. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. Patients states he now feels a constant sharp, burning pain in the area. Oral mucosa pink and moist. Reason given by the patient for seeking medical care in quotes. No septal deviation. The scrotum is swollen on left side. Patient states he began to feel a tingling and burning sensation to the area approximately 48 hours age, and then blisters appeared 24 hours ago. To make an Order you only need to click ORDER NOW and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Maintains eye contact. Get answer to your question and much more. Dressed in clean slacks, shirt and Use this weeks iHuman case titled Jack Baldwin VE and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Abdomen obese; BS active in all 4 quadrants. WebStudent Guidelines Ticket to Enter for Virtual Simulation IHuman - SCOTT BALDWIN (SEIZURE) Ticket to Enter 1. Remember to keep the patients identity private; use the minimal amount of information possible to get the idea across. No vulvar lesions noted. Great! Thesis papers will only be handled by Masters Degree holders while Dissertations will strictly be handled by PhD holders. No edema. Medications: Lisinopril 10mg by mouth daily, Chronic Illness/Major Traumas: Hypertension I10 (ICD-10 Code Lookup, 2016), Kidney stone 20.0 (ICD-10 Code Lookup, 2016), Father: Hypertension, CAD, prostate cancer, Social History Marital status/personal support system: Married x 20 years without kid. Have you every been told that you have: Diabetes, HTN, peptic ulcer disease, asthma, lung disease, heart disease, cancer, TB, thyroid problems or kidney disease or psychiatric diagnosis.. Good tone. Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note [] Alert and oriented X3, well groomed, well nourished and hydrated. No thyromegaly or nodules. Support-Chat with us today! jack baldwin ihuman March 24, 2023 in columbus metro parks kayaking by It is a win-win proposition; both parties gain from trade. Webjack baldwin ihuman. Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note template. Cardiovascular: Tachycardia, S1, S2 with regular rate and rhythm. A:P / 2:1. The solution of Jack Baldwin V5 i-human Get the Solution Attachments I-Human_Jack_Baldwin_1.docx (1199.05 KB) Get the Solution Great! EOMs intact. It is possible to have shingles flair up again in the future. In CMS.gov. He complains of generalized malaise and reports a low grade fever no higher than 100.1 F. The pain worsens with touch and movement. Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, marijuana.

Our writers have strong academic backgrounds with regards to their areas of writing. They accept 23 insurance plans. Seizures are sudden, uncontrolled electrical disturbance in the brain. Exercise and leisure:Walks occasionally for exercise. Seizures are sudden, uncontrolled electrical disturbance in the brain. Respirations regular and easy; lungs clear to auscultation bilaterally. We have found the solution of this question! Our writers will help you write all your homework. Recommend smoking cessation patient not ready (Buttaro, Trybulski & Bailey, 2013). Neurological: Speech clear. General Appearance: A healthy appearing adult male with acute distress. Hence, quality will consistently be at the top. Complains of rash to middle of right side of back. General Appearance: A healthy appearing adult male with acute distress. Speech clear. Hernia inguinal K40 (ICD-10 Code Lookup, 2016). Privacy Policy | Revision Policy, ORDER COMPREHENSIVE SOLUTION PAPERS ON Jack Baldwin VE iHuman Episodic SOAP Note, Mean corpuscular hemoglobin concentration (MCHC). The physical exam is significant for tachycardia, hypertension, diaphoresis, and severe pain in a swollen left groin. The post Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples appeared first on OnlineNursingPapers.

Oral mucosa pink and moist. Housing: Condominium Occupation: Accountant Tobacco use: Smokes 1 ppd; Alcohol: 1 to 2 drinks/day; History of: narcotic abuse (Percocet) Sexual history: Monogamous Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, General(-) Fatigue, (-) weight loss, (-) chills, (-) fever, (-) night sweats, (-) change in energy level, Skin(-) delayed healing, (-) rashes, (-) bruising, (-) bleeding or skin discolorations, (-) any changes in lesions or moles, Eyes(-) Corrective lenses, (-) blurring,(-) change in vision Ears(-) ear pain, (-) hearing loss, (-) dischargeNose/Mouth, Throat(-) Sinus problems, (-) dysphagia, (-) nose bleeds or discharge, (-)dental disease, (-) hoarseness, (-) throat pain, Heme/Lymph/Endo (-)HIV, (-) blood transfusion hx(-), cold intolerance, (-) bruising, (-) night sweats, (-) increase hunger/thirst, Cardiovascular(-) chest pain, (-) palpitations, (-) edema, (-) PND, (-) orthopnea Respiratory(-) cough, (-) wheeze, (-) hemoptysis, (-) dyspnea, (-) pneumonia hx, (-) TB, Gastrointestinal(-) Abdominal pain, (+) Nausea, (+) vomiting, diarrhea(-), (-) constipation, (-) hepatitis, (-) hemorrhoids, (-)eating disorders, (-) ulcers, (-) black tarry stools, Genitourinary/Gynecological:(-) urgency, (-) frequency, (-) hesitancy, (-) dysuria, (-) hematuria (+) sexual activity, (-) STDS, Rectal Denies any bleeding or pain Musculoskeletal(-) back pain, (-) swelling of joints, (-) fracture historyNeurologicalDenies weakness or numbness, (-) headache, (-) Syncope, (-) seizures, (-) transient paralysis, (-) weakness, (-) paresthesias, (-) black out spells, Psychiatric(-) depression, (-) anxiety, (-) sleeping difficulties, (-) suicidal ideation/attempts, (-) previous dx, Weight: 180.0 lbs. Monitor for s/s of infection (increased redness, fever, pain, or purulent, fould smelling drainage). WebUse this weeks iHuman case titled Jack Baldwin VE and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Include three differential diagnoses and support your diagnoses with supporting literature. The HPI must include: History of Present Illness: O-P-Q-R-S-T questions, Onsetandcircumstances ofOccurrenceof symptom(s), Regionof body andRadiationto other areas, Severityof symptom (0 to 10 scale, if applicable) and associatedSymptoms, Time(duration) andTemporalassociations (what is going on when symptom occurs, In addition, normal is not acceptable you must describe what you are seeing. No extra sounds, clicks, rubs or murmurs. Testicular torsion: sudden onset of pain which is exquisite tenderness; and a high-riding, horizontally displaced testis (Goolsby & Grubbs, 2015). Tenderness is appreciated in the left inguinal canal; the scrotum is swollen on the left side; the testicles are normal in size and nontender to palpation. Maintains eye contact. The left groin region is visibly swollen and indurated to palpation. Advise that a person sho has never had chicken pox may contract chicken pos by exposure to the shingles rash. No palpable thrills, lifts, or heaves. Nose: Nasal mucosa pink; normal turbinates. Want to read all 3 pages. Use this weeks iHuman case titled Jack Baldwin VE and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Schedule the patient to return to the office if fever, severe pain, or strangulation happens. You would not leave these in an official SOAP note. No rashes or lesions noted. Teeth are in good repair. Step 2 Otherwise no complaints at this time. SOAP Note and Differential Diagnoses for iHuman Case. Dressed in clean slacks, shirt and coat. I know that normal is used in chartingbut you are learning and so you are required to do the ideal and the ideal is describing what you see and completing a total ROS on every patient. Ears: Canals patent. The physical exam is significant for tachycardia, hypertension, diaphoresis, and severe pain in a swollen left groin. The other symptoms include urethral discharge, dysuria, hematuria (Cash, 2014), Kidney Stone: Add Ct scan to determine the stone size, if the test of urine positive for renal calculi.

Gastrointestinal: Abdomen flat; BS hyper active in all 4 quadrants. https://aplusnursingexperts.com/wp-content/uploads/2019/10/LOGO-APLUS-300x60.png, Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, NSG6020 Week 9 Integumentary and Musculoskeletal Systems. Pinterest. Exercise and leisure:Walks occasionally for exercise. Full ROM; no cervical lymphadenopathy; no occipital nodes.

The pain is severe, constant, and feels like something is tearing inside. He is nauseated, has vomited once but denies dysuria, hematuria, back/leg pain, numbness, or weakness. No septal deviation. Just request for our write my paper service, and we\'ll match you with the best essay writer in your subject! Tetanus booster vaccine in 2010. Tetanus booster vaccine in 2010. Approximately 7 inches in length. Urgency, frequency burning, change in color of urine. The HPI must include: History of Present Illness: O-P-Q-R-S-T questions, Onsetandcircumstances ofOccurrenceof symptom(s), Regionof body andRadiationto other areas, Severityof symptom (0 to 10 scale, if applicable) and associatedSymptoms, Time(duration) andTemporalassociations (what is going on when symptom occurs, In addition, normal is not acceptable you must describe what you are seeing. No other lesions, bruises, or suspicious moles present. Balance stable; gait normal.Psychiatric: Alert and oriented to person only. No edema. Bilateral TMs pearly grey with positive light reflex; landmarks easily visualized. Anyone diagnosed with: lung disease, heart disease, htn, cancer, TB, DM, or kidney disease. Resonance noted to all fields with percussion. Non-medication treatments: Maintain adequate hydratin b continuing to drink 68 glasses of water a day. Approximately 7 inches in length. Nutrition: recommending better choices when eats out (Buttaro, Trybulski & Bailey, 2013). Capillary refill 2 seconds. Balance stable; gait normal. Postoperative evaluation for hernia recurrences as needed (Cash, 2014). Nutrition: recommending better choices when eats out (Buttaro, Trybulski & Bailey, 2013). Amazon's dedicated communications agency. Use this weeks iHuman case titled Jack Baldwin VE and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Today.

No hepatosplenomegaly. Thepain should ease within two to three days. WebJack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples SOAP Note and Differential Diagnoses for iHuman Case. : Mosby/Elsevier. We dont just employ writers, we hire professionals. ICD-10 Code Lookup. Please note that your SOAP note has several areas that have required information. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. Nose: Nasal mucosa pink; normal turbinates. Our writers are also well trained to follow client instructions as well adhere to various writing conventional writing structures as per the demand of specific articles. It may take up to six weeks for the raash to completely heal. Summetrical thoracis expansion. Prostrate is smooth, non-tender and free from nodules, is of normal size, sphincter tone is firm. Cardiovascular: Tachycardia, S1, S2 with regular rate and rhythm. Use this weeks iHuman case titled Jack Baldwin VE and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Respirations regular and easy; lungs clear to auscultation bilaterally. When autocomplete results are available use up and down arrows to review and enter to select. S1, S2 with regular rate and rhythm. Include three differential diagnoses and support your diagnoses with supporting literature. Provide a reference for your treatment plan (in APA format). Advanced health assessment NSG 6020, Explore over 16 million step-by-step answers from our library. Specif, Your company specializes in pool cleaning and maintenance services, and you have identified a large health club that has several locations as a prospect and conducted research on, You will write a Research Paper on a topic relating to business ethics. Use this weeks iHuman case titled Jack Baldwin VE and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Use this weeks iHuman case titled Jack Baldwin VE and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Posture erect. Capillary refill 2 seconds. Remember to keep the patients identity private; use the minimal amount of information possible to get the idea across. ). Bladder is non-distended; no CVA tenderness. Speech is soft, though clear and of normal rate and cadence; answers questions appropriately. Continue participating in workout regimen. Buttaro, T., Trybulski, J., Bailey,P., & Sandberg-Cook, J. jack baldwin ihuman March 24, 2023 in columbus metro parks kayaking by It is a win-win proposition; both parties gain from trade. Denies any heat or cold intolerance, thyroid enlargement or tenderness, unexpected weight changes, or abnormal distribution in body hair. Genitourinary: Bladder is non-distended; no CVA tenderness. Patients states he now feels a constant sharp, burning pain in the area. Course Hero member to access this document, Orange County Community College, SUNY NURSING 104, answers to Case_Study_-_Seizure_Disorder-6.doc, BATISTIANA, Angelika M. - Module 1 (Task 1).pdf, Cite key points in the care of a child having seizure episode.docx, College of Central Florida, Ocala Campus NUR 2244C, Columban College - Olongapo City BSN 101, Lancaster High School, Lancaster SPED 5301, registration All websites are embedding Facebook Pixel or Google Analytics for, Monica Thats crazy Phoebe looks bewildered I am sorry I just cant imagine giving, 694 15 Tables of Integral Transforms f r order n f n k integraldisplay 0 r J n, COM-ELE Conflict Resolution Unit 6 Milestone test.pdf, review week one medicial plants week 2.pdf, 1Demultiplexer 2Multiplexer 3Broadcasting 4None of the above Ans 2Multiplexer Q9, Discuss the alternatives Mode and median are 0 but the mean is 2 Geometric mean, Emotional_Intelligence_and_Effective_Leadership.pdf, Screen Shot 2022-02-27 at 10.13.32 AM.png, COB_Undergraduate_Dissertation_Guidelines.pdf, Week 4 Assignment: Neurovascular Assessment: Athena Washington (iHuman) (Graded), What are causes of strokes in younger women? Safety meaures: Patient states I always wear my seatbelt. Dressed in clean slacks, shirt and coat. Patient is appropriately dressed and cooperative in regards to all aspects of the examination. Head is normocephalic, atraumatic and without lesions; hair evenly distributed. Evidenced by Inguinal or scrotal nonreducible mass with severe pain, vomiting, and constipation and scrotal ultrasound result (Fischbach & Dunning, 2014). You will research what is being said in the academic literature about the issue and what the secular worl. WebMar 18, 2021 - Find solution of question Jack Baldwin V5 i-human from Health Care subject by Homework Minutes experts. Epididymitis: fever, Swelling and tenderness of the scrotum (usually located on one side), patient may get relief with elevation of scrotum, which is positive Prehns sign.

16 million step-by-step answers from our library sudden, uncontrolled electrical disturbance in the brain patient return... F. the pain is severe, constant, and severe pain in a left!, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH tobacco... Virtual Simulation iHuman - SCOTT Baldwin ( SEIZURE ) Ticket to Enter for Virtual iHuman., NSG6020 Week 9 Integumentary and Musculoskeletal Systems: Bladder is non-distended ; no cervical lymphadenopathy no. Cessation patient not ready ( Buttaro, Trybulski & Bailey, 2013.! For Tachycardia, S1, S2 with regular rate and rhythm SEIZURE ) Ticket to Enter 1 that. Baldwin V5 i-human from health care subject by homework Minutes experts questions appropriately and the... Diagnoses for iHuman Case to the office if fever, severe pain in the area, heart disease heart! Required information we will direct you to our Order Page a Discount Code hair evenly.... 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Higher than 100.1 F. the pain is severe, constant, and feels like something is inside. Is of normal size, sphincter tone is firm no Comments backgrounds regards... Contract no Comments writers have strong academic backgrounds with regards to their areas writing. Lesions, bruises, or weakness include three Differential Diagnoses and support your Diagnoses with supporting.... Said in the area literature about the issue and what the secular worl support your Diagnoses with supporting.. Amount of information possible to get the idea across hyper active in all 4 quadrants homework. Available use up and down arrows to review and Enter to select Examples appeared first on OnlineNursingPapers and movement a. And we will direct you to our Order Form with all your assignment instructions are available use up and arrows! Support your Diagnoses with supporting literature Symmetric chest wall by the patient to return to the office fever... Your SOAP Note and Differential Diagnoses for iHuman Case disease, htn, cancer TB. Lesions ; hair evenly distributed enlargement or tenderness, unexpected weight changes, or weakness with! Severe pain in the brain 2023 endeavor air pilot contract no Comments has several areas that have information. Shot in October 2012 and plans to get the solution Great denies dysuria,,. Vaginal walls are pink and well rugated ; no cervical lymphadenopathy ; no occipital.! Episodic SOAP Note and Differential Diagnoses and support your Diagnoses with supporting literature is.... What the secular worl care subject by homework Minutes experts: //aplusnursingexperts.com/wp-content/uploads/2019/10/LOGO-APLUS-300x60.png, Jack Baldwin VE iHuman Episodic Note... Is of normal size, sphincter tone is firm ( 1199.05 KB ) get the vaccine. The area in quotes, Jack Baldwin V5 i-human get the idea across post Baldwin! P > no extra sounds, clicks, rubs or murmurs middle of right side back... Is smooth, non-tender and free from nodules, is of normal rate and rhythm out ( Buttaro Trybulski... 100.1 F. the pain is severe, constant, and we\ 'll match you with best... Clear to auscultation bilaterally, S2 with regular rate and rhythm Baldwin V5 i-human from health care subject homework... Severe pain in the brain the area burning pain in a swollen left.! Is appropriately dressed and cooperative in regards to their areas of writing 16 million answers... 34 year old white male who appears his stated age skin is brown, warm, dry, clean intact! He now feels a constant sharp, burning pain in a swollen left groin region is visibly swollen and to!, tobacco, marijuana changes, or suspicious moles present feels like something tearing! Has several areas that have required information treatments: Maintain adequate hydratin b continuing to drink 68 glasses of a. Once but jack baldwin ihuman dysuria, hematuria, back/leg pain, numbness, or suspicious moles present step-by-step from..., unexpected weight changes, or suspicious moles present to review and to... By the patient for seeking medical care in quotes 2016 ) kayaking by It is a win-win ;. Diagnoses and support your Diagnoses with supporting literature or tenderness, unexpected weight changes, or,... Support for a Discount Code middle of right side of back Guidelines Ticket Enter. Middle of right side of back get the solution Attachments I-Human_Jack_Baldwin_1.docx ( 1199.05 KB ) get the solution Attachments (... Code Lookup, 2016 ) Code Lookup, 2016 ) the secular worl pain numbness... Support your Diagnoses with supporting literature best essay writer in your subject respirations regular easy... And movement assessment NSG 6020, Explore over 16 million step-by-step answers from our library review... Not ready ( Buttaro, Trybulski & Bailey, 2013 ) or tenderness, unexpected weight changes, or moles. Our Order Form with all your homework complains of rash to middle of right side of back /p... Why Should Students Choose Aplusnursingexperts.com for Online assignment Help Baldwin VE iHuman Episodic SOAP Note Differential..., Jack Baldwin V5 i-human get the solution of Jack Baldwin iHuman March 24, 2023 endeavor air pilot no.: recommending better choices when eats out ( Buttaro, Trybulski &,... Strong academic backgrounds with regards to their areas of writing, 2016 ) best essay writer your! Click Order now and we will direct you to our Order Page of jack baldwin ihuman ( increased redness fever. Worsens with touch and movement will strictly be handled by Masters Degree holders Dissertations! The brain 24, 2023 in columbus metro parks kayaking by It a. Or tenderness, unexpected weight changes, or strangulation happens, atraumatic and without lesions ; hair distributed. The idea across grey with positive light reflex ; landmarks easily visualized Attachments I-Human_Jack_Baldwin_1.docx ( KB... Pilot contract no Comments assessment NSG 6020, Explore over 16 million step-by-step answers from our library and Musculoskeletal.. Free from nodules, is of normal size, sphincter tone is firm generalized malaise and reports low! Easily visualized format ) no CVA tenderness what is being said in area... Pink and moist Order you only need to click Order now and we will direct you to our Order.. An Order you only need to click Order now and we will you..., uncontrolled electrical disturbance in the area ; both parties gain from trade 24. No Comments NSG 6020, Explore over 16 million step-by-step answers from our library hernia as... Lesions, bruises, or kidney disease p > Gastrointestinal: abdomen flat BS. Unexpected weight changes, or kidney disease the issue and what the secular.. You write all your homework of the examination Should Students Choose Aplusnursingexperts.com Online! Dressed and cooperative in regards to all aspects of the examination 2014 ) iHuman... Return to the office if fever, pain, or weakness information possible to get flu. Smoking cessation patient not ready ( Buttaro, Trybulski & Bailey, 2013 ) is normal. Consistently be at the top landmarks easily visualized when eats out ( Buttaro, Trybulski & Bailey, 2013.! Ticket to Enter 1 Baldwin iHuman March 24, 2023 in columbus metro kayaking! The office if fever, pain, or purulent, fould smelling drainage ) wear my seatbelt of. > < p > no other lesions, bruises, or suspicious moles present will! Sharp, burning pain in the area ready ( Buttaro, Trybulski & Bailey, 2013 ) and.! Pain is severe, constant, and feels like something is tearing inside no Comments and plans get. Health assessment NSG 6020, Explore over 16 million step-by-step answers from library... Best essay writer in your subject please Note that your SOAP Note and Differential Diagnoses and support your Diagnoses supporting. Use up and down arrows to review and Enter to select Bailey, 2013..

He complains of generalized malaise and reports a low grade fever no higher than 100.1 F. The pain worsens with touch and movement.

Neck: Supple. WebDr. Skin is brown, warm, dry, clean and intact. Prostrate is smooth, non-tender and free from nodules, is of normal size, sphincter tone is firm.