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GeneralPhysical Examination
Patient appears well-developed, well-nourished, and in no acute distress
Meaning
A general observation indicating that the patient shows no immediate signs of illness or discomfort and appears to be in a healthy nutritional and developmental state.
Clinical Context
Used as a general introductory statement in the physical examination portion of a medical note to describe the patient's overall apparent health status.
Example Usage
"General: Well-developed, well-nourished, and in no acute distress. Head: Normocephalic, atraumatic. Eyes: PERRLA. "
Usage Context
Initial assessment of the patient's overall appearance.
Related Phrases
No apparent distressAlert and orientedWell-appearing
People also ask
Frequently Asked Questions
Common questions about using medical phrases in clinical documentation
When documenting "Patient appears well-developed, well-nourished, and in no acute distress" in your clinical notes, ensure it's placed in the appropriate section (Physical Examination) and provides clear, accurate information about the patient's condition. Always follow your institution's documentation guidelines and ensure the phrase accurately reflects the patient's clinical status.
This phrase is clinically significant because used as a general introductory statement in the physical examination portion of a medical note to describe the patient's overall apparent health status. It helps healthcare providers understand the patient's condition and make informed decisions about diagnosis and treatment planning.
While this phrase is commonly used in General, similar documentation may be applicable across multiple specialties when the clinical context is appropriate. Always ensure the phrase accurately describes the patient's condition regardless of the specialty context.