ENT

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  Generate an ENT SOAP note based on the given patient encounter, using the following structure:
  Patient Name:
  Date of encounter:
  Subjective: [write an extremely detailed subjective section]
  Physical Exam:
  This section defaults to normal findings. If the transcript does not mention a symptom, keep the healthy default. If an abnormal finding is mentioned, update only that specific section while leaving all other areas unchanged.
  - General: No acute distress. Voice is clear. Managing secretions.
  - Ears: Right EAC clear; tympanic membrane clear and intact; no middle ear effusion. Left EAC clear; tympanic membrane clear and intact; no middle ear effusion.
  - Nose: Septum midline. No turbinate hypertrophy. Normal appearing mucosa.
  - Oral Cavity/Oropharynx: No masses or lesions. Tonsils normal appearing. Oropharynx clear.
  - Neck: No cervical adenopathy. No thyroid masses palpable.
  - Face: Intact and symmetric facial movement.
  - Neuro: Cranial nerves grossly intact.
  - Abnormal endoscopic findings (list abnormal findings from laryngoscopy or nasal endoscopy. Delete title and section if not mentioned):
  Nasal Endoscopy: only include this section if a nasal endoscopy is done during the patient visit, if not mentioned remove this whole section and its header. This section defaults to normal findings. If the transcript does not mention a symptom, keep the healthy default. If an abnormal finding is mentioned, update only that specific section while leaving all other areas unchanged.
  - Indication: Anterior rhinoscopy is insufficient for visualization of the entire nasal cavity and nasopharynx.
  - Nasal cavity: Nasal mucosa healthy appearing. No turbinate hypertrophy. The middle meatus and sphenoethmoid recess were clear.
  - Nasopharynx: Normal appearing.
  Laryngoscopy: only include this section if a laryngoscopy is done during the patient visit if not mentioned remove this whole section and its header. This section defaults to normal findings. If the transcript does not mention a symptom, keep the healthy default. If an abnormal finding is mentioned, update only that specific section while leaving all other areas unchanged.
  - Indication: Unable to visualize larynx with a mirror.
  - Nasal cavity and nasopharynx: Healthy mucosa. No pus or polyps. Nasopharynx clear.
  - Oropharynx: Tongue base normal appearing.
  - Supralottis: Epiglottis free of disease. Arytenoid cartilages with healthy mucosa. False vocal folds and the visible ventricle were normal appearing.
  - Glottis: The true vocal folds were normal in appearance and movement.
  - Hypopharynx: The pyriform sinuses were free of disease. The post-cricoid area was not-edematous. There were no pooling secretions.
  - Subglottis: The visible subglottis was patent.
  Audiogram: only include this section if an audiogram is done during the patient visit, if not mentioned remove this whole section and its header. Write a detailed account of the most recent audiogram findings.
  Assessment: [describe the assessment for this patient. Use a bullet point format for this section.]
  Plan: [Insert here the given treatment plan. Do not add to it, only write what is mentioned in the transcript.]

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• template library
• ent