General: The patient is awake, alert, and oriented times three.  The patient appears to be in no acute distress.

Head: Normocephalic, atraumatic, hair and scalp normal

Face: Symmetric, sinuses non-tender to palpation

Eyes: Pupils are round and reactive to light bilaterally.  Extraocular muscles are intact.  No nystagmus is appreciated.  No chemosis. The sclera  are clear without injection. 

Ears: Inspection of the auricles is unremarkable bilaterally. Tympanic membrane is round and intact without effusion, well-aerated, with good light reflex bilaterally. Canals are clear. Mastoid area is non-tender, non-erythematous, and nonfluctuant bilaterally.

Nose: The nares are patent.  Nasal mucosa is pink.  Nasal cavities are clear bilaterally without masses or discharge.  No polyps, no septal deviation, no mucopurulence.

Neck: Supple. Trachea is midline.  No palpable cervical lymphadenopathy.  No palpable masses bilaterally.  Normal carotid pulses bilaterally.  Full extension and range of motion of the patient's neck.  Thyroid non-tender without nodules.

Oral Cavity: Normal healthy dentition.  Tongue is midline and mobile.  Oral mucosa/buccal mucosa is pink and moist.  ___+ tonsils are nonerythematous without exudates.  Uvula is midline.  No asymmetry to the natural arch of the palate.  Floor of mouth shows no mass upon palpation.  Tongue is without mass as well.

Neuro: Cranial nerves II through XII are grossly intact. Voice is strong.

Pulmonary: Patient has non-labored breathing.  No stridor is audible.