Head: The head is symmetrical and atraumatic. Eyes: The sclera is white but the conjunctiva is injected and has excessive tearing. Red reflex noted bilaterally; PERRLA.

Ears: Tympanic membranes are shiny and patent bilaterally. Nose and Sinuses: Pale-blue nasal mucosa; Thin, watery nasal secretions noted; the nasal septum is well-aligned. Frontal and maxillary sinuses are non-tender.  Mouth: Pink and moist mucosal membranes; the tongue is pink, non-inflamed, and midline. One tooth is missing and two tooth cavities noted. Throat: The Tonsillar gland is patent and non-erythematous.


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