How to write physical examination part on the Patient Note?

Pt. is not in acute distress/ pt is in acute distress.
VS: WNL

HEENT:
Head: NC/AT
Eyes : EOM intact, PERRLA, vision WNL , Fundoscopy WNL
Ears: TM & canal- clear
Nose: not congested, WNL
Throat : no erythema, no vesicles, no exudates, no other abnormality seen. Tonsils normal
Neck: no swellings, thyroid normal.

CNS:
A&O x 3 , memory & concentration good, CN ll-Xll intact
motor strength 5/5 UE & LE B/L; Sensations intact to dull & sharp
DTR+ 2 symmetric
Gait WNL, Romberg negative, finger-nose normal
- kernig & / or brudzinski

RS:
- cynosis, clubbing, - rales, rhonchi, respirations normal,
- tenderness , TVF WNL, tympanic/dull on percussion

CVS:
+ S1S2, RRR, - m,r,g, -JVD sitting @ 45
PMI nondisplaced, Pulses 2+ B/L
- pedal oedema

Abd:
- scars or skinabnormalities, NT ND,Tympanic to percussion 4Q, - hsm, +BS in 4Q,
- rebound, - murphy's, posas,obturator

Lumbosacral- Back:
- scars or skinabnormalities, NT , ROM WNL,motor strength 5/5 UE & LE B/L; Sensations intact to dull & sharp,DTR+ 2 symmetric, Gait WNL,
Pulses 2+ DP.

Abbreviations are allowed and they are helpful to save time writng PN and rough note. so it is better to practice with the abbreviations commonly used in the USA hospitals.