Case 26: Physical Exam

Case 26 Index

Vital Signs: Temperature 102.1°F, Blood Pressure 92/55 mmHg, Heart Rate 105 beats/min, Respiratory Rate 18 breaths/min
General Appearance: Uncomfortable appearing
HEENT: Normal conjunctiva, no scleral icterus, clear oropharynx, dry mucous membranes
Lymph: No lymphadenopathy
Cardiovascular: Flat JVP, tachycardic, regular rhythm, no rubs/murmurs/gallopsstethoscope
Pulmonary: Tachypneic, rhonchi bilaterally, mildly labored breathing
Abdominal: soft, non-tender, non-distended
Extremities: no peripheral edema of extremities, warm
Neurologic: Alert, awake, answers appropriately
Psychiatric: Cooperative
Skin: Warm, dry, no rash

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