Vital Signs: Temperature 99.1°F, Blood Pressure 155/90 mmHg, Heart Rate 85 beats/min, Respiratory Rate 16 breaths/min
General Appearance: In no acute distress
HEENT: Normal conjunctiva, no scleral icterus, clear oropharynx, moist mucous membranes
Lymph: No lymphadenopathy
Cardiovascular: regular rate and rhythm, no rubs/murmurs/gallops
Pulmonary: normal respiratory effort, clear lung fields bilaterally, no wheezes/rhonchi/rales
Abdominal: soft, non-distended, several well-healed abdominal scars
Extremities: trace edema of extremities, warm, no cyanosis
Neurologic: Alert, awake, answers appropriately
Psychiatric: Cooperative
Skin: Warm, dry, no rash
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Case 28 Index
Case 28 Introduction