Vital Signs: Temperature 98.5°F, Blood Pressure 155/80 mmHg, Heart Rate 90 beats/min, Respiratory Rate 14 breaths/min
General Appearance: In no acute distress
HEENT: Normal conjunctiva, no scleral icterus, moist mucous membranes, clear oropharynx
Lymph: No cervical lymphadenopathy
Cardiovascular: Regular rhythm, no murmur, rub, or gallop
Pulmonary: Clear breath sounds bilaterally, no wheezes, rhonchi, or rales
Abdominal: Soft, non-distended, non-tender
Extremities: Trace peripheral edema in extremities, extremities warm with intact pulses, no cyanosis, skin findings as below
Neurologic: Awake, alert, oriented x3, no focal neurologic deficits, able to move all extremities but lower extremity exam somewhat limited by pain
Access: Left arm AV fistula without bruit or thrill; Right arm AV graft with thrill and bruit
Skin: Normal appearing upper extremities, lower extremity shown below (both lower extremities appear similar)
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Case 33 Index
Case 33 Introduction