Case 40: Physical Exam

Case 40 Index

Vital Signs: Temperature 98.8°F, Blood Pressure 135/81 mmHg, Heart Rate 80 beats/min, Respiratory Rate 14 breaths/min
General Appearance: In no acute distress
HEENT: Normal conjunctiva, no scleral icterus, clear oropharynx
Lymph: No lymphadenopathy
Cardiovascular: No JVD, regular rhythm, no rubs/murmurs/gallopsstethoscope
Pulmonary: Breath sounds normal bilaterally, no rales/rhonchi/wheezes
Abdominal: soft, non-tender, non-distended, healed right lower quadrant abdominal scar with no tenderness with graft palpation
Extremities: warm and well perfused, no peripheral edema of extremities
Neurologic: Alert, awake, answers appropriately
Psychiatric: Calm, pleasant
Skin: Warm, dry, no rash

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Case 40 Index
Case 40 Introduction