Vital Signs: Temperature 96.5°F, Blood Pressure 140/91 mmHg, Heart Rate 62 beats/min, Respiratory Rate 16 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/gallops
Pulmonary: Breath sounds normal bilaterally, no rales/rhonchi/wheezes
Abdominal: soft, non-tender, non-distended, no hepatosplenomegaly
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 41 Index
Case 41 Introduction