Vital Signs: Temperature 98.3°F, blood pressure 140/90 mm Hg, heart rate 88 beats/min, respiratory rate 13 breaths/min
General Appearance: comfortable, awake, alert, answers appropriately
HEENT: Normal conjunctiva, no scleral icterus
Lymph: No cervical lymphadenopathy
Cardiovascular: Normal S1, S2; regular rhythm, no rubs/murmurs/gallops
Pulmonary: Clear to auscultation bilaterally; normal respiratory effort on RA
Abdominal: soft, non-tender, non-distended, no hepatosplenomegaly
Extremities: warm, no pitting edema in the lower extremities
Skin: Warm, dry, no rash
Genitourinary: no Foley catheter
Click here to move on!
Case 43 Index
Case 43 Introduction