Case 49: Physical Exam

Case 49 Index

Vital Signs: Temperature 98℉, Blood Pressure 132/72mmHg, Heart Rate 70 beats/min, Respiratory Rate 14 breaths/min
General Appearance: in no acute distress
HEENT: Normal conjunctiva, no scleral icterus, dry mucous membranes
Lymph: No cervical lymphadenopathy
Cardiovascular: No JVD, regular rhythm, no rubs/murmurs/gallopsstethoscope
Pulmonary: lungs clear to auscultation bilaterally
Abdominal: Soft, nondistended, hypoactive bowel sounds, tender diffusely without rebound or guarding, no hepatosplenomegaly
Extremities: no lower extremity edema, warm, well-perfused
Skin: no rash, warm, and dry
Neuro: slow to answer questions but responds appropriately, no focal deficits

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Case 49 Index
Case 49 Introduction