Vital Signs: Temperature 98.4°F, Blood Pressure 130/89 mmHg, Heart Rate 91 beats/min, Respiratory Rate 12 breaths/min
General Appearance: In no acute distress
HEENT: Normal conjunctiva, no scleral icterus, moist mucous membranes, clear oropharynx
Lymph: No lymphadenopathy
Cardiovascular: No JVD, Regular rate and rhythm, no murmur, rub, or gallop
Pulmonary: Clear to auscultation bilaterally
Abdominal: Soft, obese, nontender, nondistended, normoactive bowel sounds, no hepatosplenomegaly
Extremities: 3+ pitting edema of bilateral lower extremities, warm and well perfused
Neurologic: Alert, oriented to person, place, and time, no focal deficits
Psychiatric: Calm, pleasant
Skin: Warm, dry, no rashes
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Case 5 Index
Case 5 Introduction