PHYSICAL EXAMINATION

VITAL SIGNS:� Temperature 97.7, pulse 72, respirations 28, and blood pressure 120/70.

GENERAL:� Obese white male.

HEENT:� PERRL.� Normal fundi.� TMs normal.� Pharynx clear.� Neck without JVD.

CORONARY:� Regular rate and rhythm.

LUNGS:� Clear.� A few coarse bibasilar rales.

ABDOMEN:� Obese without masses.

BACK:� Back with left nephrostomy tube.

GENITAL:� Uncircumcised male.� Testicular edema that was noted last week in the office prior to Zaroxolyn therapy is now resolved.

EXTREMITIES:� 1+ edema extending all the way to the thighs and presacral area.� Is wearing TED hose.� Right leg is worse than left per usual.

 

PHYSICAL EXAM:� Blood pressure 130/75, height 5 feet 3-1/4 inches without shoes.� Weight 185 with clothes without shoes.� General:� Well-developed, mesomorphic, African-American female.� No spine deformity.� Hips:� Full range of motion without pain.� Knees:� Full range of motion with moderate right knee ache on extension against gravity.� Patellofemoral crepitus noted.� Right capsular thickening noted with no heat or palpable effusion.� No instability.� Peripheral Joints:� Unremarkable.� Skin:� No rashes, no subcutaneous nodules.

 

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PHYSICAL EXAM:� Inspection disclosed a well-developed, well-nourished male weighing 173.� Blood pressure 150/85, the pulse was 76 and regular.� Examination of the eyes, ears, nose, and throat were normal.� Thyroid not enlarged, carotids normal.� He has limitation of motion of the right shoulder from a previous rotator cuff tear.� Lungs:� Clear.� Heart:� Sinus rhythm, no murmurs.� Abdomen:� Soft, nontender.� Liver, spleen, and kidneys not palpable.� Genitalia:� Normal.� Rectal:� Prostate flat.� Extremities:� Satisfactory pulses without edema.� Neurologic:� Normal.

 

 

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PHYSICAL EXAMINATION:� Heart rate is 60 with premature contractions, blood pressure 130/65.� Head:� Normocephalic.� Eyes:� Pupils equal, round, and reactive to light and accommodation.� Extraocular movements full and equal.� Fundi normal.� Ears: Tympanic membranes normal. Throat:� Clear.� Neck:� Thyroidectomy scar, thyroid not felt, no bruits.� Chest:� Clear to percussion and auscultation.� Breasts:� No tenderness or masses. Cardiac exam:� PMI at fifth intercostal space in the midclavicular line.� Normal first and second heart sounds.� No murmur or third heart sound.� Abdominal examination:� No organomegaly, tenderness or masses.� Extremities:� No clubbing, cyanosis.� Trace edema present bilaterally.� The pulses are full.

 

 

PHYSICAL EXAMINATION:

VITAL SIGNS:� On admission, her blood pressure was 146/87, with a pulse of 105, afebrile,

temperature of 97.6, respiratory rate of 16-18, unlabored.

HEENT:� The patient was atraumatic and normocephalic.� Anicteric sclerae.� Pink conjunctivae.

�Facial symmetry preserved.� Oral mucosa moist with no exudates.� Ears within normal limits.

NECK:� Supple.� No bruits.� Nonpalpable thyroid.

LUNGS:� Clear to auscultation and percussion.

CARDIAC:� S1, S2 regular with no gallop.� PMI is in the fifth intercostal space in the left

midclavicular line.� The patient is obese with no CVA tenderness to the posterior chest wall

exam.

ABDOMEN:� Mild epigastric discomfort with no guarding or rebound, and no ascites.� Good inguinal pulses.

GENITOURINARY:� She had no evidence of discharges.

RECTAL:� Negative.

EXTREMITIES:� No pedal edema or erythema.� The patient had good peripheral pulses.

No rashes, no joint effusion.

NEUROLOGIC:� Unremarkable with cranial nerves intact II through XII.� Gait was stable,

and mild epigastric discomfort as mentioned but ambulatory.