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.