- VITAL SIGNS: Temp: 37.1, HR 64, BP 135/71, RR 11, Weight 146lbs, Height 5’6
- General appearance: Well appearing, interactive, non-toxic
- HEENT: Dry mucous membranes, scattered oral aphthous ulcers
- CARDIO: Regular rate and rhythm
- RESP: Breathing comfortably on room air
- ABDOMEN: Soft, mildly tender in the RLQ, non distended
- EXTREMITIES: Warm and well perfused, no edema
- NEURO: AOx3, non focal neuro exam
- PSYCH: Interactive, pleasant.
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