VITAL SIGNS
BP: 108/ 60, HR: 103, RR; 20, O2 sat 100%, weight: 70 kg (154lb) , Height: 6’1” , BMI: 20.3
EXAM
General Appearance: In no acute distress, cachectic with bitemporal wasting
HEENT: Normal conjunctiva, no scleral icterus, dry mucous membranes, clear oropharynx
Lymph: No lymphadenopathy
Cardiovascular: No JVD, regular rhythm, no rubs/murmurs/gallops
Respiratory: decreased breath sounds at the right lung base
Abdominal: soft non tender non distended, scaphoid abdomen, normal bowel sounds, no organomegaly
Extremities: warm and well perfused extremities, 1+ bilateral pitting edema to shins bilaterally, decreased calf muscle mass
Neurologic: Alert, Oriented x3, no focal deficits
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