VITAL SIGNS: BP: 98/ 60, HR: 84, RR; 20, O2 sat 100%, weight: 90lbs , Height: 5’2 ” BMI 15.6
General Appearance: thin woman, in no acute distress, mild bitemporal wasting
HEENT: Normal conjunctiva, no scleral icterus, moist mucous membranes, clear oropharynx
Cardiovascular: No JVD, regular rhythm, no rubs/murmurs/gallops
Respiratory: decreased breath sounds with rales at the right lung base
Abdominal: soft scaphoid abdomen, well healed vertical midline scar, normal bowel sounds. No ascites, hernias or organomegaly appreciated
Extremities: warm and well perfused extremities, without edema
Neurologic: Alert and oriented X 3 without focal deficits
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