His vital signs and physical examination on admission are as below
VITAL SIGNS
BP: 108/ 60mm Hg, HR: 92, RR; 20, O2 sat 100%, weight: 82 kg (180.4 lbs) , Height: 5’9”, BMI: 26.6
PHYSICAL EXAM
General Appearance: In no acute distress
HEENT: Normal conjunctiva, no scleral icterus, dry mucous membranes
Lymph: cervical lymphadenopathy
Cardiovascular: No JVD, regular rhythm, no rubs/murmurs/gallops
Respiratory: decreased breath sounds at the right lung base
Abdominal: soft non distended, scaphoid abdomen, non -tender, normal bowel sounds. No ascites, hernias or organo-megaly appreciated
Extremities: warm and well perfused extremities, no peripheral edema
Neurologic: Alert, Oriented x3, no focal deficits
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