The following describes this patient’s physical exam when you see her in clinic:
General appearance: Well appearing, in no distress
Vital signs: Afebrile and vitals stable
Head and neck: No lymphadenopathy
CVS: Normal heart sounds, no murmurs
Chest: Normal to inspection, palpation, percussion, and auscultation
Abdomen: Soft, non-tender, no hepatosplenomegaly
CNS: No focal changes