Physical exam

You perform a physical exam, and discover the following:

General appearance: No acute distress

Vital signs: Vitals signs: Temperature of 102.9, BP 125/71, HR 80, O2 100% on room air

Head and neck: Anicteric, pupils equally round and reactive. Conjunctival pallor present

Chest: Lungs clear to auscultation bilaterally

CVS: Regular rate and rhythm, no murmurs rubs or gallops

Abdomen: Soft, non-tender, distended with significant splenomegaly to the level of the umbilicus

CNS: Alert and oriented x 4. Full strength and sensation intact without focal deficits. Normal coordination and gait

Lymph: No rashes or purpura noted

The patient’s abdominal fullness may be explained by his splenomegaly.

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