The following describes this patient’s physical exam when you see her:
General appearance: Visibly distressed from pain
Vital signs: Heart rate 82/min, blood pressure 120/60, respiratory rate 18/min, T 98.9oF
Head and neck: No lymphadenopathy
CVS: S1, S2, no extra sounds, no murmurs
Chest: Normal to inspection, percussion, and auscultation
Abdomen: Soft, non-tender, no hepatosplenomegaly
Extremities: No tenderness over painful sites
CNS: No focal changes