Physical Exam

The following describes this patient’s physical exam when you see him:

General Appearance: Resting comfortably in bed

Vital signs: Heart rate 96/min, blood pressure 128/70 mmHg, respiratory rate 13/min, T 99.2^oF

Head and neck: Scleral icterus, no lymphadenopathy

Chest: Normal to inspection, palpation, percussion; and auscultation

CVS: Heart sounds normal, no S3 or S4, no murmur

Abdomen: Distended, firm with positive fluid wave

CNS: No focal changes, asterixis present.

Extremities: 2+ pitting edema in ankles

Integument: Jaundiced, multiple spider nevi over anterior chest wall