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 99.2oF
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