Physical Exam

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

General appearance: Comfortable, lying in bed

Vital signs: Heart rate 70/min, blood pressure 120/88, respiratory rate 12/min, T 98oF

Head and neck: No lymphadenopathy

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

CVS: S1, S2, no extra heart sounds, no murmurs, incision from cardiac surgery

Abdomen: Soft, non-tender, no hepatosplenomegaly*

CNS: No focal changes

Skin: Normal

*About 40% of patients with primary thrombocytosis have splenomegaly

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