Physical Exam

The following describes this patient’s physical exam when you see her in the emergency room:

General: Well appearing, resting comfortably in bed

Vital signs: Heart rate 87/min, blood pressure 160/115, respiratory rate 13/min, T 98oF

Head and neck: Ruddy complexion, no lymphadenopathy

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

CVS: S1, S2, no extra sounds, no murmurs

Abdomen: Soft, non-tender, no hepatosplenomegaly

CNS: No focal changes

Skin: Palmar erythema, and generalized ruddiness, no bruises

The patient was seen by rheumatology in the emergency room, whose assessment was the following:

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