Physical Exam
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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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