Physical Exam

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

General: In some distress

Vital signs: Heart rate 115/min, blood pressure 88/64, respiratory rate 37/min, T 102.5oF

Head and neck: No lymphadenopathy

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

Chest: Normal to inspection, palpation, percussion; reduced breath sounds left and right bases

Abdomen: Left CVA tenderness, no hepatosplenomegaly

CNS: No focal changes

Skin: Cool extremities, poor capillary refill