Physical exam
The following describes this patient’s physical exam when you see her in the emergency room:
General appearance: Looks pale and lethargic
Vital signs: Heart rate 95/min, blood pressure 96/57 mmHg, respiratory rate 13/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
Abdomen: Soft, non-tender, no hepatosplenomegaly
CNS: No focal changes