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