Physical exam

The following describes this patient’s physical exam when you see her on the neurology ward:

General appearance: In no distress

Vital signs: Heart rate 60/min, blood pressure 134/76 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: Positive Romberg, decreased sensation to pinprick distal left 2nd, 3rd, 4th digits