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