Vital Signs: Blood pressure: 150/80mm Hg, Heart rate: 74/min, Respiratory rate: 12/min, Temperature 98F, Body mass Index: 26kg/m2
General Appearance: Well appearing, well nourished
HEENT: Mild conjunctival pallor, no scleral icterus, dry mucous membranes, clear oropharynx
Lymph: No lymphadenopathy
Cardiovascular: No JVD, regular rhythm, no rubs/murmurs/gallops
Pulmonary: Non labored breathing, no wheezes or rhonchi
Abdominal: Soft, nontender, nondistended, normoactive bowel sounds, no hepatosplenomegaly
Extremities: Warm and well perfused extremities, no pedal edema
Integumentary: Warm, dry
Neuro: Alert and oriented to place, person and time, No focal neurologic deficits
Click here to move on!
Case 1 Index
Introduction
GI SIM 