Vital Signs: Temperature 98.2°F, Blood Pressure 145/81 mmHg, Heart Rate 72 beats/min, Respiratory Rate 14 breaths/min, Oxygen Saturation 98%, BMI 34 kg/m2
General Appearance: Obese man, no acute distress
HEENT: Normal conjunctiva, no scleral icterus, moist mucous membranes, clear oropharynx
Lymph: No lymphadenopathy
Cardiovascular: No JVD, regular rate and rhythm, no rubs/murmurs/gallops 
Pulmonary: Clear to auscultation bilaterally
Abdominal: Soft, nontender, mildly distended, normoactive bowel sounds, no hepatosplenomegaly
Extremities: Warm and well perfused extremities, trace pitting edema
Neurologic: Alert and oriented, no asterixis
Psychiatric: Normal mood and affect
Skin: Warm, no rashes, dry, no jaundice
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Case 4 Index:
Introduction
GI SIM 