Case Study presented by Katie Stanton and Kevin Schreiber, page 2

Physical Examination

Vital signs: B.P. 146/72; pulse 84; temperature 99.0 F; respirations 18. 

General: The patient is a well-developed, well-nourished, well-kept male appearing his stated age.

Cardiovascular:Regular rate and rhythm without rubs, gallops, or murmurs; normal SI, mechanical click S2.

Chest:Lungs are clear to auscultation and percussion bilaterally; respiratory excursion is normal.

Abdomen: Soft, nontender with normal bowel sounds and no bruits. No hepatosplenomegaly.

Skin:No significant hypo- or hyper-pigmented lesions.

Extremities: No cyanosis, clubbing, or edema.