On physical exam the following was noted:
Vitals | BP 102/61 | Pulse 95 | Temp 36.2 °C (97.1 °F) | Ht 172.7 cm (5′ 8″) | Wt 59.9 kg (132 lb) | SpO2 97% | BMI 20.07 kg/m² |
Constitutional | Chronically ill-appearing man, pale, thin, no acute distress. |
Respiratory | Normal respiratory effort, clear to auscultation |
Cardiovascular | Rapid rate, regular rhythm, no murmurs rubs or gallops |
Gastrointestinal | Hyperactive bowel sounds, soft, scaphoid, nontender, nondistended, no masses, no hepatosplenomegaly, no guarding, no rebound |
Psychiatric | Oriented to time, place, and person. Normal mood and affect. |
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