Office of Education
Yale University
School of Medicine
367 Cedar Street
300 ESH
New Haven, CT
06519 USA

Physical Examination

P.E. reveals a thin woman in mild respiratory distress.

Vital signs

Temp 102.4 degrees F; R 28; pulse 120; BP 128/84.

HEENT

Sinuses nontender; TMs mildly red but no middle ear fluid; oropharynx is mildly red but no exudate.

Lymph nodes

None palpable.

Chest

Remarkable for splinting to the right side on deep inspiration. + dullness to percussion about 1/4 way up; decreased breath sounds at right base, but egophony and bronchial breath sounds are evident as one listens more superiorly.

Heart

RRR without murmurs or rubs.

Abdomen

Soft, nontender without hepatosplenomegaly.

Extremities

Normal.

Skin

Normal but with decreased turgor.

Neurological exam

Non-focal.

Next: Test results