
Cases | A Patient with New Onset Azotemia
Physical Examination
P. E. reveals an intubated alert man in no acute distress.
Vital signs
Temp 97.3 degrees; pulse 96; R 12; BP 110/86.
HEENT
Conjunctivae are benign; fundi reveal grade 2 hypertensive changes; oropharynx is intubated and poorly visualized.
Lymph nodes
None palpable.
Chest
Clear on the ventilator; sternotomy incision looks normal.
Heart
RRR with distant heart sounds; no murmurs or rubs.
Abdomen
Soft nontender, without organomegaly; no flank tenderness; bowel sounds are diminished.
G/R
Foley catheter in place; rectal normal; heme negative.
Extremities
Saphenous vein harvest site benign; no edema.
Skin
No rash or lesions noted; normal turgor.
Neurological exam
Nonfocal.

Next: Test results




|