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YSM ONLINE CASEBOOK YALE UNIVERSITY SCHOOL OF MEDICINE
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Introduction.
Interview.
Phyisical exam.
Clinical decisions.
Discussion.
References.

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Yale University
School of Medicine
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Physical Examination

PE reveals a thin elderly man in mild distress.

Vital signs

Temp 98.8 degrees; pulse 110; R 16; BP 108/76.

HEENT

Crusted blood on face and in oropharynx but without visible trauma or mucosal abnormalities; TMs are normal.

Lymph nodes

None palpable.

Chest

Clear.

Heart

RRR with 1/6 systolic ejection murmur at base without radiation.

Abdomen

Soft nontender without hepatosplenomegaly; no ascites is appreciable.

G/R

Normal testes and genitalia; stool dark and heme positive.

Skin

No rash or lesions.

Neurological exam

Alert, oriented, non-focal exam; no asterixis.


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