
Cases | A Patient with Syncope
Physical Examination
Physical exam reveals a scared middle aged man in no acute distress.
Vital signs
Temp 99.2 degrees; pulse 110; R 20; supine BP 140/88.
HEENT
No head trauma; conj normal, fundi show normal discs and vessels without exudates or hemorrhages; oropharynx is normal; TMs are clear.
Lymph nodes
None pabpable.
Chest
Resonant, breath sounds clear.
Heart
RRR 1/6 SEM LLSB that decreases with Valsalva strain; no diastolic murmurs; rubs or S3 audible.
Abdomen
Soft, nontender, without hepatosplenomegaly or flank tenderness.
Rectal
Normal with no rectal masses; heme neg.
Extremities
Normal.
Skin
Normal.
Neurological exam
Nonfocal.

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