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

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Yale University
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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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