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

Physical Examination

Physical exam reveals a thin elderly woman in no acute distress.

Vital signs

Temp 97.9, pulse 110; R 16; BP 110/78.

HEENT

Conj are pale; fundi are benign; oropharynx is red with a smooth tongue and cracked lips at the lateral margins.

Lymnph nodes

None palpable.

Neck

No lymphadenopathy or jugular venous distension; thyroid palpable, minimally enlarged, and somewhat nodular.

Chest

Breath sounds clear.

Heart

RRR II/VI SEM at LLSB radiating to L 2nd ICS; no diastolic murmurs; no S3.

Abdomen

Soft with a vague midepigastric tenderness but no palpable masses or hepatosplenomegaly.

Gyn/Rectum

Pelvic exam is normal without adnexal masses or bleeding from cervix; rectal exam is benign with brown stool and no gross blood; hemoccult is positive.

Skin

Pale, dry with decreased turgor. No rash or lesions noted.

Neurological exam

Reveals impaired recent and distant memory; propriorception is abnormal in upper and lower extremities; otherwise exam is normal.

Next: Test results