Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Respirations 18/min and mildly labored.
• Temp = 99 F
• Pulse = 88 and regular.
• BP = 138/86 mmHg 
• Weight = 174 pds (a loss of 16 lbs he believes)

• Throat slightly reddened. No exudate.
• Questionable ptosis of right eyelid.
• Heart sounds are normal, no murmurs or third heart sounds.
• Chest reveals mild expiratory wheezes and a few ronchi.
• Dullness to percussion and reduced breath sounds over the apex of the left lung.
• No abdominal masses and bowel sounds are WNL.
• Pedal pulses are diminished bilaterally.
• There appears to some enlargement of the tips of his fingers.