| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Initial
physical findings:
-
Temperature = 99.4F
-
Pulse = 88/min and regular
-
B/P = 118/70 mmHg
-
Respirations = 20/min and without
labor
Physical
-
Mild scleral and skin icterus;
palmar erythema.
-
Mild gynecomastia, and
little red angiomas of the chest.
-
Heart sounds are normal. No
murmurs or third heart sounds.
-
A few crackling rales
in the chest fields bilaterally.
-
Right upper quadrant abdominal
tenderness. Liver is two finger breadths below the coastal margin.
-
Spleen is palpable.
-
Bowel sounds normal, questionable
fluid wave.
-
Rectal reveals normal prostate
size, stool positive for occult blood.
Stop and
think.
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