Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Apart from trouble sitting in one position, because of back pain, he is in no significant distress.
• BP = 124/68 mmHg, HR = 92 and irregular, Temp = 101.2 F, Resp = 18/min.
• Auscultation of the chest reveals crackling rales bilaterally.
• Abdomen is soft with slight enlargement of the liver. Bowel sounds are present.
• Palpation of the back reveals no muscle spasm, there is minimal tenderness to manipulation. He has substantial limitation of motion due to pain.
• There is mild bilateral swelling of the periorbital soft tissue, as well as 2+ bilateral ankle edema.
• Rectal exam reveals an enlarged, non-tender, hard prostate.
• The stool is positive for occult blood. (Hear what he has to say.)