PHYSICAL EXAMINATION: The patient is a pleasant gentleman, moderately obese, in no distress. Otherwise, appears well. Blood pressure is 132/84. Pulse is 72. Height is 5 feet 2 inches and weight is 270 pounds. Oxygen saturation is 98%. HEENT: Pupils are equal and reactive. Anicteric sclerae. Nasal mucosa noncongested. Oropharynx: Mallampati class II to early III. Slight elevation at base of tongue. No micrognathia or retrognathia. Neck: Without adenopathy. Trachea is midline. No lymphadenopathy. Lungs: Good aeration bilaterally. No wheezing, rhonchi, or crackles. Heart: S1, S2 regular. Abdomen: Mildly obese, otherwise unremarkable. Extremities: There is no edema, clubbing, or calf tenderness. Neurologic: Alert, no deficits noted.
PHYSICAL EXAMINATION: The patient is an obese female, in no acute distress, sitting comfortably in the chair. She does use a walker with two wheels to get around. Blood pressure is 134/72, heart rate 78, weight 198, which is up 10 pounds, temperature 98.2, O2 saturation 96% on room air. Lungs: With scant bibasilar crackles, otherwise clear. Heart: Regular rate and rhythm without murmur, rub, or gallop. Neck: Without increased JVP, no masses. Lower extremity edema 3+ bilaterally and pitting. There is some mild blistering on the right lateral ankle, and there is minimal erythema. No lymphangitis. Legs are warm bilaterally.
PHYSICAL EXAMINATION: Pleasant, comfortable-appearing man. Weight 232 pounds, height 69 inches, pulse 78, blood pressure 132/78. Skin: There are multiple, somewhat discrete red areas in the nuchal area that are somewhat follicular. HEENT: Unremarkable. Lungs: Clear. Heart: Regular with no murmur, rubs, or gallops. Abdomen: Soft, nontender, with no hepatosplenomegaly or masses. Genital and testicular exams are unremarkable. Rectal exam is Hemoccult negative. Prostate: Unremarkable. Exam of the extremities, neurologic, lymph node exams are all unremarkable.
PHYSICAL EXAMINATION: On physical exam, her blood pressure is 96/62. Heart rate is 74. She is 158 pounds. Respirations are 14. She is afebrile at 98.2 degrees. HEENT: She does have retracted TMs bilaterally. Her turbinates are injected and inflamed. Posterior pharynx is inflamed and red, and she does have positive cervical nodes. Lung sounds are clear, but she does have some diminished expiratory lung sounds at the bases.
PHYSICAL EXAMINATION: Pleasant female who is 5 feet 4 inches, 114 pounds. Evaluation of lower extremities reveals she has equal leg length. She has no significant pain in the left hip with log rolling. Can flex her left hip up to around 120 with a little discomfort. External rotation in the flexed position is to around 70, internal rotation to around 30 with a positive impingement sign. Good motion of her left knee and ankle with pain-induced weakness of her left resisted straight leg raise. Motor and sensory exam is otherwise intact.
PHYSICAL EXAMINATION: Blood pressure 118/82, heart rate 70, height 5 feet 6 inches, weight 206, temperature 98.4, pain score is 0/10. Nasal mucosa is clear. No frontal or maxillary sinus tenderness. Clear TMs bilaterally. Extraocular movements are intact. Pupils are equal, round and reactive to light and accommodation. Neck: Supple. Lungs: CTAB. Heart: RRR. No murmurs. Abdomen: Soft, nontender, positive bowel sounds, no masses. Extremities: No edema. Neurologic: Intact upper and lower extremity motor, sensation, and DTR. Gait: Unremarkable. Breasts: Symmetrical. No evidence of discharge, masses, tenderness or active adenopathy. Pelvic/Rectal: Declined.
PHYSICAL EXAMINATION: On examination today, she is afebrile. Blood pressure 102/74, height is 5 feet 6 inches, weighs 146 pounds. HEENT: Bilateral eardrums clear. No fluid. Oral mucosa is moist. Pharynx is normal. Nasal mucosa is moist, no congestion, no sinus tenderness. No lymphadenopathy. No JVD. No thyromegaly. No carotid bruit. Lungs: Clear to auscultation. Heart: S1, S2 normal. Regular rate and rhythm. On bilateral breast examination, no dominant masses palpable. No axillary or cervical lymphadenopathy. Left breast had inverted nipple. Abdomen is soft, nontender, nondistended. No rebound. No guarding. Normoactive bowel sounds. Extremities: No edema. Rectal: Brown stool, guaiac negative. Neurologic: Awake, alert, and oriented. No facial asymmetry. Speech is normal. Gait is normal. Skin: No atypical moles or rashes noted. She has seborrheic keratosis on the left lower extremity. Psychiatric: The patient appears stable.
PHYSICAL EXAMINATION: On exam, her blood pressure is 112/62, heart rate 66, weight 146 pounds, 3/10 pain in her neck and shoulders. She has some thickening of the skin of her fingers between her PIPs and DIPs in all of her hands. No active Raynaud’s in her hands or feet. No cutaneous ulcerations. No oral ulcers or alopecia. She is tanned and looks well. Lungs are clear. Regular rate and rhythm. S1, S2. Has 5/5 upper extremity strength. Extraocular movements are intact. Pupils are equal, round and reactive to light and accommodation. No abnormal skin texture on her torso or face. Cranial nerves II through XII are intact.
PHYSICAL EXAMINATION: Pleasant female, in no distress. Vitals are stable. Blood pressure is 152/92. Heart rate is 88. Weight is 108 pounds. Oxygen saturation is 97%. Pain score is 4-5/10. HEENT: Pupils are equally reactive. Anicteric sclerae. Oropharynx: Moist mucous membrane. Neck: Without adenopathy. JVP is about 5 cm. Trachea is midline. No thyromegaly. Chest Wall: There is no tenderness. Lungs: Good aeration bilaterally. No wheezing, rhonchi, or crackles. Heart: S1, S2 regular. There is soft systolic ejection murmur. No evidence of right ventricular heave. P2 component, second sound, is prominent. No S3, S4 noted. Abdomen: Unremarkable. No significant hepatojugular reflux. Extremities: No edema, clubbing, or calf tenderness. Neurologic: Alert, no deficits noted. Skin: Warm and nondiaphoretic. No cyanosis or Raynaud’s noted. Small telangiectasias present on skin of the hands.
PHYSICAL EXAMINATION: No distress. Vital Signs: Her blood pressure was 142/68. Heart rate was 66. Height 5 feet. Weight 134 pounds. HEENT: Negative. Mouth: Clear. Neck: Supple. No lymphadenopathy or thyromegaly. Carotids 2+, no bruits. Chest: Clear. Cardiac: S1, S2. No murmurs or gallops. Abdomen: Unremarkable, good bowel sounds, no organomegaly. Breasts: Benign, no lesions, axillary unremarkable. Pelvic exam is deferred. Extremities: Some arthritic changes in DIP and PIP joints of her hands. There was no edema, 2+ equal pulses. Neurologic: Grossly intact. Romberg was negative. Skin was clear.
PE Sample 4 Infant PE Sample 5
PHYSICAL EXAMINATION: No distress. Vital Signs: His blood pressure was 112/82. Pulse was 62 and regular. Height 5 feet 9 inches. Weight 158. HEENT: Negative. Mouth: Clear. Neck: Supple. No lymphadenopathy or thyromegaly. Carotids 2+, no bruits. Chest: Clear. Cardiac: S1, S2. No murmurs or gallops. Abdomen: Unremarkable, good bowel sounds, no organomegaly. Genitalia: Circumcised male. No hernias. Testes normal. Rectal: Stool brown, guaiac negative. No masses. Prostate: No nodules. Extremities: Full range of motion of all joints. No edema, 2+ equal pulses. Neurologic: Intact. Romberg negative. Skin: Clear.
PHYSICAL EXAMINATION: Blood pressure 126/80, heart rate 66, and respiratory rate 18. He is casually attired, appropriately groomed, pleasant, and cooperative. He looks well and is in no distress. He has full range of motion of his neck without any vertebral or paravertebral tenderness. There is no Lhermitte sign present. The lungs are clear bilaterally. Cardiac examination reveals a regular rate and rhythm with a normal S1 and S2 and no murmur. There are no neck masses.
PHYSICAL EXAMINATION: In general, his gait is stable and steady. He is a delightful, elderly gentleman, in no apparent distress, appearing much younger than his stated age. HEENT: No tophi over the ears. Neck: Supple without lymphadenopathy. Heart: Regular. No extra sounds. Lungs: Clear. Abdomen: Positive bowel sounds. Skin: No rashes, tophi nodules or edema. He does have an abrasion and a cut with eschar over the left distal forearm. He has been using alcohol to clean topically. He cannot recall when his last tetanus shot was. Musculoskeletal examination, otherwise, shows no active swelling in the small joints, hands, wrists, elbows, shoulders. There is some slight thickening noted over the left olecranon bursa with a 10 degree flexion contracture, but no obvious synovitis. Hips show no pain on logrolling. He has bony hypertrophic changes of both knees. He does have a history of trauma to the right knee. There is a positive bulge sign bilaterally, but no joint margin tenderness, obvious redness or warmth. No instability. Alignment is intact. Ankles and toes are unremarkable.
