• Chest Pain: no stringency or hurting indicated
• Shortness of breath ( dyspnoea ) : no shortness of breath • Number of pillows sleep with at dark ( orthopnea ) : slumbers with 2 pillows. denies orthopnea • Cough: coughs during the twenty-four hours or dark ; no mucous secretion or blood tinged ; coughs • Fatigue: no weariness

• Skin of all time turn blue or ashen in colour? ( Cyanosis or Pallor ) : denies facial tegument bend blue or ashen • Swelling in your mortise joints or pess ( hydrops ) : no swelling of pess and legs • Ever awaken at dark to urinate? How many times? ( nycturia ) : no nycturia indicated • Past wellness jobs with your bosom? No past history of high blood pressure. fleshiness. diabetes or marks of coronary arteria disease • Personal wonts ( cardiac hazard factors )

o Nutrition ( fats. Calories. salt ) : consume limited sum of Na consumption o Exercise: does cardio exercise every other twenty-four hours ; gym member
O Smoking ( current. former. battalion hx. type ) : no history of smoking o Alcohol ingestion? ( how much. how frequently. type of intoxicant ) : drinks socially on the weeknds

PERIPHERAL VASCULAR ( Subjective )
• Leg hurting or spasms: no leg hurting or spasms
• Skin alterations or weaponries and/or legs: denies redness. lividness. blueness or brown stain • Swelling in weaponries or legs: no swelling in weaponries or legs • Swollen secretory organs in your weaponries or legs ( Lymph node expansion ) : no conceited secretory organs. no ball or meats

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**OBJECTIVE**

GENERAL SURVEY

AA & A ; O X7 ; pleasant and concerted ; preparing appropriate for season and puting with insouciant frock. Gait and motor is stable. coordinated without usage of walking AIDSs. Affect is appropriate with normal address flow. Facial look is unagitated and relaxed.

Critical marks: T. P. R. BP ( non required to show )
Thymine: 97. 5. Roentgen: 24. BP: 112/78

PHYSICAL EXAM

Neck

Carotid Pulse
Inspect: Coratids 2+ and = bilaterally
Palpate: contour is smooth with rapid upstroke and slower upstroke ; amplitude strength 2+ Auscultate: no bruits auscultated

Internal Jugular: Internal jugular venas pulsing present upon supine. diminishes when elevated 30 grades

Thorax

Inspection
Anterior Chest: no seeable pulsing. no broken winds or lift

Palpation
Anterior Chest: no bangs palpated
Apical urge: apical pulsation palpated at the fifth ICS at the left MCL. 2 centimeter in size. amplitude short. soft pat with short continuance

Auscultation
? Aortal
? Pulmonic
? Erb’s point
? Tricuspid
? Mitral




Remark on the following at each country:
Rate and beat: rate 78 beats per minute. rhythm regular
S1: non diminished or accentuated. S1 is louder than S2 at the apex S2: non diminished or accentuated. S2 is louder than S1 at the base S3: no excess bosom sound heard. no ventricular gallops heard upon auscultation S4: no excess bosom sound heard. no atrial gallop heard upon auscultation Mutters: no mutters heard. absence of chinks and hang-ups

Position Maneuvers to stress mutters and excess sounds:
Left sidelong with bell ( mitral/S3/S4 ) : no blowing. laping heard with bell Siting tilting frontward with stop ( aortal ) : no pneumonic regurgitation heard at the base. right. and left sides.

PERIPHERAL VASCULAR

UPPER EXTREMITIES

Inspection: bilateral symmetricalness in both weaponries with no hydrops or venous
modeling. no cicatrixs inspected on custodies and weaponries. appendages have pink-tan colour. no inflammation. cyanosis. or any skin lesions. Hair distribution continues along weaponries.

x

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