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'''Appearance of the Patient'''
❑ This section should give a general description of what a patient with the disease you are describing may look like. You may include a physical description such as obese, thin, cachectic, well appearing, ill appearing, diaphoretic etc. <br> 


'''Vitals'''<br> 
Temperature  <br> 
❑ A [[fever]] is often present  <br> 
❑ [[Hypothermia]] may be present  <br>  

Pulse  <br>  
❑ Rate  <br>   
:❑ [[Tachycardia]] may be present  <br> 
:❑ [[Bradycardia]] may be present  <br> 
❑ Rhythm  <br> 
:❑ The pulse is regular  <br> 
:❑ The pules is irregularly irregular  <br> 
❑ Strength  <br> 
:❑ The pulse may be weak  <br> 
:❑ The pulse may be bounding  <br> 
:❑ The pulse may be alternating in strength ([[pulsus alternans]])  <br> 
:❑ A [[paradoxical pulse]] may be present  <br> 

❑ Symmetry  <br> 
:❑ The pulses may be asymmetric  <br> 

Blood Pressure  <br> 
❑ [[Hypotension]] may be present  <br> 
❑ [[Hypertension]] may be present  <br> 
❑ A [[wide pulse pressure]] may be present  <br> 
❑ A [[narrow pulse pressure]] may be present  <br> 

Respiratory Rate  <br> 
❑ [[Tachypnea]] may be present  <br> 
❑ [[Bradypnea]] may be present  <br> 
❑  [[Kussmaul respirations]] may be present  <br> 

'''Skin'''  <br> 
❑ [[Cyanosis]] may be present  <br> 
❑ [[Jaundice]] may be present  <br> 
❑  A rash may be present  <br> 
❑  [[Pallor]] may be present  <br> 
❑  Lesions may be present  <br> 

'''Head'''  <br> 
❑  Abnormalities of the head/hair may include ___  <br> 
❑  There may be evidence of trauma  <br> 

'''Eyes'''  <br> 
❑ Icteric sclera may be present  <br> 
❑  [[Nystagmus]] may be present  <br>  
❑  Extra-ocular movements may be abnormal  <br> 
❑ Pupils may not react to light  <br> 
❑ Ophthalmoscopic exam may be abnormal with findings of ___  <br> 
 
'''Ears'''  <br> 
❑  Hearing acuity may be reduced  <br> 
❑ [[Weber test]] may be positive  <br> 
❑ [[Rinne test]] may be positive  <br> 
❑  There may be [[exudate]] from the ear canal  <br>  
❑  There may be [[tenderness]] on movement of the pinnae  <br> 

'''Nose'''  <br> 
❑  Nares may be inflamed  <br> 
❑  There may be [[epistaxis]]  <br> 
❑  There may be [[purulent]] exudate from the nares  <br> 
❑  There may be [[tenderness]] to percussion of the sinuses  <br>  
❑  The nares may be congested  <br> 

'''Throat'''  <br> 
❑  The throat may be erythematous  <br> 
❑  There may be [[exudate]] in the throat  <br> 
❑  There may be [[petechiae]] seen in the throat  <br> 
❑  There may be tonsillar inflammation  <br> 

'''Neck'''  <br> 
❑ [[Jugular venous pressure]] may be elevated  <br> 
❑ [[Carotid bruits]] may be present  <br> 
❑ [[Lymph nodes]] may be present  <br> 
❑ [[Thyromegaly]] may be present  <br> 
❑ [[Hepatojugular reflux]] may be present  <br> 

'''Lungs'''  <br> 
❑ [[Pulmonary edema]] and [[rales]] may be present  <br> 
❑ [[Wheezing]] may be present  <br> 
❑ Consolidation may be present with reduced breath sounds auscultated  <br> 
❑ [[Rales]] may be present  <br> 
❑ [[Egophony]] may be present  <br> 
❑  Chest movement may be assymetric  <br> 

'''Heart'''  <br> 
❑ A [[heave]] may be present  <br> 
❑ A [[thrill]] may be present  <br> 
❑ A [[friction rub]] may be pressent  <br> 

Auscultation <br>  
❑ [[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]] <br>  
❑ [[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]] <br>  
❑ [[Heart sounds#Third heart sound S3|S3]] <br>  
❑ [[Heart sounds#Fourth heart sound S4|S4]] <br>  
❑ [[Heart sounds#Summation Gallop|Gallops]] <br>  
❑ A [[systolic murmur]] best heard at the base may be present <br>  
❑ A [[systolic murmur]] best heard at the apex may be present <br>  
❑ A [[diastolic murmur]] may be present <br>  

'''Abdomen''' <br>  
❑ [[Abdominal distention]] may be present <br>  
❑ [[Abdominal tenderness]] may be present <br>  
❑ [[Rebound]] may be present <br>  
❑ An [[acute abdomen]] may be present <br>  
❑ An abdominal mass may be present <br>  
❑ Guarding may be present <br>  
❑ [[Hepatomegaly]] may be present <br>  
❑ [[Splenomegaly]] may be present <br>  
❑ Genitourinary exam if relevant <br>  

'''Extremities''' <br>  
❑ [[Clubbing]] may be present <br>  
❑ [[Cyanosis]] may be present  <br>  
❑ [[Edema]] may be present  <br> 

'''Neurologic'''  <br> 
❑  Mental status may be altered  <br> 
❑  Glasgow coma scale is ___  <br> 
❑  Clonus may be present  <br> 
❑  Hyperactive reflexes may be present  <br> 
❑  There are deficits in cranial nerves ___  <br>