Patient Examination

Examinations

View the results of Mr Smith's initial observations (click on each system below to view the results).


General Examination

Observations:
  • Temperature 36.8°C
  • BP 156/88
  • HR 72 beats/min
  • SaO2 99% RA
  • RR 14/min
  • Blood sugar 5.2
General observation:
  • Well looking man, awake and alert.
  • Appears to have a distended abdomen and the top button of his trousers is undone.
  • He smells slightly of urine.
  • He does not appear to be dehydrated, his mucous membranes are moist.

 

Cardiovascular System

  • JVP visible at +2cm when at 45 degrees
  • Heart sounds normal, no peripheral oedema

Respiratory System

  • Trachea central, Chest – equal expansion, resonant, normal tactile vocal fremitus, vesicular breath sounds bilaterally

Abdomen

  • Distended, quite tense, dome-like mass arising from the pubic region to above the umbilicus.
  • Dull to percussion.
  • Slightly tender on palpation.
  • Normal bowel sounds.

Nervous System

  • Neurological system not examined but no obvious abnormalities.

Musculoskeletal System

  • CONTENT

Reticuloendothelial System

  • CONTENT

Genitourinary System

  • Digital rectal examination reveals an enlarged, firm, smooth, symmetrical and non-tender prostate.

Urinalysis

  • no sugar, protein, blood

Mental/Psychiatric Exam

  • Examination not performed

Other

  • No other examinations