Examinations
Henry Smith
83, Male
View all of the results of the patient examination (click on each system below to view the results).
General Examination
- Looks well but you note he is dyspnoeic after walking from the waiting room
- Afebrile
- No jaundice, conjunctival pallor, cyanosis, clubbing, oedema or lymphadenopathy (“JACCOL”)
Cardiovascular System
- Hands warm and well perfused
- Pulse 76/min, regular
- Pulse character is low volume and slow-rising
- Blood pressure 112/94
- Normal facies
- JVP not visible
- Undisplaced, heaving apex
- Systolic thrill in the aortic area and carotids
- Normal first heart sound with harsh systolic crescendo-decrescendo murmur heard across the chest and in the carotids, absent S2
- No diastolic murmurs
- Peripheral pulses present
- No ankle oedema
Respiratory System
- Respiratory rate 28/minute
- SaO2 94%
- Trachea central
- Expansion normal and symmetrical
- Percussion normal
- Tactile vocal fremitus normal
- Scattered fine late inspiratory crackles bilaterally in lower zones
Gastrointestinal System
- No swelling or tenderness
- Liver, spleen, kidneys not palpable
- Hernial orifices normal
- Bowel sounds normal
- Rectal and pelvic examination not performed
Genitourinary System
- Examination not performed
Mental/psychiatric exam
- Examination not performed
Musculoskeletal system
- Examination not performed
Nervous system
- Examination not performed