Patient Examination

Examinations

Image of James Black

James Black
58, Male

You examine the patient and identify the following signs (click on each system below to view the results).

 

See more details and explanations for these examination results on the next page....


General Examination

  • Looks well and comfortable at rest
  • Respiratory rate 12/min

 

Cardiovascular System

  • Warm and well perfused
  • Pulse 80/min, regular normal volume
  • Blood pressure 162/95
  • JVP unable to assess due to large neck/obesity
  • Normal heart sounds
  • Peripheral pulses present
  • Mild pitting oedema in the ankles

Respiratory System

  • Trachea central
  • Expansion: normal and symmetrical
  • Percussion: normal
  • Tactile vocal fremitus: normal
  • Breath sounds: Normal vesicular sounds throughout

Gastrointestinal System

  • No swelling or tenderness
  • Liver, spleen, kidneys not palpable due to significant central adiposity
  • 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

Reticuloendothelial system

  • No lymphadenopathy

Urinalysis

  • Positive for the presence of glucose and protein.
  • No nitrites or blood.

Other

  • Weight 110 kg and height 178cm; BMI: 34.7