Discussion Part Two (graded)\t\u00a0\t\u00a0\t\u00a0\tPhysical examination:\t\u00a0\t\u00a0\tVital Signs:\t\u00a0\tHeight:\u00a0 5’8″\ufffd\u00a0\u00a0 Weight: 154 pounds BMI: 23.4\u00a0\u00a0 BP: 132\/76\u00a0\u00a0\u00a0 P: 76\tregular\u00a0\u00a0\u00a0 R: 16\t\u00a0\tHEENT: Normocephalic, symmetric. PERRLA, EOMI, no cataracts noted; poor dentition.\t\u00a0\tNECK: Neck supple; non-palpable lymph nodes; no carotid bruits.\tLUNGS: Respirations are unlabored, decreased breath sounds and crackles at the bases bilaterally. Prolonged expiratory phase throughout lung fields, inspiratory wheezes and a productive cough of cloudy white sputum.\t\u00a0\tHEART: RRR with regular without S3, S4, murmurs or rubs.\t\u00a0\tABDOMEN: Round, firm abdomen; active bowel sounds;\u00a0 non-tender.\tNEUROLOGIC: Unsteady gait, swaying while standing during periods of agitation. Achilles reflexes are present bilaterally. Strength is equal but decreased in the upper and lower extremities bilaterally.\t\u00a0\tGENITOURINARY:\u00a0 Urinary incontinence with strong odor of urine. NO CVA tenderness.\t\u00a0\tMUSCULOSKELETAL: Mild kyphosis. Heberden’s nodes at the distal interphalangeal joints (DIP) of all fingers, and marked crepitus of the bilateral knees on flexion and extension. Pedal pulses palpable. No edema noted in lower extremities.\t\u00a0\t\u00a0\t\u00a0\tPSYCH: Manic, restless, angry and hyperverbal\t\u00a0\tSKIN: Right forearm with 3 cm x 5 cm x 0 cm dry, scabbed abrasion. Left forearm with 4 cm x 5 cm x 0 cm dry, scabbed abrasion.<\/p>\n","protected":false},"excerpt":{"rendered":"
Discussion Part Two (graded) \u00a0 \u00a0 \u00a0 Physical examination: \u00a0 \u00a0 Vital Signs: \u00a0 Height:\u00a0 5’8″\ufffd\u00a0\u00a0 Weight: 154 pounds BMI: 23.4\u00a0\u00a0 BP: 132\/76\u00a0\u00a0\u00a0 P: 76 regular\u00a0\u00a0\u00a0 R: 16 \u00a0 HEENT: Normocephalic, symmetric. PERRLA, EOMI, no cataracts noted; poor dentition. \u00a0 Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-230097","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/230097","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=230097"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/230097\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=230097"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=230097"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=230097"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}