| 9:05 AM
Gyanendra in Valentine Day
HEENT: Pupils were equal, round, and reactive to
light. She had severe arcus senilis
bilaterally. The patient was pale. She was anicteric. Mucosa was dry. Neck:
Supple. There were no palpable
lymphadenopathies. CVS: There was no JVD. Heart sound S1 and S2 were heard. There were no murmurs, rubs, or gallops. Chest:
Clear to auscultation bilaterally with no wheezing or crackles. There was no chest wall tenderness. Abdomen:
Soft. Was nondistended. Bowel sounds were normoactive. There was no rebound or guarding. CNS:
The patient was drowsy, but mildly arousable. She was oriented to place and person, but not
to time. GCS of 15/15. Motor strength in the left upper extremity
was 3/5. Right upper extremity was
2+. Left lower extremity was 2+. Extremities:
Pulses were ??**524.79** on both sides.
The patient had pitting pedal edema of 2+ bilaterally.
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