GENERAL APPEARANCE: alert, in no acute distress.
HEENT: Conjunctiva normal. External auditory canals and tympanic membranes clear bilaterally, hearing grossly intact. No nasal discharge. Oral cavity and pharynx normal. Teeth and gingiva in fair condition.
NECK: Supple, non-tender, no adenopathy, masses, or thyromegaly.
LUNGS: Clear without rales, rhonchi, wheezing or diminished breath sounds. Good excursions.
HEART: RRR with normal S1, S2 without murmur, gallop, or rub heard.
BREASTS: No breast masses, tenderness, asymmetry, nipple discharge or axillary lymphadenopathy.
ABDOMEN: Soft, nontender without masses or hepatosplenomegaly. Bowel sounds are active.
PELVIC: Normally developed genitalia with no external lesions or eruptions. Vagina and cervix show no lesions, inflammation, discharge or tenderness. No cystocele.
EXTREMITIES: no deformities or significant joint findings. No edema. Peripheral pulses intact. No varicosities.