Endocrine Thyroid enlargement, heat or cold intolerance, excessive sweating, excessive thirst or hunger, skin striae. Psychiatric Depression, mood changes, nervousness, tension, irritability, difficulty concentrating, memory loss. PHYSICAL EXAMINATION General. 25 year old African American female, alert, cooperative, well groomed, communicates well, makes eye contact. T 98.6 F, P 70, R 16 VS---BP sitting, supine, and standing Wt-54.5 kg, Ht-5'4" Mental Status. Awake and oriented x 3 to person, place, and time. Speech clear, enunciated words; comprehends directions. Skin, Hair, and Nails. Soft, moist, turgor with instant recoil, no lesions, tenderness, or edema noted; nails beds pink without clubbing, uniform thickness; nails smooth, capillary refill > 3 sec. Hair thick, no patches of hair missing. Multiple nevi on bilateral arms and chest. Head. Head erect and midline, scalp pink, no lesions or tenderness noted, symmetrical facial features. Temporal arteries soft, non-tender, no bruits. Eyes. Brows, lids, and lashes evenly distributed; no tearing; conjunctivae pink without discharge; Pupils react equally to light and accommodation. Extra-ocular movements intact, no eye drooping; no lid lag, no strabismus, visual field well defined. Corneal reflex equal bilaterally, red reflex present, Retina pink, no hemorrhages or exudates noted bilaterally; visual acuity checked with near vision chart and Snellen eye chart. Ears. Auricles in proper alignment, without lesions, masses, or tenderness; canals with small amount dry cerumen. Tympanic membranes gray, translucent; no perforations. Weber: equal lateralization present. Rinne: air conduction> bone conduction bilaterally, Repeats whispered words bilaterally. Nose and Sinuses. No flaring of nares, no deviation in septum, nares patent bilaterally, mucosa pink and moist. No discharge. No frontal or maxillary sinus tenderness with palpation.
Endocrine Thyroid enlargement, heat or cold intolerance, excessive sweating, excessive thirst or hunger, skin striae. Psychiatric Depression, mood changes, nervousness, tension, irritability, difficulty concentrating, memory loss. PHYSICAL EXAMINATION General. 25 year old African American female, alert, cooperative, well groomed, communicates well, makes eye contact. T 98.6 F, P 70, R 16 VS---BP sitting, supine, and standing Wt-54.5 kg, Ht-5'4" Mental Status. Awake and oriented x 3 to person, place, and time. Speech clear, enunciated words; comprehends directions. Skin, Hair, and Nails. Soft, moist, turgor with instant recoil, no lesions, tenderness, or edema noted; nails beds pink without clubbing, uniform thickness; nails smooth, capillary refill > 3 sec. Hair thick, no patches of hair missing. Multiple nevi on bilateral arms and chest. Head. Head erect and midline, scalp pink, no lesions or tenderness noted, symmetrical facial features. Temporal arteries soft, non-tender, no bruits. Eyes. Brows, lids, and lashes evenly distributed; no tearing; conjunctivae pink without discharge; Pupils react equally to light and accommodation. Extra-ocular movements intact, no eye drooping; no lid lag, no strabismus, visual field well defined. Corneal reflex equal bilaterally, red reflex present, Retina pink, no hemorrhages or exudates noted bilaterally; visual acuity checked with near vision chart and Snellen eye chart. Ears. Auricles in proper alignment, without lesions, masses, or tenderness; canals with small amount dry cerumen. Tympanic membranes gray, translucent; no perforations. Weber: equal lateralization present. Rinne: air conduction> bone conduction bilaterally, Repeats whispered words bilaterally. Nose and Sinuses. No flaring of nares, no deviation in septum, nares patent bilaterally, mucosa pink and moist. No discharge. No frontal or maxillary sinus tenderness with palpation.
10122_1617__5318_syllabus.docx