4. Physical Exam

Physical Exam

  • Tachycardic, RR 22, BP 90/40 (supine), afeb
  • Orthostatic (HR 90Right Arrow120/min) with sitting
  • O2 sat = 98-100% on room air
  • Weak, but alert/oriented
  • Pale conjunctivae and mucosa, HEENT otherwise normal
  • Respiratory: clear
  • CV: systolic ejection murmur at LSB
  • Abdomen: benign
  • Extremities: cool to wrists and ankles
    - 3sec capillary refill
    - Radial and dorsalis pedis pulses weak
    - Brachial and femoral pulses normal
  • Neurologic: nonfocal
  • GU: Bleeding per vagina, pelvic exam benign
  • Skin: no petechiae or ecchymoses


Breakpoint #1

  • What imaging studies would be useful at this time?
  • What laboratory studies would you order?