PA: OF 28-9009 lying; blood pressure was 110/75, pulse 90 and regular when sitting; and blood pressure went to 95/70 and pulse 100, when the patient stood up. Respiratory rate was General: She 16 and she was afebrile. is a well-developed, well-nourished female in no acute distress, has a very rounded facies. Skin was warm and dry. Skin on the feet very coarse. There were a few scars on the lower extremities bilaterally. She has supraclavicular fat pads but no buffalo hump. Skin is also darkened and coarse around the neck and in the axillae. Head, Eyes, Ears, Nose and Throat: Pupils were equal, round and reactive to Normocephalic. There were no nodes. light. Extraocular movements were full. There was no nystagmus. Discs were sharp. Visual fields were within normal limits to direct confrontation. Tympanic membranes were clear. Throat was clear, uvula midline. Inferior turbinates were normal. Neck: Supple. There were no nodes. Trachea was midline. There was no palpable thyroid nodules or enlargement of the gland. Carotids were 2+ bilaterally without bruits,. Back: No CVA tenderness. Breasts: Small, symmetrical. Nipple was inverted on the right. were no masses and I was not able to express any milk on examination. were no axillary nodes. She had normal axillary hair. Both Cardiac: PMI was in the 5th intercostal space, midclavicular St and S2 were normal. There were no murmurs or gallops. Lungs: There There line. Clear to auscultation and percussion. Abdomen: organomegaly or Soft, and non-tender with good masses. Extremities: There were No clubbing, no tore. There was no bruits appreciated. cyanosis or edema. All pulses were 2+ bilaterally. Neurologic: Cranial nerves II through XII were intact. Motor examination was normal for both upper and lower extremities. Cerebellar function was thought to be intact. There was no Romberg. She had normal sensation to vibration and light touch. Deep tendon reflexes were 2+ in the extremities, Babinskis. Genitalia: 1+ There external genitalia. Admitted on at the knees, is normal trace female at the pubic ankles hair, and Tanner there Stage 8-23-82 qe a) 31 _— CD normal History and Physica! Examination (HPE) Discharge Summary (DS) DS Combined with HPE ~] Interim Summary (IS) C3 V, no Operetion Report (OPN) [_} IS Combined with HPE Addendum Summary (AS) co were ‘ JURO0RO upper cr -