Cough in 47-yr-old woman

Physical Examination

  • General appearance: Well-appearing woman; not in respiratory distress.

  • Vital signs:
  • Temperature: 36.8° C
  • Pulse: 79 beats/min
  • BP: 133/88 mm Hg
  • Respirations: 15/min
  • Pulse oximetry: 95% on room air

  • Skin: No cyanosis, rashes, or other lesions.

  • HEENT: Anicteric sclerae, pupils equally round and reactive to light. No nasal polyps. Oropharynx clear, no postnasal drip. No lymphadenopathy.

  • Pulmonary: Normal respiratory effort. Good air entry and exit but bilateral wheezing noted during forced expiration. No crackles or rhonchi.

  • Cardiovascular: Normal rate, regular rhythm. No murmurs, rubs, or gallops. Jugular venous pressure not elevated.

  • Gastrointestinal: Soft, nontender, nondistended abdomen with normal bowel sounds.

  • Genitourinary: Not assessed

  • Musculoskeletal: Tender to palpation at the junction of the sternum and right 3rd and 4th ribs. No swelling, redness, or tenderness in the legs.

  • Neurologic: Normal gait with no focal deficits in strength or sensation.

  • Mental status: Appropriate. Alert and oriented.