Chest Pain in a 62-yr-old Man

Physical Examination

  • General: appearance Middle-aged male in no apparent distress.

  • Vital signs:
  • Temperature: 37.2° C
  • Pulse: 76 beats/min
  • BP: 162/86 mm Hg
  • Respirations: 14/min

  • Skin: No rashes or lesions.

  • HEENT: Oropharynx clear

  • Pulmonary: Lungs clear to auscultation bilaterally. No wheezing, rhonchi, or rales.

  • Cardiovascular: Regular rate and rhythm, normal S1 and S2. No murmurs, rubs, or gallops. Brisk carotid upstrokes ; all pulses 2+ and symmetrical bilaterally. No neck vein distention visible when patient is sitting at 45°.

  • Gastrointestinal: Soft, nontender, nondistended abdomen; audible bowel sounds.

  • Genitourinary: Unremarkable

  • Musculoskeletal: Chest pain not reproducible with palpation. No lower-extremity edema, swelling, or tenderness.

  • Neurologic: Unremarkable

  • Mental: status Unremarkable