Anemia in a 42-year-old woman

Physical Examination

  • General appearance: She appears tired but in no apparent distress.

  • Vital signs:
  • Temperature: 37° C
  • Pulse: 85/min
  • BP 120/75 mm Hg
  • Respirations 15/min
  • Weight 78 kg
  • Height 163 cm

  • Skin: No rashes or cyanosis.

  • HEENT: Conjunctivae pale, no scleral icterus, no cervical adenopathy.

  • Pulmonary: Lungs are clear to percussion and auscultation. No wheezes, rales, or rhonchi.

  • Cardiovascular: No jugular venous distention at 45°. Normal heart rate and regular rhythm; S1 and S2 normal; no murmurs, rubs, or gallops.

  • Gastrointestinal: Abdomen soft, nontender, spleen palpable and slightly enlarged, no hepatomegaly. No masses on rectal examination; stool is brown and heme-negative.

  • Genitourinary: Pelvic examination shows no bleeding, masses, or visible lesions.

  • Musculoskeletal: Joints and extremities normal.

  • Neurologic: No focal findings

  • Mental status: Alert and oriented, with appropriate affect and responses.