Physical Exam

• VS: T 98.6 BP 120/95 P 62 R18

• HEENT: A/V nicking

• Neck: pulsus parvus et tardus, no thyromegaly or nodules

• Chest: bibasilar rales

• COR: S4 /S2/S2 III/VI systolic murmur paradoxical split

• ABD: No bruits

• Rectal: trace guaiac positive

• Ext: trace pedal edema, hematoma left thigh