Physical Exam

• VS: T 98.6 BP 144/86 P 92 R14

• HEENT: no A/V nicking

• Neck: No thyromegaly or nodules

• Chest: No rales

• COR: No S3/S4 No murmurs

• ABD: soft, slight tenderness LLQ with fullness

• Skin: No striae ,echymoses ,or café au lait spots