II. PHYSICAL EXAM

Physical examination reveals a slender plethoric (red-faced) man who is well-appearing. Blood pressure is 140/88; pulse is 82 and regular; respiratory rate is 12. The lungs are clear to auscultation; the cardiac exam reveals a normal S1 and S2 without murmur. The abdominal exam reveals that the spleen tip is palpable 3 cm below the left costal margin. The spleen is firm and nontender. The liver is not palpable. The extremities show no clubbing, cyanosis, or edema.

What aspects of the physical exam affect your diagnosis? Select all that apply.