II. PHYSICAL EXAM

Height, Weight Height: 83 cm (75th percentile) Weight: 10 kg (10th percentile)	Abdomen Liver edge palpated 2 cm below RCM. Soft and non-tender. Bowel sounds are present. Spleen tip is not palpated below the LCM.
Vitals Temperature 36.8 (axillary) Normal range (36.0-36.9) Heart rate: 152 Normal range (80-130) Resp. rate: 48 Normal range (20-30) BP 128/59 Normal range (100-129/50-59)	Genitourinary Normal male genitalia with both testicles descended.
HEENT (TM's; Sclera, Conjunctiva, Pupils; Nares; Oropharynx) Normocephalic TM's within normal limits Oropharynx within normal limits except for pale mucosal surfaces	Extremities Normal in tone and passive ROM.
Neck Shotty lymph node enlargement diffusely through both anterior cervical chains.	Neurologic DTR's +2/4 bilaterally. Cranial nerves II-XII appear grossly intact.
Chest Lungs clear to auscultation and respirations are unlabored. Heart Heart Regular in rhythm Tachycardic III/VI holosystolic murmur heard over left precordium	Skin Pale, scattered red-purple spots ranging in size from 1-3 mm and non-blanching located over legs, back, arms and trunk.