II. PHYSICAL EXAM

Physical examination reveals a well developed man in no acute distress. (Note: Cachexia (profound wasting) would suggest chronic illness (inflammatory or infectious) or malignancy.)

Afebrile
HEENT: Anicteric (absence of jaundice)
No lymphadenopathy
Lungs are clear. (No pulmonary signs of infection or malignancy.)
Cor: no murmurs
Abdomen: no signs of ascites; liver edge is not palpable; spleen edge is palpable 4 cm below the left costal    margin. (Click here to learn how to examine a patient for the presence of splenomegaly.)
Skin:  No petechiae.  No ecchymoses. No spider angiomata.  (Click here for an explanation of these skin lesions    and the conditions that can be indicated by their presence.)
Neurologic exam: normal