Objective examination data
Data obtained during the objective examination:
Weight: 80 kg
Height: 185 cm
Waist circumference: 80 cm (BMI 36.7)
The constitution is normosthenic. Subcutaneous fat is expressed satisfactorily, evenly distributed.
Nails and phalanges of fingers of the usual form
There is no lymphadenopathy
Apical shock - in the V intercostal space 1 cm inward from the mid-clavicular line to the left, with a diameter of 2 cm2, medium height and strength.
Percussion limits of the heart - normal.
Auscultation: rhythmic, sonorous heart tones
Heart rate at rest: 95 per minute
Blood pressure: 140/90 mm Hg. Art.
Slight swelling of the lower extremities in both legs
Breathing through the nose, free. Type of breathing - abdominal. BR 28 / min.
Chest shape: normosthenic, symmetrical, the right half of the chest lags behind in the act of breathing; supra- and subclavian fossae are well contoured.
Palpation: resistance of the chest is normal, vocal tremor is enhanced on the right below the angle of the shoulder blade. Pain on palpation - no.
Percussion: height of standing tops 4 cm; width of Krenig fields - 6 cm; excursion of the lower edge of the lungs on the right - 4 cm, left - 6 cm. Above the symmetrical areas of lung tissue is determined by a clear lung sound, dulling of the lung sound in the lower parts of the right lung.
Auscultation: vesicular respiration, hard throughout, there are moist small-bubble rales below the angle of the shoulder blade on the right.
The Digestive System
Tongue: moist, not covered.
Abdomen: normal configuration, involved in the act of breathing; on palpation - not painful (sensitive in the right hypochondrium), segments of the colon - b / o; percussion - tympanitis.
Liver: palpated 1 cm below the right costal arch
Spleen: not burned
Ascites is absent
Pasternatsky's symptom: negative on both sides
Physiological departures: without pathologies
Varicose veins of the n / extremities: no
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