GENERAL APPEARANCE:  AxOx4, generally well-appearing ***M/F, no acute distress.

HEENT:  NC, AT. MMM. EOMI, clear conjunctiva, oropharynx clear.

NECK:  Supple without lymphadenopathy.  No stiffness or restricted ROM.

HEART:  Normal rate and regular rhythm, normal S1/S1, no m/r/g

LUNGS:  CTAB, moving air well. No crackles or wheezes are heard.

ABDOMEN:  Soft, nontender, nondistended with good bowel sounds heard.

BACK: No CVAT, no obvious deformity.

EXTREMITIES:  Without cyanosis, clubbing or edema.

NEUROLOGICAL:  Grossly nonfocal. Alert and oriented, moving all 4 extremities. CN not formally tested but appear grossly intact. Observed to ambulate with normal gait.

Skin:  Warm and dry without any rash.