VI.

PHYSICAL ASSESSMENT

INITIAL VITAL SIGNS:

Date and time taken: April 6, 2017; 8:00AM
Temperature: 36.5 oC
Blood Pressure: 120/80 mmHg
Respiratory Rate: 21cpm
Pulse Rate: 73 bpm
Weight: 51 kg (113 lbs)
Height: 62 in
BMI: 20.7 (Normal)

GENERAL APPEARANCE:

The patient was assessed sitting on his bed with an IVF line on his right hand. He looked pale with a slouching posture and
weak motor activity. He was not well-groomed and he lack personal hygiene as manifested by a slight odor of his body and breath.
However, the patient had a very pleasant facial expression. He welcomed the examiner very well and answered the questions without
any apprehensions. Despite the patient’s advance age, he could still converse and listen well, had good comprehension and level of
consciousness.

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A Case Presentation on NSAID – induced PUD: Gastric Antral Ulcer
Saint Padre Pio of Pietrelcina 2019 – RLE Group C