Level 2: Edema – Physical Exam: Patient Information

How would you revise your DDX based on the physical exam findings?

How would you revise your diagnostic explanation?

• General: Male patient with appearance consistent with stated age. Patient is in severe distress due to choking and gagging.
• HEENT: Normocephalic, atraumatic, PEERLA bilaterally. Swelling present around the eyes and in the cheeks.
• Neck: Non-tender to palpation. No thyromegaly or lymphadenopathy noted.
• Respiratory: Patient exhibits labored breathing. Vesicular breath sounds present bilaterally. No wheezes, stridor, rales, or rhonchi present.
• Cardiovascular: Regular rate and rhythm. S1 and S2 of normal intensity. No murmurs, rubs, or gallops.
• Abdominal: Soft, non-distended. Non-tender to palpation in any quadrant. Bowel sounds present in all quadrants.
• Skin: Wheals >5mm present over arms, legs, and trunk. Patient is diaphoretic.
• Musculoskeletal: Full ROM of extremities. Swelling of arms, hands, legs, and feet noted. No weakness noted in upper or lower extremities.
• Neurologic: Cranial nerves II – XII grossly intact bilaterally. No gross motor weakness. Proprioception and coordination grossly intact bilaterally.