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Eyes- Visual acuity is intact. PERRLA. Ears- Hearing intact, TM is translucent and mobile. Nose- nasal mucosa is moist and pink. Throat- pharynx is pink with no exudate or swelling. Neck- Supple without adenopathy. The trachea is midline position. No thyroid tenderness or enlargement and no JVD noted. Skin: Skin is warm and dry, skin turgor no tenting, normal pigmentation. No clubbing noted on fingernails or toenails. Cardiovascular: S1&S2&S3 with gallops present. No peripheral edema noted. Bruit present in right carotid artery. Thrill palpated in the right carotid artery and amplitude was 3+. No thrill palpated in the left carotid artery and amplitude was 2+. No bruit noted in bilateral femoral arteries. PMI displaced laterally, less than 3 cm and amplitude was brisk and tapping. Bilateral brachial arteries no thrill present and amplitude 2+. Bilateral radial arteries no thrill and amplitude 2+. Bilateral popliteal arteries no thrill and amplitude 1+. Bilateral tibial arteries no thrill and amplitude 1+. Bilateral dorsal pedis arteries no thrill and 1+. Capillary refill less than three seconds on all phalanges. Abdominal aorta bruit present. No bruit noted in the iliac or renalarteries. Respiratory: Breath sounds present in all areas, with fine crackles in the posterior right and left lower lobes. Chest is Symmetric and non-tender.Abdomen:Symmetric, round with no distention or tenderness. Bowel sounds active in all four quadrants. No masses noted. All quadrants were tympanic with percussion. Abdominal aorta bruit present.
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Common carotid artery, maternal grandmother, Codeine, Abdominal aorta