White chalky-appearing lesions are present on the tongue. No facial rashes noted. No jugular venous distention. Supple without lymphadenopathy. No carotid bruits.
Coarse breath sounds throughout.
No use of accessory muscles. Normal S1 and S2. No murmurs, rubs, or gallops. Soft, nontender, nondistended, normoactive bowel sounds, no hepatosplenomegaly. Peripheral pulses intact.