The physical examination revealed a slightly obese Latin American female in mild respiratory distress. She is normocephalic, pupils are symmetrical and reactive, conjunctiva are hyperemic. Nasal mucosa are edematous, pink, with increased clear secretions. Pharynx is slightly hyperemic without exudates. Neck is unremarkable.
Chest is symmetrical.
Auscultation shows diffuse expiratory wheezes in both lung fields without crackles or ronchi. Heart rate is 100 and reg ular. Rest of physical exam is within normal limits. Glucose 103 Uric Acid 3.1 Cholesterol 234 Triglycerides 106 Calcium 9.3 Phosphorus 2.8 Total Protein 6.7 Albumin 4.1 Glob 2.5 Total Bilirrubin 0.9 Alk Phos. Allergy testing revealed allergies to dust mites, cats, dogs, and grass.