S 1 and S 2 are normal. There are no gallops, murmurs or rubs. Dullness to percussion in left upper lobe. A pleural friction rub is heard over the left lateral chest. There are diffuse high pitched expiratory rhonchi bilaterally, most pronounced over left mid-lung field.
Bowel sounds are normal.
The abdomen is soft, with mild tenderness in the left upper quadrant and left lower ribs. The remainder of the physical examination is unremarkable. The students take note of the fever with rapid pulse and respiratory rate, and conclude that these support their hypothesis of an infection. The cardiac examination shows nothing suspicious, and the abdominal examination is within normal limits. The chest examination, however, shows several things that are unfamiliar to the students, and they begin to consult their reference books.