He was alert and co-operative but easily tired. His voice was quiet and monotonous in tone and speech was indistinct. There was no abnormal lymphadenopathy. No oedema, normal jugular venous pulse. Cardiac apex not palpable.
Heart sounds normal.
No carotid or abdominal bruits. Femoral and dorsalis pedis pulses present on both sides, posterior tibial pulses not palpable. Normal to inspection, no tenderness or guarding. Liver, spleen, kidneys and bladder not palpable. No abnormal masses.