She experienced transient chest pain during this illness, but otherwise has no history of heart disease, syncope, murmurs, edema, orthopnea, or paroxysmal nocturnal dyspnea. She has had no gastrointestinal or urinary tract symptoms. As mentioned previously, there is a history of childhood migraine. There is no history of significant fatigue, fevers, chills, or night sweats. Normocephalic without evidence of trauma, anicteric sclerae, mucous membranes moist without erythema or exudates.
Fundoscopic examination reveals bilateral disc edema, right greater than left.
There is no evidence of perivascular cuffing, hemorrhages or exudates on retinal examination. No carotid bruits were heard. Clear to auscultation bilaterally. Warm and dry with no lesions or rashes. Normoactive bowel sounds, nontender, nondistended.