He sees that her right leg is turned out, and she is unable to move it. While the pain medication is taking effect, the ER physician attends to another patient. Upon return, he finds Mrs. Smith still complaining of pain, but she agrees to let him continue his exam. He then does a secondary survey . In general, Mrs. Smith appears pale, alert, and in some distress.
Exam is positive only for a small cataract in the left eye and a palpable firm thyroid.
No carotid bruits. Liver, kidneys, and spleen are nonpalpable. Femoral pulses are normal and equal. There is some crepitance when the left knee is moved. Radial, dorsalis pedalis, and posterior tibial pulses are all normal and equal.