No nasal discharge noted. Neck Normal neck exam. Neck is supple and without mass or bruit. Thyroid is normal on inspection and palpation. Vasc Normal cardio vascular exam.
Heart has a regular rate and rhythm.
No murmurs, bruits, rubs, or gallop. No edema and no jugular veinous distention is noted. No clubbing of nails. No cyanosis of nails. Chest is not deformed and breathing is symmetric and nonlabored.