Nurse Smiley is present during the examination. No rashes, cyanosis, or petechiae noted. Normal hair pattern for sex and age. Tattoos are noted distributed over the upper torso, however, no pathologic lesions are demonstrated. No conjunctival injection, ptosis, or scleral icterus.
Fundoscopic exam reveals no AV nicking, papilledema, retinal hemorrhages or retinopathy.
External ear canals patent, TM intact bilaterally with normal cone of light and without injection. Moist nasal mucosa without discharge. Gums pink without bleeding. Oral mucosa moist. Uvula midline, no pharyngeal or tonsillar hyperemia or exudate.