No history of alcohol or drug abuse. Pleasant, ambulatory, and in no acute distress. Expressive speech shows decreased phrase length, dysnomia, and semantic paraphasias and word substitutions. Normocephalic, no carotid bruits. Lung fields clear to auscultation, no wheeze or rhonchi.
Normal bowel sounds.
Soft, non-tender, not distended. No lesions, hypo- or hyperpigmented areas. The patient was alert and aware of his environment. He was oriented to place, person, and exact day, and date. He was cooperative, well groomed and friendly.