Sitting comfortably in a wheelchair with nasal oxygen cannula. He did not have a high arched palate, temporal atrophy, or facial dysmorphism. No murmur or gallop detected. Tachypneic with accessory muscle use and reduced diaphragmatic excursion. Clear breath sounds to auscultation bilaterally.
Normal bowel sounds.
Normal joint range of motion. No lesions or rashes. Alert and oriented to person, place and time. Speech was fluent with normal comprehension and repetition. II Pupils equal and reactive to light and accommodation.