Fundoscopic examination reveals bilateral disc edema, right greater than left. There is no evidence of perivascular cuffing, hemorrhages or exudates on retinal examination. No carotid bruits were heard. Clear to auscultation bilaterally. Warm and dry with no lesions or rashes.
Normoactive bowel sounds, nontender, nondistended.
No palpable organomegaly. No cyanosis, clubbing or edema. No joint swelling, pain, or limitation of motion. Psychomotor responses are minimally slowed. Praxis, naming, writing, directed attention, visual recognition, and speech prosody appear intact.