The chest is symmetric with respirations. The lungs are clear to auscultation bilaterally without rales or wheezes. The heart is otherwise without gallops or rubs. No tenderness over the spinous processes or costovertebral angles. Soft and nontender.
Positive bowel sounds.
Good peripheral pulses without carotid bruits appreciated. The skin is warm and dry without clubbing, cyanosis, edema, or icterus. Atypical chest pain. New onset of hypertension. The patient stopped Lasix due to increased urination.