The left outer canthus is tearing and the cornea reddened. Tympanic membranes are intact. Landmarks are well seen. The nose is somewhat bulbous and red. The tongue shows leukoplakic patches.
Teeth are in good repair.
Throat is reddened. No jugular venous distention. Good carotid pulses without bruit. Thyroid is not enlarged. Decreased breath sounds noted along with some wheezing and shortness of breath.