What parts of the exam would you like to perform Circle the appropriate areas

General survey

Breasts and axillae

Vital signs

Female genitalia


Male genitalia

Head and neck

Anus, rectum, prostate

Thorax and lungs

Peripheral vascular/extremities




Nervous system

What physical findings are you looking for to help determine the diagnosis?

These are the actual findings on physical examination:

General survey

Alert, young woman sitting comfortably on the examination table.

Vital signs

BP 105/72 mm Hg; HR 75 bpm and regular; respiratory rate 18 breaths/min; temperature 98.5°F


Protuberant with active bowel sounds.

Soft, nontender, with a palpable mass below the umbilicus; there is no hepatosplenomegaly

Liver span is 7 cm in the right mid-clavicular line; edge is smooth and palpable 1 cm below the right costal margin. Spleen and kidneys not felt. No costovertebral angle tenderness.

Female genitalia

No inguinal adenopathy. External genitalia without erythema or lesions; no lesions or masses. Vaginal mucosa pink. Cervix nulliparous, purple, with a clear discharge. Uterus anterior, midline, smooth, and enlarged to 16 cm. No adnexal tenderness. Pap smear obtained. Rectovaginal wall intact.

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