Vitals: Blood pressure 182/90; pulse 100; respiration rate 11; temperature 36.2°C
Constitutional: Alert and oriented, well-nourished, no acute distress
Cardiovascular: Regular rate and rythm
Pulmonary: Lungs clear to auscultation bilaterally
Neck: Supple, no masses or lymphadenopathy
Musculoskeletal: Normal range of motion and strength, no tenderness or swelling
- There is diffuse involvement of skin with hypopigmented, dry scaly patches and plaques.
- There is an area of induration in the left axilla measuring 4 x 2 centimeters with purulent discharge.
- Posteriorly, on the buttock, the patient has three focal areas of skin breakdown, consistent with pressure ulcer.
The remainder of the exam is unremarkable.