text:  ON ADMISSION  General The patient was in no acute distress   well developed . Vital signs  Stable   afebrile . HEENT  Normocephalic   atraumatic . PERRL   anicteric   EOMI . The throat was clear . Neck  Supple   midline   without masses or lymphadenopathy . No bruit or JVD . Cardiovascular  Irregularly    irregular without murmurs   rubs   or gallops . Chest  Clear to auscultation bilaterally . Abdomen  Soft   nontender   nondistended   without masses or organomegaly . Extremities  Warm   noncyanotic   nonedematous times four . Neurological  Grossly intact . ADMISSION LABORATORY DATA  CBC 11.3    15.7    44.6    183 . PT 14   INR 1.3   PTT 115 . Chemistries  137    4.3    104    22    14    0.7    155 . ALT 27   AST 21   alkaline phosphatase 72   total bilirubin 1.2   amylase 47 . The U  A was negative .