text:  On admission . GENERAL  He was well-appearing and in no apparent distress . Performance status was 0 . VITAL SIGNS  Weight 70.4 kilograms   temperature 96.5   respiratory rate 20   blood pressure 105  60   pulse 76 . SKIN  Unremarkable without rashes or lesions . HEENT  Sclerae anicteric . Pupils equal   round and reactive to light . Oropharynx   lips   teeth and gums were without lesions and without evidence of mucositis . NECK  Supple with a normal thyroid gland . No cervical   supraclavicular or axillary adenopathy . CHEST  Clear . HEART  Heart sounds normal . ABDOMEN  Soft   nontender   without any masses and without any hepatosplenomegaly . GU  Normal testes and penis . EXTREMITIES  Without clubbing   cyanosis or edema . NEURO  Normal with intact cranial nerves   deep tendon reflexes and normal motor    sensory exam .