text:  PHYSICAL EXAMINATION  Emaciated white female in mild respiratory distress .  Temperature was 98.1   heart rate 116   blood pressure 120  68   and room air O2 saturation was 93  HEENT   Dry mucous membranes and myotic pupils  NECK   No lymphadenopathy  CHEST   Few inspiratory wheezes and no rhonchi  HEART   Regular rate and rhythm with tachycardia and no rubs or murmur  ABDOMEN   Well healed Pfannenstiel scars and no masses  PELVIC   No masses  RECTAL   No masses and guaiac negative  EXTREMITIES   No edema or cyanosis  LABORATORY EXAMINATION   Hematocrit was 40   white count was 21   and platelet count of 723 000  PT and PTT were 12 and 26 .  Electrolytes were within normal limits   liver function tests within normal limits   and EKG showed a heart rate of 128   axis 73   and possible ectopic P