Bill Wilson's Case Report

A complete assessment was performed on Bill Wilson, a 69 year old male. Bill appears well-groomed and oriented to person, place and time. With examination, Bill’s pupils are equal, alert, and reactive to light and no deficits with extraocular movements. Bill does wear glasses. Wisper test performed, no deficits found with hearing, no devices were worn. Bill was able to breathe out of his bilateral nostrils. His mucous membranes were pink and moist. Bill has his natural teeth with no problems observed. Upon palpation of postauricular, submandibular, and supraclavicular lymph nodes, there were no problems palpated. Bill’s heart was auscultated and found his heart rate to regular. His lungs were auscultated and lung sounds were clear to all lobes.