 Vital Signs:  Blood pressure 126/84, pulse 67, respiratory rate 18, weight 232 pounds, height 5 feet 8 inches, temperature 97.4 degrees, SaO2 is 99 percent on room air at rest.  HEENT:  Sclerae anicteric.  Conjunctivae pink.  Extraocular movements are intact.  Pupils are equal, round, and reactive to light.  The nasal passages show deviation in the nasal septum to the right.  There is a slight bloody exudate at the right naris.  Some nasal mucosal edema was noted with serous exudate bilaterally.  The jaw is not foreshortened.  The tongue is not large.  Mallampati airway score was 3.  The oropharynx was not shallow.  There is no pharyngeal mucosa hypertrophy.  No tonsillar tissue noted.  The tongue is not large.  Neck is supple.  Thyroid without nodules or masses.  Carotid upstrokes normal.  No bruits.  No jugular venous distention.  Chest is clear to auscultation and percussion.  No wheezing, rales, rhonchi or adventitious sounds.  No prolongation of the expiratory phase.  Cardiac:  PMI not palpable.  Regular rate and rhythm.  S1 and S2 normal.  No murmurs or gallops.  Abdomen:  Nontender.  Bowel sounds normal.  No liver or spleen palpable.  Extremities:  No clubbing or cyanosis.  There is 1+ pretibial edema.  Pulses are 2+ in upper and lower extremities.  Neurologic:  Grossly nonfocal.