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Examination

General

  • Hubert looks tired
  • No pallor
  • No cutaneous signs
  • No cough

Vitals

  • Heart rate: 82/min
  • Blood pressure: 125/80 mmHg
  • Temperature: 36.9°C
  • Oxygen saturation: 98%

Cardiovascular

  • Normal heart sounds
  • All pulses present

Respiratory

  • No dyspnoea (laboured breathing)
  • No chest deformity
  • No crackling sound on the lungs or wheezing

Abdomen

  • Normal

Neurological

  • Bilateral ptosis (drooping eyelids)
  • Diplopia
  • Swallowing difficulties
  • Normal pupillary reflexes
  • Normal reflexes on upper and lower limbs
  • Normal cognition

Musculoskeletal system

  • Motor fatigability of the lower and upper limbs worsened with activity
  • Unable to ride a bicycle for more than 15 minutes