RESPIRATORY: Normal respiratory effort. Clear to auscultation, no rales, no wheeze, no rhonchi. Lungs are clear bilaterally, no accessory muscle use. CARDIOVASCULAR SYSTEM (CVS): Regular rate and rhythm, without murmurs, gallops, or rubs. No pedal edema. ABD: Soft, non-tender, no organomegaly. NEURO: Normal gait, no tremor, no focal deficit. PSYCH: Alert and oriented, normal reactivity, normal mood and affect, good eye contact.