Significant physical exam findings at this visit
included reduced swelling in her hands and elbows,
with reduced pain by VAS (now 4/10 instead of
8/10 at the first visit) during active and passive
range of motion. the temporomandibular joints
were non-tender to palpation, muscles were 5/5,
range of motion of all joints was within normal
limits, and there was full activity with no complaints.
Systolic blood pressure had dropped from
112 mm Hg at initial visit to 102 mmHg; diastolic
blood pressure remained the same (72 mmHg).
Weight had decreased from 170 lbs at initial visit
to 156 lbs (a 14-pound weight loss); as a result,
BMI had decreased to 25.2 from 27.4.