HEENT: Reveals her head is diffusely tender. There is no sign of trauma. Her pupills are equal and reactive. Extraoculat muscles are intact. Her pupils are reactive about 3 mm.S he is a bit photophobic. Her funduscope exam is difficult because of her poor tolerance of light but her disk seemed sharp. Her blood vessel look abnormal and slightly hypertrophic but are poorly visualized to the poor tolerance of exam. The pharynx is benign. There is no tongue biting. Ears and TMs are negative. The neck is supple. There is no JVD. There is no lymphadenopathy. Trachea is midline. Chest is nontender with clear equal breath sounds. Cardiac exam reveals a regular rate and rhythm without murmurs, rubs or gallops. Abdomen: Positive Bowel sounds are soft and nontendeer. Back: No CVAT Extremities: Without clubbing, cyanosis, or edema. Neurologically, the patient is alert and oriented x4 and although she states she feels like she has trouble focusing on questions and communicating. Her motor strenght seems to be 5/5. sensation intact to light touch. Her cranial nerves are grossly intact.