,PHYSICAL EXAMINATION,VITAL SIGNS:  Her blood pressure in the office was 188/94, heart rate 70, respiratory rate 18 to 20, and saturations 99% on room air. 
,PHYSICAL EXAMINATION , VITAL SIGNS : Her blood pressure in the office was 188/94 , heart rate 70 , respiratory rate 18 to 20 , and saturations 99 % on room air .