HEENT Eyes PERRLA, fundi without AV nicking or exudates, no obvious papilledema Ears EACs clear and atraumatic, TMs pearly grey and translucent, hearing grossly intact to voice and whisper Nose nares patent bilaterally, septum intact, no discharge, polyps or bleeding Mouth Edentulous with upper and lower dentures which were damaged during her hospital stay during a near fall, gums and tongue show small cuts and some erythema, oral mucosa somewhat dry, pharyx non erythematous without exudate, uvula midline Neck supple, full and nontender ROM, no bruits, no lymphadenopathy, no thyromegaly Lungs clear to auscultation bilaterally, no abnormal lung sounds Heart rate and rhythm regular, no murmurs, rubs or gallos Abdomen Soft and nontender, well healed surgical scar upper right quadrant, bowel sounds normoactive, no hepatosplenomegaly GU deferred BACK Full ROM, no spinal tenderness, no CVA tenderness EXTS upper and lower extremities with grossly full ROM cheapest place to buy cialis