General exam:-
--conscious or not ?--comfortalble in bed or not ?
--alert"oriented"?
--appears ill ,tired,weak,angry,anxious?
--significant features in face,hands,foot,L.N
--vital signs
--cyanotic ?pallor?jaundice?polycythemic?swelling ?dehydration?m.wasting?
--edema "sacral"?
--Lap in neck?