CARDIOVASCULAR: Denies cyanosis, chest pain, pressure or discomfort, palpitations or edema. RESPIRATORY: Slight productive cough x last 2 days. Denies shortness of breath. Nonsmoker. Denies history of lung disease GASTROINTESTINAL: Slight current anorexia x 1 day. Denies nausea, vomiting or diarrhea. No abdominal pain or blood. Heartburn/ Indigestion once per week r/t spicy foods and red meat. Takes Zantac OTC PRN for symptom control. Denies history of ulcers, gallbladder disease, appendicitis or colitis. Bowel movement 2/day, soft, brown no pain or bleeding. GENITOURINARY: Denies kidney disease, flank, groin or suprapubic pain. No reports of dysuria, frequency, hesitancy or urgency. Vasectomy 2012. NEUROLOGICAL: Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. Reports no change in bowel or bladder control. MUSCULOSKELETAL: Current generalized muscle pain and stiffness x last 2 days. Denies history of bone trauma, joint pain, deformity, gout or arthritis. HEMATOLOGIC: Reports no history of intravenous drug use, blood transfusions, anemia, bleeding or irregular bruising.
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- Fall '15
- Grandparent, Common cold, Denies kidney disease