EKG performed three months ago with no abnormal findings See Dr Smith every six

Ekg performed three months ago with no abnormal

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annual physicals. EKG performed three months ago with no abnormal findings. See Dr. Smith every six months. Patient reports he does not have a cardiologist. Family History: Father had HTN, HLD and obesity and died at 75 from colon CA. Mother- 80 yo with type 2 DM and HTN. Brother- passed at 24 yo from MVA. Sister- 52 yo with type 2
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DM, HTN. Maternal Grandmother- died of breast CA, age 65. Maternal Grandfather- died of MI age 54. Paternal Grandmother- died of pneumonia at 78. Daughter- Asthma, age 19. Social history: Denies tobacco or drug use. Drinks 2-3 beers a week. ROS: HEENT: Denies changes to vision, hearing or smell. Denies difficulty chewing or swallowing. Skin: Denies rashes, dry skin, itchiness or lesions. Cardio: Denies current chest pain, discomfort or palpitations. Resp: Denies dyspnea and cough. GI: Denies nausea, vomiting or diarrhea. Denies changes in bowel habits. Denies bloating. `Denies ever having GERD. GU: Denies dysuria and hematuria. Neuro: Denies dizziness or syncope. Musck: Denies joint pain or back pain. Heme: Patient denies bruising or bleeding. Lymp: Denies history of CA Psyc: Denies depression or anxiety. Denies any psychiatric disorders. Endo: Denies hormone therapy or temperature intolerances. Allergies: Codeine Objective Vitals: BP 146/90, 02 sat 98% RA, HR 104, RR 19, Temp 36.7 C General Assessment: Brain Foster is a 58 year old Caucasian male. No acute distress noted. Patient is A&O times four and appearance, hygiene, eye contact, mood, interactions and behavior were all appropriate.
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HEENT: Head- Normocephalic, symmetric facial features, atraumatic. No tenderness noted.
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