with nausea/vomiting, heartburn, or food intolerances. Regular diet.No recent change in weight. Denies chronic diarrhea, but has self-limiting episodes of diarrhea which he attributes to stress. Also reportsepisodic problems with hemorrhoids with blood on toilet paper andstreaking of passage of hard stool. States currently has a couple smallhemorrhoids with no bleeding. Denies history of jaundice, gall bladder,or liver disease.
Denies urinary frequency, hesitancy, incontinence, orburning with urination. History of passing 5mm kidney stone 2007. Ina long-term monogamous relationship. Denies sexual issues.
Denies thyroid problems, heat/coldintolerance, excessive hunger, thirst, or history of diabetes. Deniesconcerning bruising, ease of bleeding. No history of bloodtransfusions.
Denies trouble concentrating, nervousness, anxiety, orpanic attack. Denies difficulty falling or staying asleep. Occasional(once/week) getting out of bed earlier than waking time to urinate(associated with drinking fluids at night). Denies mood changes,hearing voices, frequent unhappiness, or desire to harm self or others.Denies nightmares, memory loss, or excessive life stresses. No recentdeaths in family or close friends.
Right ankle fracture (football, non-displaced) 1991.Occasional pain both knees, which he attributes to years of playingsports and not to a traumatic event. Denies other orthopedic injury orarthralgia.
Denies history of stroke, seizures orfrequent/incapacitating headache. Denies tremors.
50 year-old male who is awake, alert, andcooperative. Clothing is well kept and appropriate for season. He isoriented to person, place, and time and answers all questionsappropriately. Appears stated age, appears to be healthy, and doesnot appear to be in any acute distress.
BP Right arm sitting. 152/92HR 72RR 16Sa02 99% on room air