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GENERAL REVIEW OF SYSTEMS
General: No fevers, chills, or sweats. No weight loss or weight gain.
Cardiovascular: No exertional chest pain, orthopnea, PND, or pedal edema. No palpitations.
Neurologic: No paresis, paresthesias, or syncope.
Eyes: No double vision or blurred vision.
Ears: No tinnitus or decreased auditory acuity.
ENT: No allergy symptoms, such as rhinorrhea or sneezing.
GI: No indigestion, heartburn, or diarrhea. No blood in the stools or black stools. No change in bowel habits.
GU: No dysuria, hematuria, or pyuria. No polyuria or nocturia. Denies slow urinary stream.
Psych: No symptoms of depression or anxiety.
Pulmonary: No wheezing, cough, or sputum production.
Skin: No skin lesions or nonhealing lesions.
Musculoskeletal: No joint pain, bone pain, or back pain. No erythema at the joints.
Endocrine: No heat or cold intolerance. No polydipsia.
Hematologic: No easy bruising or easy bleeding. No swollen lymph nodes.

PHYSICAL EXAM
Vital: Blood pressure today was *, heart rate *, respiratory rate *.
Ears: TMs intact bilaterally. Throat is clear without hyperemia.
Mouth: Mucous membranes normal. Tongue normal.
Neck: Supple; carotids 2+ bilaterally without bruits; no lymphadenopathy or thyromegaly.
Chest: Clear to auscultation; no dullness to percussion.
Heart: Revealed a regular rhythm, normal S1 and S2. No murmurs, clicks or gallops.
Abdomen: Soft to palpation without guarding or rebound. No masses or hepatosplenomegaly palpable. Bowel sounds are normoactive.
Extremities: bilaterally symmetrical. Peripheral pulses 2+ in all extremities. No pedal edema.
Neurologic examination: Essentially intact including cranial nerves II through XII intact bilaterally. Deep tendon reflexes 2+ and symmetrical.
Genitalia: Bilaterally descended testes without tenderness or masses. No hernias palpable. Rectal examination revealed normal sphincter tone, no rectal mass. Prostate was *. Stool was Hemoccult negative.

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