CONSULTATIONS: None.

MEDICATIONS ON ADMISSION:  Lipitor 40 mg 1 p.o. q.d., Coumadin 1.25 mg 1
p.o. q.d., Toprol XL 50 mg 1 p.o. q.d., Isordil 40 mg 1 p.o. b.i.d., 
Persantine 75 mg 1 p.o. t.i.d., Norvasc 50 mg 1 p.o. q.d., Prilosec 20 mg 
1 p.o. q.d., prednisone 8 mg 1 p.o. q.d., Elavil 20 mg 1 p.o. q.h.s., 
Colestid 2 gm 1 p.o. b.i.d., Zestril 5 mg 1 p.o. q.d., sublingual 
nitroglycerin taken p.r.n. chest pain.

ALLERGIES:  The patient is allergic to codeine which causes pruritus.

SOCIAL HISTORY:  The patient is married and is currently retired.

FAMILY HISTORY:  Noncontributory.

PHYSICAL EXAMINATION:  The patient is an obese, white male in no apparent 
distress.  Pulse 85, respirations 20, blood pressure 138/84.  Temperature 
is afebrile.  HEENT:  Pupils are equal, round and reactive to light.  
Extraocular movements intact.  Nasopharynx and oropharynx are clear.  
NECK:  Supple without lymphadenopathy, JVD, bruits or thyromegaly.  
CARDIOVASCULAR:  Heart sounds are irregularly irregular without murmurs, 
rubs or gallops. PULMONARY:  Revealed bibasilar scattered rales.  
ABDOMEN:  Soft, nontender with good bowel sounds.  There was mild lower 
quadrant tenderness noted.  EXTREMITIES:  Without clubbing, cyanosis or 
edema.  Pulses were 2+ and equal bilaterally.  There were no femoral 
artery bruits present.  NEUROLOGICAL:  The patient was alert and oriented 
x 4.  There were no motor or sensory abnormalities.  Deep tendon reflexes 
were 2+ and equal bilaterally in the upper and lower extremities.  
RECTAL:  Heme negative.