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FAMILY HISTORY: Father with Addison’s disease.

REVIEW OF SYSTEMS: He essentially cannot swallow anything.

HABITS: He is a nonsmoker, nondrinker. Pertinent positives and negatives as in history of present illness.

PHYSICAL EXAMINATION:
GENERAL: Alert, NAD. He is thin.
ORAL CAVITY: Looks normal.
NECK: There is a stapled wound that is mildly erythematous. There is no swelling in the neck. Nasal mucosa looks normal.
CHEST: Clear to auscultation and percussion with normal respiratory movement.
CARDIOVASCULAR: Regular rate and rhythm. Normal S1, S2. No evidence of S3, S4 murmurs.
ABDOMINAL: Normoactive bowel sounds. Soft, nontender, nondistended. No evidence of hepatosplenomegaly or masses to palpation.
EXTREMITIES: No evidence of cyanosis, clubbing, or edema.
LYMPHATICS: No evidence of submandibular, cervical, supraclavicular, or inguinal lymphadenopathy.
SKIN: No evidence of petechiae, purpura, rashes, induration, masses.
PSYCHIATRIC: Alert and oriented x3 with intact memory.