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SOCIAL HISTORY: Nonsmoker, nondrinker.

FAMILY HISTORY: Lung cancer and emphysema.

REVIEW OF SYSTEMS: ENT: Denies any symptoms. PULMONARY: She has no cough or sputum production. No shortness of breath. HEART: No palpitations, chest pain or skipped beats. No history of heart disease. GASTROINTESTINAL: No diarrhea, constipation or abdominal pain. GENITOURINARY: No dysuria, frequency or urgency.

PHYSICAL EXAMINATION:
VITAL SIGNS: Are found to be unremarkable with a blood pressure of 136/85, pulse 72 initially, respirations at 18, afebrile at 36.8, pulse oximetry 98% on room air.
GENERAL: This is a middle-aged female who is awake, alert, and oriented to name, place and situation.
SKIN: Warm and dry. Normal skin turgor is present.
EYES: Conjunctivae, lids normal/anicteric. Nose and throat: Mucous membranes are moist and pink. Airway is patent.
MUSCULOSKELETAL: No neck, chest or back pain with palpation.
RESPIRATORY: Lungs clear to auscultation with equal expansion of the chest without retractions or accessory muscle use.
CARDIOVASCULAR: Heart tones present. No murmurs, gallops or rubs
appreciated.
ABDOMEN: Bowel sounds present without organomegaly or apparent tenderness. No flank tenderness is elicited.
EXTREMITIES: The patient does have extensive areas of prior burns on the trunk and extremities. There are well-healed scars too.