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PAST MEDICAL HISTORY: The patient has hypertension x10 years.

ALLERGIES: No known drug allergies.

MEDICATIONS: Ambien and Coreg as well as omeprazole 20 mg p.o. daily.

FAMILY HISTORY: Father died of unknown reason (old age). Mother died of old age. One brother in Italy, alive and well and one sister.

SOCIAL HISTORY: The patient was an exsmoker, smoked 8 packs a year and stopped almost 15 years ago. Denied history of drinking. The patient is a retired musician.

REVIEW OF SYSTEMS: General: No weight change, occasional chills, no sleep disorder. Eyes: Negative, cataracts positive. ENT: Decrease in hearing. Heart: No chest pain, irregular heart beat. Endocrine: Negative. Psychological: Negative. Blood & Lymphatics: Negative. Urination: Nocturia. Muscle & Bone: Negative. Skin: Negative. Neurological: Negative. Lungs: No wheezing. No shortness of breath. GI Negative. Allergy: Negative.

PHYSICAL EXAMINATION: Shows an obese female in no apparent distress. Weight is 311 pounds. Blood pressure is 120/70. HEENT: EOMI (Extraocular muscles are intact), PERRLA, sclera is nonicteric. Neck is supple. Lungs are clear to auscultation and percussion. Cardiac exam shows normal sinus rhythm. Abdomen is soft. There is no organomegaly. A right upper quadrant surgical scar is noted. No peripheral lymphadenopathy. Extremities show 2+ pitting edema. Neurological is grossly intact. Skin shows no petechiae and ecchymosis. There is no peripheral lymphadenopathy.