Reference no: EM133926149

Question

Mr Jones adds that dizziness is worse with head movement, but not with rising from sitting to standing position. He denies headache, blurred vision or vision changes, ear pain/pressure, nasal congestions, shortness of breath or chest pain. He does have occasional abdominal pain that can be severe in the epigastric area. He also mentions that it is sometimes difficult to have an erection, His urinary stream is sometimes hard to start and occasional his stream is not as forceful. He has noted his feet getting more cold than normal, although the rest of him feels warm. He also just remembered that he was bit by a tick when camping last month. He didn't mention but he is a 2 ppk/day smoker x 25 years, and Drinks about 4 beers/day. He denies illicit drug use. He eats Fast food twice a week, and often skips meals. Rarely sleeps more Than 4 hours/day Med reconciliation (with pharmacy) reveals Lisinopril 60 mg bid Metformin 850 mg tid Levothyroxine 88 mcg qd Simvastatin 60 mg qd Aspirin 325 mg x 4 bid Allergies: PCN (anaphylaxis); Sulfas (rash) Past surgical history - appendectomy at age 22 Today's vitals: T 99.9 P: 90 R 24 BP.