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Feels tired all the time and has no energy. HISTORY OF PRESENT ILLNESS: The patient is an 80-year-old man with the following diagnoses: hyperlipidemia, coronary artery disease, cerebrovascular disease, esophageal reflux, and anxiety with depression. The patient was last seen in July of this year for the above problems. The patient is new to our clinic and is requesting follow-up for the fatigue and lack of energy in addition to the problems noted above.PHYSICAL EXAMINATION: The patient is 57 inches tall and weighs 184 pounds. Blood pressure is 122/70. Pulse is 60 per minute. Respiratory rate is 18 per minute. HEENT: Basically within normal limits. The patient wears glasses. Hearing aids are present bilaterally. NECK: Supple. Trachea is midline. LUNGS: Clear to auscultation and percussion. HEART: Regular, without murmur or ectopic beats noted.
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