Exertional Dyspnea in a 76 YO Man

Review of Systems

  • General: Patient generally feels fatigued. No recent weight changes.

  • Skin: No rashes or skin lesions.

  • HEENT: No vision changes, ear pain, nasal congestion or discharge, or sore throat.

  • Pulmonary: See HPI

  • Cardiovascular: See HPI

  • Gastrointestinal: Good appetite. No abdominal pain, nausea, vomiting, or change in bowel patterns.

  • Genitourinary: Has not produced urine for several years since beginning dialysis. Has not missed any dialysis treatments.

  • Musculoskeletal: No redness or pain in extremities. He has noticed increased swelling of his feet and ankles in recent months.

  • Neurologic: Noncontributory

  • Psychiatric: Noncontributory