History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Essential Differential Diagnosis
Relevant Testing
Test Results
Diagnosis
Treatment Orders
Question 1
Question 2
Question 3
Question 4
About the Case
Leg Pain in a 62-yr-old Man
Review of Systems
General
: Modestly overweight for most of his adult life.
Skin
: States that he has a red area on the right leg that is slightly painful. Denies other skin lesions, rash, or itching.
HEENT
: Noncontributory
Pulmonary
: No cough, shortness of breath, or pleuritic chest pain.
Cardiovascular
: No chest pain, dyspnea during exertion, palpitations, orthopnea, or paroxysmal nocturnal dyspnea.
Gastrointestinal
: No nausea, vomiting, or diarrhea. Appetite uncharacteristically poor today.
Genitourinary
: No increased volume or frequency of urination; no dysuria. Sexually active only with his wife.
Musculoskeletal
: Other than as noted in the history above, no pain in limbs or joints. No recent injuries or immobilization.
Neurologic
: Noncontributory
Psychiatric
: Noncontributory
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