Shortness of breath in a 68 y/o man

Review of Systems

  • General: Patient feels generally fatigued. No fever, night sweats, or chills.

  • Skin: No rash, bruising, or other skin lesions.

  • HEENT: Sensation of fullness in the mouth. No vision changes, sore throat, or nasal congestion.

  • Pulmonary: See HPI

  • Cardiovascular: See HPI

  • Gastrointestinal: Mild decrease in appetite. No abdominal pain or change in bowel habits. No diarrhea. No dysphagia or odynophagia.

  • Genitourinary: Erectile dysfunction; no increased urinary frequency or urgency.

  • Musculoskeletal: Bilateral painless swelling of both lower extremities below the knee for several weeks.

  • Neurologic: Occasional dizziness upon standing and an episode of syncope a few months ago. No focal weakness, numbness, or tingling in his extremities.

  • Psychiatric: Noncontributory