jzeno
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https://www.whitehouse.gov/wp-conte...ical-Exam-for-President-Trump-12-Jan-2018.pdf
Vitals
Social History
Prevnar 13(to prevent pneumococcal pneumonia) and Twinrix (to prevent hepatitis A/B) given.
Routine vaccinations, to include seasonal influenza, all up to date. All indicated travel vaccinations up to date.
Summary
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Vitals
Age: 71 years, 7 months
Height: 75 inches
Weight: 239 pounds
Resting heart rate: 68 bpm
Blood pressure: 122/74 mm Hg
Pulse-oximetry: 99% room air
Temperature: 98.4 degrees F
Physical Examination by System (to include studies)Height: 75 inches
Weight: 239 pounds
Resting heart rate: 68 bpm
Blood pressure: 122/74 mm Hg
Pulse-oximetry: 99% room air
Temperature: 98.4 degrees F
Eyes: Uncorrected visual acuity was 20/30 bilaterally, with corrected visual acuity of 20/20
bilaterally. Visual fields were normal. Fundoscopic exam was normal bilaterally. Intraocular
pressures were normal bilaterally. No ocular pathology was discovered.
Head/Ears/Nose/Throat: Normal exam of the head, ears, nose, mouth, and throat.
Dental: Healthy teeth and gums.
Neck: Normal thyroid exam. No noted lymphadenopathy. Auscultation of the carotid arteries
normal.
Pulmonary: Lungs clear to auscultation. A screening Low Dose CT of the chest demonstrated
no pulmonary pathology.
Cardiac: Heart exam normal. Regular rhythm. No murmurs or other abnormal heart sounds
noted. ECG with normal sinus rhythm, rate of 71, normal axis, and no other significant findings.
Transthoracic Echocardiogram demonstrated normal LV systolic function, EF 60-65%, normal
LV chamber size and wall thickness, no wall motion abnormalities. RV normal, atria grossly
normal, all valves normal. Exercise Stress Echocardiogram demonstrated above average
exercise capacity based on age and sex, and normal heart rate, blood pressure, and cardiac output
response to exercise. No evidence of ischemia noted and wall motion was normal in all images.
Gastrointestinal: Normal exam. No masses, hepatomegaly or splenomegaly noted. Normal
optical colonoscopy with no polyps or abnormal findings completed June 2013. Repeat
colonoscopy not indicated and was deferred until next periodic physical exam.
Genitourinary: Normal exam.
Extremities/Musculoskeletal: Normal throughout. Full range of motion in all joints. Strong
distal pulses and good capillary refill in all extremities. No swelling or edema noted.
Neurological: Examination of cranial nerves, cerebellar function, deep tendon reflexes, motor
function, and sensory system all normal. Cognitive Screening Exam using the Montreal
Cognitive Assessment was normal with a score of 30/30.
Dermatologic: Normal exam. No evidence of melanoma, basal cell carcinoma, squamous cell
carcinoma, or any other significant dermatologic disease.
Laboratory Resultsbilaterally. Visual fields were normal. Fundoscopic exam was normal bilaterally. Intraocular
pressures were normal bilaterally. No ocular pathology was discovered.
Head/Ears/Nose/Throat: Normal exam of the head, ears, nose, mouth, and throat.
Dental: Healthy teeth and gums.
Neck: Normal thyroid exam. No noted lymphadenopathy. Auscultation of the carotid arteries
normal.
Pulmonary: Lungs clear to auscultation. A screening Low Dose CT of the chest demonstrated
no pulmonary pathology.
Cardiac: Heart exam normal. Regular rhythm. No murmurs or other abnormal heart sounds
noted. ECG with normal sinus rhythm, rate of 71, normal axis, and no other significant findings.
Transthoracic Echocardiogram demonstrated normal LV systolic function, EF 60-65%, normal
LV chamber size and wall thickness, no wall motion abnormalities. RV normal, atria grossly
normal, all valves normal. Exercise Stress Echocardiogram demonstrated above average
exercise capacity based on age and sex, and normal heart rate, blood pressure, and cardiac output
response to exercise. No evidence of ischemia noted and wall motion was normal in all images.
Gastrointestinal: Normal exam. No masses, hepatomegaly or splenomegaly noted. Normal
optical colonoscopy with no polyps or abnormal findings completed June 2013. Repeat
colonoscopy not indicated and was deferred until next periodic physical exam.
Genitourinary: Normal exam.
Extremities/Musculoskeletal: Normal throughout. Full range of motion in all joints. Strong
distal pulses and good capillary refill in all extremities. No swelling or edema noted.
Neurological: Examination of cranial nerves, cerebellar function, deep tendon reflexes, motor
function, and sensory system all normal. Cognitive Screening Exam using the Montreal
Cognitive Assessment was normal with a score of 30/30.
Dermatologic: Normal exam. No evidence of melanoma, basal cell carcinoma, squamous cell
carcinoma, or any other significant dermatologic disease.
Lipid Panel:
Total cholesterol 223 (mg/dL)
Triglycerides 129 (mg/dL)
HDL cholesterol 67 (mg/dL)
LDL cholesterol 143 (mg/dL)
Cholesterol to HDL ratio 3.3
Complete Blood Count:
WBC 5.5 (K/UL)
HGB 16.1 (g/dL)
HCT 48.7 (%)
PLT 241 (K/UL)
Extended Metabolic Panel:
Fasting Blood Glucose 89 (mg/dL)
BUN 19.0 (mg/dL)
CREAT 0.98 (mg/dL)
ALT 27 (U/L)
AST 19 (U/L)
Hemoglobin A 1C 5.0 (h)
Vitamin D 20.0 (ng/ml)
PSA 0.12 (ng/ml)
TSH 1.76 (ulU/ml)
Urinalysis:
Appearance Clear
Protein Negative
Ketones Negative
Glucose Negative
Blood Negative
Past Medical HistoryTotal cholesterol 223 (mg/dL)
Triglycerides 129 (mg/dL)
HDL cholesterol 67 (mg/dL)
LDL cholesterol 143 (mg/dL)
Cholesterol to HDL ratio 3.3
Complete Blood Count:
WBC 5.5 (K/UL)
HGB 16.1 (g/dL)
HCT 48.7 (%)
PLT 241 (K/UL)
Extended Metabolic Panel:
Fasting Blood Glucose 89 (mg/dL)
BUN 19.0 (mg/dL)
CREAT 0.98 (mg/dL)
ALT 27 (U/L)
AST 19 (U/L)
Hemoglobin A 1C 5.0 (h)
Vitamin D 20.0 (ng/ml)
PSA 0.12 (ng/ml)
TSH 1.76 (ulU/ml)
Urinalysis:
Appearance Clear
Protein Negative
Ketones Negative
Glucose Negative
Blood Negative
Hypercholesterolemia Rosacea
Past Surgical History
Appendectomy (age 11)
Social History
No past or present use of alcohol.
No past or present use of tobacco.
MedicationsNo past or present use of tobacco.
Rosuvastatin (Crestor). 10 mg daily to lower cholesterol.
Acetylsalicylic Acid (Aspirin). 81mg daily for cardiac health.
Finasteride (Propecia). 1 mg daily for prevention of male pattern hair loss.
Ivermectin Cream (Soolantra). As needed for treatment of Rosacea
Multi-vitamin (Centrum Silver). Daily for overall health maintenance.
ImmunizationsAcetylsalicylic Acid (Aspirin). 81mg daily for cardiac health.
Finasteride (Propecia). 1 mg daily for prevention of male pattern hair loss.
Ivermectin Cream (Soolantra). As needed for treatment of Rosacea
Multi-vitamin (Centrum Silver). Daily for overall health maintenance.
Prevnar 13(to prevent pneumococcal pneumonia) and Twinrix (to prevent hepatitis A/B) given.
Routine vaccinations, to include seasonal influenza, all up to date. All indicated travel vaccinations up to date.
The President's overall health is excellent. His cardiac performance during his physical exam was very good. He continues to enjoy the significant long term cardiac and overall health benefits that come from a lifetime of abstinence from tobacco and alcohol. We discussed diet, exercise and weight loss. He would benefit from a diet that is lower in fat and carbohydrates and from a routine exercise regimen. He has a history of elevated cholesterol and is currently on a low dose of Rosuvastatin. In order to further reduce his cholesterol level and further decrease his cardiac risk, we will increase the dose of this particular medication. The President is currently up to date on all recommended preventive medicine screening tests and exams. All clinical data indicates that the President is currently very healthy and that he will remain so for the duration of his Presidency.
He purportedly sleeps 4 to 5 hours per night according to himself and his doctors: Trump's doctor says he only sleeps 4-5 hours each night — and there could be a scientific reason why
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