PMH, medications, allergies were reviewed.

I have reviewed the MARs.

Physical Exam:

Vital signs were reviewed.

GENERAL: 
RESPIRATORY: The breath sounds are equal bilaterally with normal amplitude.  There are no crackles, rubs, or wheezes.
CARDIOVASCULAR: The heart sounds are normal.  There are no murmurs, rubs, clicks or gallops.

Impression:

1. 

Plan:

1. 

Electronically Signed:
Angela Kellermeyer, PA-C
DEA: MK2133712
NPI: 1598088635
Lic: NC 0010-02232