PMH, medications, allergies were reviewed.

I have reviewed the MARs.

Physical Exam:

Vital signs were reviewed.

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. 

Jack Iasiello, Scribe

Electronically Signed:
Samuel T. Bowen, MD
NPI: 1568448439
License: NC 003115 VA 0101260751
DEA: BB0930366