Patient: NAME_1 SHC: 92-071-430 MRN: 20-31-61- 81 FIN: 8512436 Age: 62 Years Gender: Female DOB: 12/12/1960 Author: NAME_2 Chief Complaint Hernia History of Present Illness Patient with a large gynecologic mass who is pending surgery request for possible simultaneous hernia repair Review of Systems Cardiovascular: CHF Respiratory: Asthma Gastrointestinal: No recent history of abdominal pain, no history of vomiting, no history of melena or hematochezia, no active reflux symptom, no history of cirrhosis Genitourinary: No recent history of difficulty voiding or dysuria, no blood in the urine, no history of urinary tract stones, no history of urinary retention Neurological: No recent history of seizure, stroke, dysphasia, or sudden onset of muscular weakness Musculoskeletal: No recent history of generalized arthritis, no history of rheumatoid arthritis, no history of musculoskeletal prosthetic devices Integumentary: No recent history of rashes or cellulitis Head and neck: No recent history of pharyngitis dysphagia, or neck masses Psychiatric: No history of schizophrenia or depression Endocrine: No history of thyroid disease or diabetes Hematological/lymphatic: History of DVT, and thyroid nodule, and MRSA Physical Exam Vitals & Measurements T: 37 °C (Oral) TMIN: 36.5 °C (Oral) TMAX: 37 °C (Oral) RR: 17 BP: 107/71 SpO2: 95% WT: 164.9 kg Constitutional: Obese Vital signs: Afebrile with stable vital signs Lungs: Clear to auscultation, no wheezing Cardiac: Regular rhythm and rate good pulses distally in the extremities Chest (Breast): no asymmetry, open lesion or hard masses Abdomen: Marked obesity including truncal, large umbilical hernia with multiple loops of bowel, nondraining physical exam not consistent with bowel obstruction eyes: conjugate gaze, tracks, makes eye contact, pupils symmetrical Neck: Supple no masses E,N,M,T: oral mucosa moist, no pharyngeal plaques, no nasal discharge or bleeding, dentition unremarkable Neurologic: NAME_3 and oriented 3 X 3,

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