Case 3 :

O.M. is a healthy 69-year-old male with a past history of controlled HTN and Parkinson's disease.   He has recently moved into a retirement community nearby and is visiting you after Halloween to establish a new primary care physician.   He has a mild tremor and slow gait from his Parkinson's, but otherwise denies any active complaints.   He is interested in prostate cancer screening.

Medical History


1) HTN for 20 years, easily controlled
2) Parkinsons Disease for 3 years

Meds:             Dyazide, Sinemet

Allergies:        None

Surgeries:       Appendectomy 22 years ago

Habits:           Smoking 1 ppd for 40 years, drug use, social drinker of 2 beverages a week

Social:           Retired, former banker, lives with wife

Family:          No family history of cancer or heart disease

Repro:           Sexually active with wife only

Vaccines:      Childhood series, Td after a laceration 17 years ago

Diet:               2 meals a day, low salt

Exercise:        None regularly