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

Adult:

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