,ASSESSMENT:, A 48-year-old African-American male with a history of coronary artery disease, congestive heart failure, COPD, hypertension, and renal insufficiency with:,1. 
,ASSESSMENT : , A 48 - year - old African - American male with a history of coronary artery disease , congestive heart failure , COPD , hypertension , and renal insufficiency with:,1 .