,MEDS:, Lanoxin, Capoten, Lasix, KCL, ASA, Voltaren, Alupent MDI,PMH: ,CHF, Atrial Fibrillation, Obesity, Anemia, Duodenal Ulcer, Spinal AVM resection 1986 with residual T9 sensory level, hyperreflexia and bilateral babinski signs, COPD.,EXAM: ,35.5C, BP 140/91, P86, RR20. 
,MEDS : , Lanoxin , Capoten , Lasix , KCL , ASA , Voltaren , Alupent MDI , PMH : , CHF , Atrial Fibrillation , Obesity , Anemia , Duodenal Ulcer , Spinal AVM resection 1986 with residual T9 sensory level , hyperreflexia and bilateral babinski signs , COPD.,EXAM : , 35.5C , BP 140/91 , P86 , RR20 .