,REVIEW OF SYSTEMS: , Neurological: (+) paralysis Musculoskeletal: (+) joint pain (+) joint swelling (+) stiffness Cardiovascular: (+) ankle swelling Neurological: (-) numbness,Musculoskeletal: (-) back pain (chronic) (-) decreased ROM (-) episodic weakness,Cardiovascular: (-) chest pressure Respiratory: (-) breathing difficulties, respiratory symptoms (-) sleep apnea,PHYSICAL EXAM: , BP Standing:  120/84 HR:  79 Temp:  98.6 Height:  5 ft. 
,REVIEW OF SYSTEMS : , Neurological : ( + ) paralysis Musculoskeletal : ( + ) joint pain ( + ) joint swelling ( + ) stiffness Cardiovascular : ( + ) ankle swelling Neurological : ( - ) numbness , Musculoskeletal : ( - ) back pain ( chronic ) ( - ) decreased ROM ( - ) episodic weakness , Cardiovascular : ( - ) chest pressure Respiratory : ( - ) breathing difficulties , respiratory symptoms ( - ) sleep apnea , PHYSICAL EXAM : , BP Standing : 120/84 HR : 79 Temp : 98.6 Height : 5 ft .