,REVIEW OF SYSTEMS: , A 10 systems review negative for chest pain, pressure, shortness of breath, paroxysmal nocturnal dyspnea, orthopnea, syncope, near-syncopal episodes. 
,REVIEW OF SYSTEMS : , A 10 systems review negative for chest pain , pressure , shortness of breath , paroxysmal nocturnal dyspnea , orthopnea , syncope , near - syncopal episodes .