,PHYSICAL EXAMINATION: , On exam, her temperature is 98, pulse 76, weight 197.7 pounds, blood pressure 102/72, BMI is 38.5, she has lost 3.8 pounds since her last visit. 
,PHYSICAL EXAMINATION : , On exam , her temperature is 98 , pulse 76 , weight 197.7 pounds , blood pressure 102/72 , BMI is 38.5 , she has lost 3.8 pounds since her last visit .