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LABORATORY DATA: His
initial laboratory values included hemoglobin of 11.2 which is stable, white
count of 11.5. Urinalysis sho=
wed
multiple red cells. No white
cells. Creatinine is not avai=
lable
at the time of this dictation.
Urine is light pink, without clots.=
BUN is high.
PHYSICAL EXAMINATION:
GENERAL: He is curren=
tly
comfortable, ambulating, and afebrile.
VITAL SIGNS: Within n=
ormal
limits. He is a good historia=
n.
HEENT: Unremarkable.<= o:p>
HEART: Regular rate a=
nd
rhythm without murmurs.
CHEST: Clear.
ABDOMEN: Soft. He has no suprapubic mass.
GENITALIA: Penis is
circumcised without lesions. =
There
is indwelling Foley Catheter.
EXTREMITIES: Show good
peripheral pulses.
NEUROLOGIC: He seems =
to be
grossly intact with decreased sensation in the lower extremities.