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FOLLOWUP VISIT 

HISTORY:  This is a followup visit for Mr. Gray who has been complaining of right lower quadrant abdominal pain with inguinal hernia, non-strangulated, non-obstructed.  Bowels are clear.  He has difficulty moving bowels and with the pressure, an intra-abdominal hernia has occurred.  He had an appendectomy in the past.  He is complaining of some reflux and hyperacidity.  He is not on PPI or H2 blocker.  Mr. Gray lately has been depressed.  His last blood work showed hemoglobin of 11.8.  There is no evidence of any active bleeding.  Mr. Gray has had some financial and family problems, and he is suffering from depression. He has lost significant amount of weight.  He had significant workup, including colonoscopy and CAT scan, negative for any malignancies. PSA is within normal limits. 

PHYSICAL EXAMINATION: 
HEENT: Within normal limits. 
Heart: Clear. 
Lungs: Clear.
Abdomen: Soft. Right inguinal hernia, non-obstructed. 

PLAN: Prevacid 30 mg b.i.d. EGD next week. Continue all other medications. Followup visit in 1 month.