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PROGRESS NOTE

CURRENT COMPAINT:  Mr. Smith is a middle-aged English gentleman with history of hypertension and abdominal discomfort, possibly suffering from IBS.  He comes in with reflux esophagitis.  He has an upper endoscopy done followed by PPI.  The patient is complaining now of bilateral leg swelling despite keeping his legs elevated.  He is not on any diuretics.  

PHYSICAL EXAMINATION:  
Vital signs:  Blood pressure is132/90. 
HEENT:  Within normal limits. 
Heart:  Clear. 
Lungs:  Clear to auscultation and percussion. 
Abdomen:  Soft. 
Extremities:  Bipedal edema. 
Neurological:  Intact. 

PLAN:  Mild diuresis, Aldactone 50 mg, and followup.