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His diet in the last 24 hours includes corn flakes, milk, three apples, diet soda, rice and chicken. He is currently not on any medication. He takes fluids regularly, at least one liter of clean water daily. His physical exercise involves walking to and from work daily, a total of 4 miles. He spends most of his day standing or walking around the factory. No psychological stress reported.
On inspection, the client looks healthy and of normal weight. The current total body weight is 73kg, which has not increased in last three months. The client does not have any problem chewing, walking or in performance of other activities. There is no report of muscular, joints or bone throbbing.
Client reports having had a fall in childhood that resulted in a dislocated knee joint. The dislocation was handled, and there was no further problems with the knee. No other problem was reported involving the muscles, joints or bones. The client has completed tetanus and polio immunization schedule. The client has never been diagnosed with diabetes mellitus, SLE or sickle cell anemia.
The client has regular exercise. He walks to work (4 miles) each day. In cases of muscular pain, the client uses anti-inflammatory balm for relief. The client does not smoke or take alcohol. He likes taking a diet soda on weekends. His typical diet includes milk, bread, rice and beef. He works at a chemical factory where most of his day is spent standing or walking around. He reports normal sexual life and is not stressed.
Client reports slight headache that was on and off in the last one week. There is no report of seizure activity accompanying the headache. Bending and strenuous activity exacerbated the headache. There is no report of decreased sensation of taste, smell, hearing or sight. The client has adequate memory and reports no problems with hearing, swallowing or body control.
There is a positive history of high blood pressure in the family. The client’s mother is
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