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72 yo male presenting for follow up physical exam. PMHx:CADHLDM. Medications:VytorinHCTZAmlodipineMetformin. Physical Exam. General: NADHEENT: PERRL, NCAT, CV: S1, S2 RRR no m/g/r or JVD carotid bruitsLungs: CTA no r/r/wAbd: soft, NTND, no organomegalyExtremities: no c/c/e. What

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