r. Thomas is being seen for an initial evaluation of

r. Thomas is being seen for an initial evaluation of his cough which has been present on and offfor about 2 years. Rarely productive but states sometimes white phlegm. In past he had been treatedfor both asthma and seasonal allergies but has been out of medication for quite some time now.Also states the cough is worse at night when laying down and often has a sore/rough throat in themorning Associated symptoms include dyspnea, wheezing, runny nose, heartburn and painfulswallowing, but no chills, no fever, no stuffy nose, no sore throat, no myalgias, no pleuritic chestpain, no chest pain, no vomiting, no postnasal drainage, no mouth breathing, no rapid breathing, nohoarseness, no eye itching, no nose itching, no headache, no hemoptysis and no night sweats.Mr. Thomas also reports foot pain. He spends between 12-16 hours a day on his feet and has painin both, R>L, for over a year now. Rest improves but weight bearing makes it worse. The pain ismainly in the heel area and is worst first thing in the morning with weight bearing. Ice helps toalleviate.

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