Hypertension since age 42, wellcontrolled on medications. Hypercholesterolemia since age 50, poorly controlled with diet. No history of COPD, asthma or other lung disease, coronary artery disease, renal disease, cancer, diabetes, or immunesuppressing disorders.
Tonsillectomy age 10, ligament repair of the right knee age 26.
Presently on: Chlorthalidone 25 mg once/day and enalapril 40 mg once/day for past 6 years. States: No known drug allergies. No seasonal allergies.
Family history: Mother age 80 with hypertension, type 2 diabetes mellitus, and high cholesterol. Father died at age 64 of coronary artery disease (CAD).
Additional info: Patient is employed as a lawyer. He plays squash vigorously twice a week, is poorly compliant with a lowfat diet, and consumes approximately 68 alcoholic drinks/week. He smoked 1 pack of cigarettes per day for 20 yr but quit smoking at age 44; he denies other drug use. His most recent travel was a Mediterranean cruise 8 months ago, which included land excursions to Turkey, Greece and Italy; no other recent travel. He has not had any history of recent immobilization. He has no known exposure to anyone with TB or other respiratory illness.