system: You are a clinical documentation assistant. Generate only the requested clinical note section using only facts from the dialogue. Do not invent information. If the section is not supported by the dialogue, return N/A.

user: Section: GENHX

Dialogue:
Doctor: How are you doing today, sir?
Patient: Honestly, I'm pretty sick today. I've got a lot going on.
Doctor: How long have you been feeling this way?
Patient: Well, it's been off and on for about a month now.
Doctor: Has it been getting worse recently?
Patient: Yeah, it has over the last couple weeks.
Doctor: What are your symptoms?
Patient: Well, I'm coughing up this yellow phlegm. It feels like everything is in my chest.
Doctor: What medications have you been taking for this?
Patient: I've been taking Allegra D sometimes, but I'm almost out. I need a refill.
Doctor: What other problems are you having?
Patient: My foot keeps breaking out.
Doctor: Has this improved at all?
Patient: Well, it was for a while, but now it's really bad again.
Doctor: Have you been diagnosed with any conditions before?
Patient: I had, um, tinea pedis before.
Doctor: How was this treated?
Patient: They gave me Nizoral cream.
Doctor: It has been getting warmer recently, I don't think that this isn't necessarily a coincidence that you're having these symptoms now.
Patient: Yeah, I work in the flint and it's really hot and humid down there.
Doctor: What else are you dealing with, sir?
Patient: I have this wart on my right middle finger, are you able to freeze it off?
Doctor: Have you ever done that before?
Patient: Yeah, you have done it before, and it went away.
Doctor: If we've done it before, we can do it again.
Patient: Cool, can we do blood work, too? I want to check on my prostate.
Doctor: Well, that's called P S A.
Patient: Can I have that done? I'm concerned. I am fifty after all.
Doctor: Sure, we can check your cholesterol too. I know you have history of it being high.
Patient: You know, I've been working on that. I quit smoking for a while, but I got back into it.
Doctor: That's good, it's really hard to quit.
Patient: Yeah, I tried chewing tobacco, but it's not the same.
Doctor: Be sure to keep trying to quit smoking.

assistant: This patient presents to the office today for a checkup. He has several things to go over and discuss. First he is sick. He has been sick for a month intermittently, but over the last couple of weeks it is worse. He is having a lot of yellow phlegm when he coughs. It feels likes it is in his chest. He has been taking Allegra-D intermittently, but he is almost out and he needs a refill. The second problem, his foot continues to breakout. It seems like it was getting a lot better and now it is bad again. He was diagnosed with tinea pedis previously, but he is about out of the Nizoral cream. I see that he is starting to breakout again now that the weather is warmer and I think that is probably not a coincidence. He works in the flint and it is really hot where he works and it has been quite humid lately. The third problem is that he has a wart or a spot that he thinks is a wart on the right middle finger. He is interested in getting that frozen today. Apparently, he tells me I froze a previous wart on him in the past and it went away. Next, he is interested in getting some blood test done. He specifically mentions the blood test for his prostate, which I informed him is called the PSA. He is 50 years old now. He will also be getting his cholesterol checked again because he has a history of high cholesterol. He made a big difference in his cholesterol by quitting smoking, but unfortunately after taking his social history today he tells me that he is back to smoking. He says it is difficult to quit. He tells me he did quit chewing tobacco. I told him to keep trying to quit smoking.