Patient Information The patient initials are A. B. 59 years of age, male and of the African American race. Chief Complaint “I have had rib and abdominal pain.” History of Presenting Illness The 59-year-old African American male presented with complaints of ribs and abdominal pain, in H. Pylori and is alert and oriented for the last four days. The Helicobacter Pylori (H.Pylori) is characterized by constant pain in the abdomen. Patient was noted with hypertension, GERD, epigastric pain, malaise, and fatigue. Treatments provided included education and encouragement on the importance of hydration and rest for fatigue improvement and for malaise. Current Medications   * Amoxicillin 500mg 1 tablet by mouth twice daily for 10 days (H. Pylori).   * Metronidazole 500mg 1 tablet by mouth twice daily for 14 days (H. Pylori).   * Administer Hep B, Tdap, and Shingrix vaccine(H.Pylori)   * Hydrocholorthiazide at 25 mg once daily (high blood pressure).   * Clarythromycin 50 mg PO twice daily for 10 days (gastritis) Allergies The patient reports no drug or food allergies. Past Medical History The patient has a history of hypertension, epigastric pain and GERD. He is currently undergoing medications to reverse these conditions. His previous hospitalization was due to elevated blood pressure and GERD. However, he has no history of surgery. The patient’s immunization history is not up to date with the Hep B, Tdap, and Shingrix vaccines indicated for treatment. As a child, records indicate that the patient received Tetenus toxoid vaccine. Social History The patient is a married man who lives with his wife and three children, who are all alive and healthy. The patient agrees to having been a chain cigarette smoker and enjoys occasional alcohol consumption. He is a retired professional driver who sometimes used cell phone while driving. He also reports tying his car seat belt whenever he drives. Family History The patient reports a history of hypertension, type 2 diabetes, and cancerous cases in his immediate relatives. Review of Systems General:   * Fatigue   * Body malaise   * Normal appetite   * Slight weight loss. HEENT:   * Reports having no headache   * Reports light headedness sometimes   * Reports no vision problems   * No hearing loss or ringing in the ears   * No mouth problems SKIN:   * No skin rashes or itching   * No instances of dry skin CARDIOVASCULAR:   * Mild chest pain or chest discomfort   * Occasional blood pressure monitoring RESPIRATORY:   * No difficulties in breathing.   * Reports having no cough. GASTROINTESTINAL:   * Reports having constant upper gastrointestinal pain.   * Slight weight loss   * Reports changes in appetite GENITOURINARY:   * Reports no pain while urinating   * No burning on urination NEUROLOGICAL:   * Reports slight dizziness   * Reports occasional numbness in the lower extremities MUSCULOSKELETAL:   * Reports no muscle pain   * Reports no back pain and joint pain HEMATOLOGIC:   * No anemia   * Denies experiencing episodes of bleeding or bruising LYMPHATICS:   * Denies History of spleen surgery PSYCHIATRIC   * Denies history of Depression ENDOCRINOLOGIC:   * Reports history of night sweating   * Denies presence of polyuria ALLERGIES:   * No history of allergies Objective Assessment The general assessment s