He had carotid artery stenosis with endarterectomy in August 1994 as well. History of hypertension, COPD with pulmonary hypertension. Pupils are reactive to light and accommodation. There is a scar of endarterectomy on the right side with a carotid bruit. Lungs have inspiratory crackles and scattered expiratory wheezing on examination.
Heart is rhythmic.
There is no bruit in the renal arteries. BUN 40, creatinine of 2 in April 1999. Ultrasound of the kidneys at that time showed normal-size kidneys. Blood sugar is elevated at 457. Osmolality is 308, denoting dehydration.