She takes HCTZ 25 mg daily, for her hypertension. She underwent an abdominal hysterectomy at age 39 for chronic dysfunctional uterine bleeding. She previously smoked 1 pack of cigarettes per day for 25 years, quitting approximately 12 years ago. Skin is warm and dry without xanthelasmas or jaundice. Neck is supple without jugular venous distention or carotid bruits.
Lungs are clear to auscultation bilaterally.
No S3 murmur or rub. Abdomen is soft, round, nontender without masses, organomegaly, or bruits. No edema, ulcers, stasis changes or clubbing is noted. Resting EKG show normal sinus rhythm. Exercise stress test reveals poor exercise tolerance, and ST segment depression in the inferior leads.