Nose and throat are clear. Neck is supple without lymphadenopathy or bruits. Soft, flat, nontender, and nondistended. Bowel sound are active. He has some minimal tenderness in the right lower quadrant.
Lower extremities are normal to exam.
He has negative straight leg raising in the supine position. Laboratory studies were within normal limits, with the exception of his cholesterol which was 236 and his triglycerides which were 320. He is not watching his diet at all. I think this may well be due to his work as a clerk. He spends a lot of time at a computer keyboard.