Past medical history is remarkable for the usual childhood diseases without sequelae. No history of rheumatic fever or scarlet fever. He has a history of elevated cholesterol, history of prior stress test 5 years ago which was negative. History of ulcer disease, H. pylorii antibody-positive, treated with Biaxin and Prilosec. History of degenerative arthritis.
Pupils are equal, round, reactive to light and accommodation.
Extraocular movements intact. Funduscopic exam is benign. No tongue deviation. No jugular venous distention. No carotid bruits.