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.