HISTORY: The patient is a 35-year-old male who weighs 173 pounds. His temperature is 97.6. He returns for complete physical exam. He has a history of contact dermatitis for which he was treated recently with Medrol Dosepak. He has a history of recurrent depression for which he has been treated in the past two years with Prozac, however he has had relapses and treatment before. He is seeing an outside therapist and occasionally visits mental health for medication adjustment. Other medical history is negative. He has had no surgery. He denies heart disease, pulmonary disease, gastrointestinal disease or stomach problems or urinary problems.

ALLERGIES: He denies any medication allergies.

SOCIAL HISTORY: He does not smoke. He does not drink.

FAMILY HISTORY: Colon cancer, uncle died in early 50s.

PHYSICAL EXAMINATION: His blood pressure is 110/70 mm Hg. Heart rate is 80 per minute. Head and neck exam is negative. Extraocular movements are full. He does see an outside ophthalmologist for screening for glaucoma. He has noticed that he has had cerumen in the right ear. However, he reports no decrease of hearing. Head and neck exam is otherwise negative. No thyromegaly. No masses in the neck. Chest is clear to auscultation. Heart sounds are normal without rubs, murmurs or gallops. Abdomen is soft without organomegaly. Extremities show no edema. Pulses were 2+. There is normal air distribution. Skin color and tone are normal. Examination of genitalia showed normal male without hernia without masses.

ASSESSMENT: The patient has a depressive history. He also has a strong family history of colon cancer.

PLAN: For that reason, he is sent to gastrologist for a screening evaluation of colon cancer. We will also do labs and stool for occult blood. He will have PPD. He will also see mental health physicians regarding tapering or maintaining his Prozac. The patient is in stable medical condition and will follow up with me as needed.