History and Physical //
Patient has no history of malignancy, active or distant history. Patient is not less than 16 or greater than 50. Patient has no unexplained weight loss. No recent fevers, rigors, malaise, or recent infection. No history of IVDU or skin-popping. Patient does not have any saddle anesthesia/perianal sensory loss or complaining of decreased rectal tone. Patient does not have urinary retention or inability to control urine from overflow. Patient has no tenderness overlying spinous process. Patient has normal gait and able to walk on heels/ toes. Patient has no focal weakness on examination. Patient does not have hyperreflexia on examination. lower back pain for ***. Pain is on *** side and radiates down back of leg. No fevers, chills, numbness, weakness, difficulty walking, bowel or urinary retention or incontinence. No flank pain, dysuria, hematuria, hx CAD. No hx cancer, blood thinners, trauma. ROS otherwise negative per below.
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