[Solved]: Past medical history includes hypertension, high…

Past medical history includes hypertension, high cholesterol, glaucoma, and osteoarthritis, which primarily affects his bilateral knees. Past surgical history includes a left knee replacement 5 years ago. He is married (remarried 3 years ago) and is retired. He previously worked as a car mechanic. He is a one-pack-per-day (ppd) cigarette smoker and started smoking at age 16. He also admits to drinking about four beers per day, more on the weekends or if he is with friends in the evenings. Vital signs: temp 97.8deg F (36.6deg C), BP 128/82, HR 88, RR 18, pO2 94% on room air. Lung sounds are slightly diminished in the bases; heart rate is regular. Gauze is used to hold the tongue and inspect the oral cavity. He is noted to have three total ulcers in his mouth: one to the left side of tongue near the back of the mouth, one to the inferior aspect of the left side of the tongue, and one to the left inner bottom gums near the back molar; back molar is also noted to be slightly loose. The ulcers have rolled edges and have a white plaque over them, which cannot be removed easily with scraping with a tongue blade; tissue under ulcers is slightly indurated. He does not report pain with assessment or scraping of ulcers; no bleeding noted with scraping.