Question: I am a nurse practitioner student so I will do this in a typical medical style Chief complaint: Decreased appetite and sense of taste HPI: sudden onset about 7 weeks ago Very little to no appetite and sense of taste no interest in food Sense of smell intact complete loss of interest in sex complete loss of anxiety complete loss of depression no sense of happiness or sadness complete loss of desire for alcohol (not a bad thing, just interesting) Not apathetic but just no emotions No sense of grandiosity Past Medical History: Allergies: none Exercise-walk regularly Immunizations: influenza vaccine in November Medications: lisinopril 20 qd HCTZ 25 mg qd Lexapro 10 mg daily Ambien 5 mg at hs Ativan 1 mg prn (I haven't taken this for six weeks because I don't need it). I have not needed it for about three months but I did take to sleep Still have impaired sleeping without ambien Fish oil 1000 mg daily Daily multiple vitamin Asa 0ne daily (The fish oil and aspirin are my choice-never have been prescribed) Medical: HTN for six years-well controlled Depression: long history of this but my depression has vanished Anxiety: I used to have a long history of anxiety but it is now gone I had a minor cold in mid December I have Mal de debarquement syndrome-diagnosed in 2004 by balance specialist-intermittent problems but not really bothersome Varicose veins right leg-nothing bothersome I had dental work in November with a permanent bridge placed on all of my upper incisors I used to "need a drink" of alcohol when I came home from work or class. Not now. (Again, not complaining..just interesting No pain Surgeries Appendectomy 40 years ago Breast biopsy 7 years ago-benign Carpal tunnel-two years ago Tubal ligation-20 years ago Post-menopausal for two years-no problems with that Up until now I would have described myself as extremely type A. Not now Social history: don't smoke or use illegal drugs. Used to consume alcohol daily but no desire or need to at this time. Married-happyily-three grown successful children Family history-Hypertension, diabetes, depression, colon cancer ROS: Constitutional: nil Skin: nil HEENT: sinus congestion (I have had this for years. It is not bothersome). No vision changes. Neck: nil Cardio: nil no palpitations, no chest pain Pulmonary: nil (don't smoke) Gi: nil GU: nil MS: nil Neuro: nil Psych: anxiety and depression has vanished I had my routine physical exam in October. I really do not go to the doctor except for routine six month blood pressure check. At this time I had PAP (normal); colonoscopy-normal; mammogram-normal; CMP-normal: TSH normal; Lipid panel-normal (total cholesterol 178, HDl 61; LDL 96; Fasting blood sugar 96) EKG normal My exam: Height 64" Weight 140 no recent weight loss B/P-120/77 (I just took it) pulse 77 My preceptor did a fundoscopic exam of eyes and ears, nose and mouth (normal) I cannot palpate any lymphadenopathy My lungs are clear Cardiac Reg rhythm-murmers Normal sensation Normal muscle tone No dysmetria, no balance problems nothing unusual in cranial nerves Probably too much information. I am not complaining. I just think it's odd.