38 year old musician

PC: pain in left wrist

HPC: frequent concerts recently

painful left wrist especially after playing the piano but no swelling

took some Ibuprofen during last few days

now indigestion worse (due to NSAIDS?)

PMH: endocarditis 1990 - mitral regurge since

GORD (gastro-oesophageal reflux disease)

oesophageal candidiasis 5 years ago

HIV since 1993

Salmonella gastroenteritis 1996

left below knee amputation (BKA) 2 years ago after accident, uses prosthesis

DHx: antiretrovirals

proton pump inhibitors

Ibuprofen

herbal remedies

multivitamins

FHx: father: Ca prostate but died of subarachnoidal haemorrhage (SAH)

mother: haemochromatosis and ischaemic heart disease

SHx: lives alone

travels lots for gigs

smokes 2 packs a day

regular alcohol but takes all prescribed drugs regularly