Donald Trumps medical exam – full transcript
The assessment was conducted by Dr Ronny Jackson, on January 12, 2018, at the Walter Reed National Military Medical Centre. Its purpose was to provide the public with an update of the president’s current health status and to ensure the president continues to enjoy all the benefits of good health.
Vital Signs
Age 71 years and 7 months at the time of the examination.
Height 6 foot 3 inches (189.5 cm).
Weight 239 pounds (108.4 kg).
Body Mass Index (BMI) 30.2 (obese) – based on data above.
Resting heart rate 68.
Blood pressure 122/74.
Pulse oximetry 99% on room air.
Temperature 98.4.
Past Medical History
Past medical history: includes hypercholesterolaemia and rosacea.
Past past surgical history: appendectomy at age 11.
Other History
Social history He has no past or present use of alcohol. No past or present use of tobacco.
Medication
He takes Atorvastatin 10 mg daily to lower his cholesterol. He takes aspirin, 81 milligrams daily, for cardiac health. He takes Finasteride mg daily, for prevention of male-pattern hair loss. He takes Ivermectin cream, as needed, for Rosacea. And he takes a multivitamin each day for health maintenance.
Immunisation The president, during his physical examination, had a immunisations to prevent pneumococcal pneumonia and hepatitis A and B. His routine vaccinations, to include his seasonal influenza, are all up to date, and all indicated travel vaccinations are up to date.
Physical examination
Eyes The president’s uncorrected physical acuity is 20/30 bilaterally, with corrected visual acuity of 20/20 bilaterally. His visual fields were normal. Funduscopic examination was normal bilaterally. His intraocular pressures were normal, and no ocular pathology was discovered.
Head, ears, nose, and throat Normal examination of the head, ears, nose, mouth, and throat.
Dental examination He has healthy teeth and gums. There were no other dental findings.
Neck Normal thyroid examination. No noted lymphadenopathy. Auscultation of his carotid arteries were normal.
Pulmonary examination His lungs were clear to auscultation. A screening low-dose CT of the chest demonstrated no pulmonary pathology.
Cardiac examination Heart examination was normal. Regular heart rhythm. No murmurs or other abnormal heart sounds were noted. His ECG was normal sinus rhythm with a rate of 71, had a normal axis, and no other significant findings.
He had a transthoracic echocardiogram, which demonstrated: normal left ventricular systolic function, an ejection fraction of 60-65%, normal left ventricular chamber size and wall thickness, no wall motion abnormalities, his right ventricle was normal, his atria were grossly normal, and all valves were normal.
He had an exercise stress echocardiogram done, which demonstrated above-average exercise capacity based on age and sex, and a normal heart rate, blood pressure, and cardiac output response to exercise. He had no evidence of ischaemia, and his wall motion was normal in all images.
Gastrointestinal examination. He had a normal examination, no masses, no hepatomegaly or splenomegaly. He had a normal optical colonoscopy done in 2013 – June of 2013 – that demonstrated no polyps or abnormal findings. And because of that, a repeat colonoscopy was not indicated at this time and will be deferred until his next periodic physical exam.
Genitourinary examination was normal. Extremities and musculoskeletal – normal throughout. Full range of motion in all joints. He had strong distal pulses and good capillary refill in all extremities. He had no swelling or oedema.
Neurological examination. Examination of the cranial nerves, cerebellar function, deep tendon reflexes, motor function, and sensory system were all normal.
Cognitive screening examination using the Montreal Cognitive Assessment was normal, with a score of 30 over 30.
Dermatological examination. Normal. No evidence of melanoma, basal cell carcinoma, squamous cell carcinoma, or any other significant dermatologic diseases.
Summary
We have described Donald Trumps latest medical exam – and given you the full transcript. Dr Jackson’s conclusion was “The president’s overall health was excellent. His cardiac performance during his physical examination was very good. He continues to enjoy the significant long-term cardiac and overall health benefits that come from a lifetime of abstinence from tobacco and alcohol.”
