Medical staff at Walter Reed did not receive any personnel announcement about a presidential visit to a medical center in Bethesda, Maryland, prior to Trump's arrival, according to that source.
Typically, Walter Reed's medical staff would receive a general announcement of a "VIP" visit to the medical center prior to a presidential visit, the announcement of certain closures at the facility. It did not happen this time, indicating that the visit was a non-routine visit and planned last minute.
The source said it was possible that a small group of doctors involved in Trump's medical exams were notified before Trump arrived at Walter Reed, but said that all of the medical staff at Walter Reed would usually be aware of the president arriving at a routine medical examination .
His two previous physical exams in the office were announced in advance by the White House and noted on his daily public schedule, but a source with knowledge of the matter told CNN Saturday that the president's unfamiliar trip to the medical center was not even according to the president's internal schedule from Saturday morning.
The president's motorcade drove the message to the medical center, with reporters under management not to report his movement until they arrived Saturday to Walter Reed. Trump usually takes the Marine One helicopter to Walter Reed, but on Saturday's clear day, the president chose the motorcade.
A separate source familiar with the situation described Trump's visit as "abnormal," but added that Trump, 73, appeared to be in good health late Friday.
White House Press Secretary Stephanie Grisham, in response to a CNN request for comment on Sunday, said: "We will not enter into security and motion protocols for the president, but as my statements said he is in good standing health and it was a routine check as part of his annual physical. I have given lots of statements that were truthful and accurate ̵
Grisham on Saturday said that Trump decided to few parts of his physical done early because he had a "free weekend" in Washington, but did not answer questions about why Trump did not get his full physical examination – which usually takes 4 hours – done this weekend. Grisham also denied that the president had any health problems.
Trump, Grisham said Saturday, underwent a "quick investigation and laboratories." Several experts familiar with medical procedures at the White House said that Trump could get routine work at the White House clinic on site, indicating that Trump needed tests that could not be done there.
Trump tweeted on Sunday morning that he does not plan to finish his physical until next year.
At the February physical examination, Trump weighed 243 pounds, four pounds more than last year's graduation. His blood pressure was measured as 118/80, and the results showed that he had increased his daily dose of rosuvastatin, a drug used to treat high cholesterol, according to the study results.
Doctor Dr.-White House Dr. Ronny Jackson recommended the president go on a diet, start exercising and set a goal to lose a dozen pounds, but sources told CNN in February that Trump had made only minor changes to his diet and exercise plan since his 2018 graduation.
Jackson also revealed that Trump underwent a coronary CT scan as part of his routine physical examination. Trump's score was recorded as 133, and Gupta noted at that time that over 100 indicates plaque is present and that the patient has heart disease.
CNN's Jim Acosta, Noah Gray and Veronica Stracqualursi contributed to this story.