{"text":"Page 3 of 6 \nCLINICAL INFORMATION \nHistory of presenting complaint \nPresenting complaint \nDescription: Small nodule in the right breast \nComment: I'would appreciate your assessment of th|s 54 year old woman who presents with a small less than pea sized \nnodule affecting the R) breast at the 12 o'clock position just distal to the areolar margin. The nodule is non tender \nand.she feels it has:increased in size over the past week; I felt that this was a non susptuous lump, but would \nappreciate your assessment of her and help in her further management. \n, ] 'Many thanks for your h\u00e9lp in this. ' L \nYours sincerely \n\u2018Reason for referral - \nCare type requ\u00e9sted: Out Patient \nExpected outcome: Not Specified \nPast medical history \nPre-existing conditions:(High & medium priority - all) \nDescription Y T . Comment Modifier E:::'tof \nErythema mu]tiforme Biopsy has confirmed. - 16-Jan-2009 \nBody mass index 30+ - obesity oo- : A - 15-Jan-2009 \nO\/E - dermatology exam. reactive dermatosis ! - 18-Nov-2008 \n: . exacerbation of following fall - steriod and local - : \nTennis elbow ,, anaesthetic Injection . ) 21-Oct-2008 \nErythema muitiforme possible - 20-Oct-2008 \nBody mass index 30+ - obesity - . ' - 15-Apr-2008 \nQ\/E - right foot pulses present - . . ' - 20-Mar-2007 \nOJE - Vibration sense of right foot ) o M. \nnormal , s . ) 20-Mar-2007 \nO\/E - V|brat10n sense of left foot . Mar \nnormal - _ . - 20-Mar-2007. \nMicroscopic haematuria Lk - - 09-Jan-2007 \nPatients Notes Summarised\u2019 - - 20-Jun-2006 \n\u2018O\/E - right foot pulses present \" \\ - 07-Mar-2006 \n\u2018O\/E - Vibration sense of right foot _ \u2018 o 07-Mar-2006 \nnarmal \n'O\/E - Vibration sense of left foot . i} Mar \nnormal 07-Mar-2006 \nNIDDM - Non-insulin dependent | i \ndiabetes mellitus started on metformin ) - 3.1-_Jan-2006 \nEssential hypertension - . - 31-Jan-2006 \nArthralgia of hip s mild degenerative cHanges . Left 05-D\u00e9c-2002 \n~Depressed mood - - 09-Apr-2001 \nNabothian follicles cervical . \u2019 \u2018 - 20-Jul-2000 \n| Chronic fatigue syndrome - - - 01-Jan-1995 \nO\/E - weight > 20% over ideal - - 22-Aug-1994 \n\u2018Postviral fatigue syndrome . - - - 01-Nov-1993 \n| Forceps delivery unspecified _live male - 08-May-1975 \nPre-eclampsia, unspecified \u00ab labour induced \u2018 - 08-May-1975 \n\u2018Past procedures (High and medium priority - all) \n- - : . . Date \nDescription Comment - . Modifier erformed \nOther primary fusion of joint . rt mid foot fusion : - 12-Mar-2010 \nhttps:\/\/'www.ggc-portal.scot.nhs.uk\/cViewer\/process.action?encryptedRequest=EB601AC... 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