{"text":"\\ \nClellahd Agnes . \nCHI: 0809555328 \nClinical letter - GP: GP letter \nDr. E Stafford. \nKilsyth Medical Partnership \nKilsyth Community Health Centre \nAirdrie-Road . : \nKilsyth \nG65.9JE \nt \nDear Dr, Stafford , \nMain-Switchboard: \nDepartment: . \nContact Tel: \nEnquiries to: \nLetter Date: \nReference: \n\u2018Dictated Date: \nTranscribed Date: \nN Agn\u00e9s Clelland; D.0O.B: 08\/09\/1955; CHJ: 0809555328 \n39 Rennie Road , Kilsyth , Glasgow, Lanarkshire, G65 5PQ \nDiagnosis: \n- NHS, \nG re\u00e9t\u00e9r'cfasgow \nand Clyde \n. Glasgow Royal Infirmary \nAlexandra Parade \nGlasgow \nG31 2ER \n0141 211 4000, \nOrthopaedics - \n0141-201-3733. \n1511212022 \nGS\\CWw \n14\/12\/2022 \n14\/12\/2022 \nS~ \nL4\/5 spondylolisthesis with a Pars defect (p'rob\u00e9bly post-traumatic) with clinical symptoms of spinal \nstenosis ' \nOutcome: \n(1) Urgent MRI lumbosacral scan with contrast \n(2) Referral to the spinal service \nThis 67 year old lady was referred via the on-call service earlier this week., She was brought in \nfor review. She has a few months history of lumbar back pain that's getting really disruptive to her \n\" ADL's.\u2019 This followed a fall on her kitchen floor which she described as falling straight down onto her \nback. Since then she has been struggling with increasing and sharp lumbar back pain which she \ndidn't have before. When she walks she struggles with a feeling of weakness in her l\u00e9gs. She has \nbe\u00e9n using a stick to help her. \ns \nShe has pre-existing stress incontinence of urine and has had no \u00e9hanges in her urinary function \napart from the fact that she now struggles to get to the toilet in time. \n, \n4 \n\\ \nThis lady has a past medical history of type 2 dia\ufb01etes for which she is on. Metformin. _She\"sayds_that \nher need for medication reduced greatly after she lost 5% stone. She has angina, but has not had an \nPrinted on 15\/12\/2022:12:33 by Carol Wilsond \nPage 1 0f 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