{"text":"\u2019 \nClelland, Agnes M, CHI: 0809555328, 05-Mar-2008, Vascular Surgery Page 2.0f 4 \nA \n- \nCLINICAL INFORMATION \nHistory of presenting complaint \/ examination findings \/ investigation results \nPresenting complaint \nDescription: Peripheral vascular disease \nComment: Thank you for seeing this 52 year old Type Il diabetic who complains of pain in the left calf for about one year \n. associated with a feeling of coldness and numbness during the day and more severe pain and heat at night In \n\" bed. She does not describe claudication pain. but her peripheral pulses are poor and ABPI was 1.08 in the right \nleg, and 0.98 on the left. \u2019 \n- \n~ \n1 suspect that her symptoms maybe partly due to diabetic peripheral neuropathy, but would appreciate your ' \nadvice regarding the peripheral vascular disease. \nKind regards. \nYours sincerely \nLifestyle Risks and Alerts \/ Examinations and Investigations \nDescription\/Question Resuit\/Comment Date ) \nNever smoked tobacco: ' 27-Aug-2003 ; \nNever smoked tobacco: 27-1ul-2007 \nLight drinker - 1-2u\/day: 27-Aug-2003 \nAlcohol intake within recommended senisible limits: 27-1ul-2007 . \nEnjoys light exercise: 20-Aug-2002 \nEnjoys light exercise: 27-1ul-2007 \nReason for referral \nCare type requested: Out Patient \nExpected outcome: Not Specified \nPast medical history - please ensure inappropriate and irrelevant codes are deleted \nPre-existing conditions (High & medium priority - all) \nDescription o Modifier - Extension et \nOJE - right foot pulses present ' 20-Mar-2007 - - - \nO\/E - Vibration sense of right foot normal 20-Mar-2007 , - - - \nO\/E - Vibration sense of left foot normal 20-Mar-2007 - - - \nMicroscopic haematuria ! 09-Jan-2007\"\u00b0 - - 09-Jan-2007 \nPatients Notes Summarised . 20-Jun-2006 - - \u2018 20-Jun-2006 \nO\/E - right foot pulses present 07-Mar-2006 . - - \u2019 - \nO\/E - Vibration sense of ight foot normal 07-Mar-2006 - - e \nO\/E - Vibration sense of left foot normal 07-Mar-2006 - . - - \nEssential hypertension - 31-Jan-2006 - - - \ngle[l)l?tms- Non-insulin dependent diabetes 31-Jan-2006 - started on metformin - - \nArthralgia of hip - 05-Dec2002 Left Mid degenerative 05-Dec-2002 \nchanges \u2018 \nDepressed mood 09-Apr-2001 - < 09-Apr-2001 \nNabothian follicles . 20-Jul-2000 - - cervical \u2019 20-3ul-2000 \nChronic fatigue syndrome . 01-Jan-1995 - - 01-Jan-1995 \nO\/E - weight > 20% over ideal 22-Aug-1994 - - - \nPostviral fatigue syndrome _ 01-Nov-1993 - - 01-Nov-1993 \nSpontaneous vaginal delivery K 30-Oct-1982 - live female 30-Oct-1982 \n| \u2018Spontaneous vaginal delivery \u2019 03-Dec-1980 - labour induced - live child 03-Dec-1980 \nSpontaneous vaginal delivery \u2019 24-Apr-1977 - induced - live male 24-Apr-1977 \nForceps delivery unspecified 08-May-1975 - - live male 08-May-1975 \nPre-eclampsia, unsp\u00e9cified . 08-May-1975 = - labour induced '08-May-1975 \nPast procedures (High and medium priority - all) \nhttps:\/Awww.scigw.scot.nhs.uk\/web\/message\/letter.asp \" 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