{"text":". \u2018 ' Page 3 of 7 \nCLINICAL INFORMATION \nHistory of presenting complaint \nPresenting complaint \nDescription: Achilles tendonitis \nComment: This 57 year old lady has what I am assuming is left Achilles tendonitis-which is causing her to have a sore left \nheel and examination reveals significant muscle wastage of her left calf and a paipable tender lump around her \n\u00ab Achilles insertion. \nI have refetred her to-our local Physiotherapist, but I am concerned about why she has such significant muscle \nwastage on the left side and would therefore be grateful if she could be seen by yourselves for confirmation of \ndiagnosis.and advice regarding further management. \nYours sincerely \nReason for referral \nCare type requested: Out Patient \n\u2018Expected outcome: Not Specified \nPast medical history \nPre-existing conditions (High & medium priority - all) \nDate of\u2019 Date \nDescription Comment onset recorded \nRecurent persistent . NEEDS REFERRED IF UTI \/ FRANK HAEMATURIA; microscopic ~ 22-Feb-2011 22-Feb-2011 \nhaematuria \n[DJHeartburn ) reflux ' 26-May-2010 26-May-2010 \nSore throat NOS Recurrent 26-May-2010 26-May-2010 \n\u2018| Lump in breast 2 months history- 12 o'clock above R areoia. 25-May-2010 25-May-2010 \n_Wrist\/hand sprain NOS Left ; Wrist splint 19-May-2010 19-May-2010 \nBody mass index 30 - _ o o \nobesity i 15-Jan-2009 15-Jan-2009 \nErythema multiforme Biopsy has confirmed. : DATE_RECORDED=16\/01\/2009 06-Jan-2009 06-Jan-2009 \nO\/E - dermatology exam. reactive dermatosis - . 18-Nov-2008 18-Nov-2008 \nTennis elbow %szizb:tlon of following fall - steriod and local anaesthetic 21-Oct-2008 21-Oct-2008 \nErythema multiforme possible 20-Oct-2008 20-Oct-2008 \nBody mass index 30 - _ A A \nobesity - i 15-Apr-2008 15-Apr-2008 \nMicroscopic haematuria - 09-Jan-2007 09-Jan-2007 \nEssential hypertension - 31-Jan-2006 31-Jan-2006 \nFIOOM - Non-insu dep diab grarted\u2019 on metformin 31-Jan-2006 31-Jan-2006 \nArthralgia of hip Left ; mild degenerative changes 05-Dec-2002 05-Dec-2002 \nDepressed mood - \u2019 09-Apr-2001 09-Apr-2001 \nNabathian follicles cervical 20-Jul-2000 20-Jul-2000 \n| Chronic fatigue syndrome - 01-Jan-1995. 01-Jan-1995 \nPostviral fatigue syndrome - 01-Nov-1993 01-Nov-1993 \nForceps delivery unspecified live male 08-May-1975 08-May-1975 \n' Pre-eclampsia, unspecified labour induced 08-May-1975 08-May-1975 \nPast procedures (High and medium priority - all) A \nI . - . Date ate \nDescription Comment erformed recorded \nPharyngascopy with dilation of pharynx. 33-5ep-2010 23\" \n\u2019 \nilttps:\/\/www.ggc\u2014pdrtal.scot.nhs.uk\/cViewer\/pro,c\u00e9ss.action?encxyptedRequesi=4CDE23F... 12\/05\/2026 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