{"text":"! \nAlan Lyell Centre for Dermatology GRI 1 vie- [] NHS \n. : 3 [ RAH ] N~ \nDermatological Surgery o G\/GGH [ R4 [O and Cyag \u2122 \nPre-operative Risk Assessment & Biopsy Re%\ufb01 g H : \n= > O \n== S Patient datz m\u2018i\u201c;\u201cj\u2018@@;\u201c\u2018}lm\u201clw \n. \u2019 ?QN s LELLAND CF \nDate: !4 \/ f(\/_ A ' E? 2 isz:s .08\/09\/1955 \nDoctor: (A \u00a73 g Y RoR \n. Q ==8n GLASGOW G65 9PQ \nBiopsy date: ' \u2018\\\\\u201806 A _\"\u2018;sm_:i\u201cz \u00a3 2| Tel No.: CHI-0809555328 \n1. Bleeding Risk | O aspirin | continuing\/stopped \nSz : E-NSAID continuing\/stopped \n@\/ NO O warfarin continuing\/stopped \n[1 for pre-op INR \n[0 bleeding disorder \nt \nL] previous anaphylaxis. [ latex allergy \nO rubber allergy O.other \n2. . Anaphylaxis Risk \n[0 previous local anaesthetic reaction \nYES\/@ _ \n[ defibrillator \n3. CV\/Respiratory Risk \nvEs\/(0) \n[0 pacemaker \n[0 valve defect\/prosthetic valve [0 CV\/respiratory impairment \n(O drugs \n\u00a2 Antibiotic prophylaxis required YES \/ NO \n(9\u2014diabetes mellitus \n4. Infection Risk \nY @No \nv \na HIV \n[0 other \nO immunocompromised \nHepatitis B Hepatitis C 0 MRSA \n5. Risk of pdor \nO systemic steroids O immunosuppressants - \n[0 peripheral vascular dis. [J. conn. tiss\/collagen dis. \nwound healing , \n| [-diabetes mellitus , \n@ NO. + Smoker YES \/ NO cpd \n6. Operative risks discussed [ infection [0 bleeding \n* O nerve damage O wound dehiscence \n[ scarring \nwit. atient \nYES\/NO \n7. Biopsy request \nGRI 106412 \na. [ incisional - O excisi@c:\u2018eyf \n[ shave liptical \nb. 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