{"text":"Sci Gateway - Clelland, Agnes M, CHI: 0809555328, 19-Apr-2010, General Surgery -... Page 2 of 5 \n\" \n. \n\\ CLINICAL INFORMATION \nHistory of presenting complaint \nPresenting complaint \nDescription: Small nodule in the right breast . \nComment: I would appreciate your assessment of this 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 \ntender and she feels it has increased in size over the past week. I felt that this was a non suspicious {ump, but \nwould appreciate your assessment of her and help in her further management. \nMany thanks for your help in this. \nYours sincerely \nReason for referral \nCare type requested: Out Patient \nExpected outcome: -Not Specified , \nPast medical history - \nPre-existing conditions (High & medium priority - all) \n, : _ . Date of \nDescription . C mmen . Modifier onset \n, . 16-Jan- \nErythema multiforme Biopsy has confirmed. - 2009 \n. ' ' 15-Jan- \nBody mass index 304 - obesity - . - 2009 \n. . : 18-Nov- \nO\/E - dermatology exam. reactive dermatosis . .- 2008 \n: : exacerbation of following fall - steriod and local . 21-Oct- \n| Tennis elbow anaesthetic injection . 2008 \n. - 20-Oct- \nErythema multiforme possible . ; \u2018 - 2008 \n. . ) _ 15-Apr- \nBody mass index 30+ - obesity 2008 \n. . 20-Mar- \nO\/E - right foot pulses present - - 2007 \nO\/E - Vibration sense of right foot . . - 20-Mar- \nnormal . 2007 \nO\/E - Vibration sense of left foot ) \u2018 ) } 20-Mar- \nnormal 2007 \n: ! . v - 09-Jan- \nMicroscopic haematuria , 2007 \ne , ~ ' ' 20-Jun- \nPatients Notes Summarised - - 2006 \n. \u2018 07-Mar- \nO\/E - right foot pulses present - 2006 \nOJ\/E - Vibration sense of right foot . \u00bb . - 07-Mar- \nnormal 2006 \nO\/E - Vibration sense of left foot . _ 07-Mar- \nnormal ) ) \" 2006 \nNIDDM - Non-insulin dependent - 31-Jan- \ndiabetes mellitus started on metforrhin ) 2006 \nEssential hypertension - \u2019 - 31-Jan- \n_ : . 2006 \nArthralgia of hip mild degenerative changes Left ggbgec\u2018 \nDepressed mood : - : - 09-Apr- \n] 2001 \nNabothian follicles cervical ' . 20-Jul- \n- 2000 \n01-Jan-~ \nhttps:\/\/www.scigw.scot.nhs.uk\/web\/message\/letter.asp_x 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