TD sensing a
SGOT 43," SGPT 33 and LDH 139. Prothrombin timo 11.2 patient, control ll. 5 paconds.
Par 33.2 seconds, control 37.2. Occult blood in the stool |was negativo. _
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‘As the paticnt ‘was a compensation problen with multiple’ complaints, ‘many consul ta~
‘tions were Sought to evaluate his problom. «Electrocardiogram revealed normal
Sinus’rhythm. ECG’ witiiin normal limits. X-ray studies done revealed curvature
.,
of the spine ‘and the alignment and interspacing of the vertebrae eppeared wi thd
‘normal’ limits. The sacroiliac joints wera well outlined.’ Oral cholecystegran
“was negative. Films of the abdomen and lumbosacral spine - the films were difficul
‘to interpret. No abnormal’ gas pattern seen} abdominal film within normal linits.
,
Chost was negative for any etiologies. ~ Thyroid studies included thyroid uptake’
2) Hours 16%while normal was 10 to 36%, T- = 5.8 mg.% (cuthyroid range 5.0 to”
‘13.7 mg. %.: Thyroid scan ‘= thyroid gland appears ‘to be of normal shape with an
evon distribution: of the radioisotope.
ENG revealed there was minimal evidence
‘of denervation of the left tibialis, extensor hallucis and gastronemius muscles.
‘Dermatology consultation was of the opinion the patient had freckles and nevi
“over the body and their opinion wore that they are~benign. Metabolic and endocrine
‘consultation evaluation of the patient as well as tho thyroid studies - were ~~
within normal limits as recorded; kmowm to have the diabetes which wes treated -.
DBI and was wall controlled, Orthopedic consultation for his lcft lowor uxtromity
.
and back pain was of the opinion that tho pain is ‘duo ,to nervo root deficit at
‘tho levol of L-5 - S-1 on the left sido, may be due to exogonous obesity; diabetes
oye
‘nellitus; hypothyroidism; and gout could be rasponsible for ‘this also.
The .con-
‘sideration for HNP between L-4-5 - L-5 - S-1 along with other metabolic disorder
_was considered. The patient was seen by ENT Service for his hearing problea on “the left side which was reported as normal. He had an episode of episte:is wnile
:an the floor and was seen again by the ENT Service and there was no bleeding while
.
Sean.
tC
Other tests were recommended to the patient,
like(alrut test, but the
pationt refused to undergo those tests, so he left the hospital before those
.
“tests could be done.
‘.
i?
of
Audiologic test done to evaluate his hearing problen was
-within normal limits.- Sxin biopsy-of pigmented lesion of back was reported as
shoving lentigo. For “his thyroid, DBI 50 milligrams by mouth twice a day and “for his diabetes, diabetic diet. ° The patient was seen by Nuclear Medicine and <
“their consultation was not‘returned at this atic tations this will be sent when
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