Pa: o8-25 - 00008
ANA was less than 20.
Alpha antitrypsin level was 230 mg/dl.
White blood
count was 8,000, and hematocrit was 44, platelet count was 377,000.
Uric
acid was 9,
She
the
triglycerides
had stools for ova and
Liver Service who felt
177, and cholesterol 238.
Urinalysis was negative.
parasites which were positive.
She was seen by
that her abnormal liver function tests were
related to a mild chronic hepatitis.
There was no clear etiology.
Hematology felt that her CBC should be followed and chere was no need for a
bone marrow at this time.
Infectious Disease felt the parasitology in the
stool was mild with no therapy,
adnormal liver function tests.
and
did not
feel
chat
that
accounted
for her
The patient returns now for followup evaluation and consideration for
surgery for her adenoma.
At the present time she still has galactorrhea and
amenorrhea.
She has had unprotected intercourse for several years without
pregnancy.
She has noted no spotting.
She still has bitemporal headaches
about once a week.
There is no nausea, vomiting, visual changes but
occasionally has some dizziness.
She denies any change in her peripheral
vision, salt-craving, orthostasis, syncope, fever, chills, night sweats,
increased thirst or polyuria, cold or heat intolerance, decreased appetite or
weight loss.
There is no nausea or vomiting.
She occasionally has diarrhea,
sometimes
four to
five stools per day,
the
admission.
She has had this problem over
increased sweating or paresthesias.
last episode was a week before
several years.
There is
no
PAST HISTORY:
No
surgeries
or
Medications:
Allergies:
FAMILY
serious medical
None
None
at
present
time.
known.
HISTORY:
Father with diabetes;
SOCIAL
the
illnesses.
other family members are all alive and well.
HISTORY:
She is a housewife, born on the island of Utrik, in the Pacific Ocean.
She has moved and Lived on the isle of Ebeye since 1962.
She is married and
has recently
non-smoker.
PHYSICA]
adopted one
son.
There
is no history of
alcohol and she
is
as
EXAMINATION:
Vital
Signs:
Blood pressure
115/90,
| Admitted on 8-23-82
pulse
88
and
regular,
while
she was
io Operation Report (OPN)
Be] History and Physical Exomination (HPE)
f_} Discharge Summary (DS)
[_] OS Combined with HPE
(_]} Interim Summary (15)
-2-
30
CJ
1S Combined with HPE
{_] Addendum Summary (AS)