SGOT LB,* SOPT 33 and LDH 139. Prothrombin timo 11.2 patient, control ll. S soconds, Par 33.2Seconds, control 37.2. Occult blood in the stool W | as negativo. rn vr AS tha patient ‘was ‘a compensation problen with multiple: complaints, ‘many consul ta‘tions were sought to eValuate his problem. -Electrocardiogram revealed normal sinus rhythm. ECG within normal limits. X-ray studies done rovealed curvature of the spine and the alignment and interspacing of the vertebrae eppeared wittdior ‘normal’ limits. The sacroiliac joints wera well outlined.’ Oral cholecysiogran’ ° “was negative. Films of the abdomen and lucbosacral: spine - the films were difficul “to interpret. ©‘No abnormal gas pattern seen; abdominal film within nornal linits. Chost was negative for any etiologies. ~ Thyroid studies included thyroid uptake | 2 24 hours 16%while normal was 10 to 36%, T-h = 5.8 mg.% (cuthyroid range 5.0 to” 13.7ng - %.° 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 woll as tho thyroid studies - were within normal limits as recorded; kmoim to have the diabetes which was treated ~DBI and was wall controlled, Orthopedic consultation for his 1cft lowor uxtromity ‘and back pain was of theopinion that the pain is ‘duo ,to nervo root deficit at ‘tho levol of L-5 - S-1 on the left side, may be due to exogenous obesity; diabetes ‘mollitus; hypothyroidism; and gout could be responsible for ‘this also. The con‘sideration for HNP betwaen L-l-5 - L-5 - S-l along with other metabolic disorder _was considered. The patient was seen by ENT Service for his hearing problen on * “the left side ‘which was reported as normal. He had an cpisode of episte:is while ‘on the floor and was seen again by the ENT Service and there was no bleeding while seon. Other tests were recommended to the patient, like(aliut test, but ae pationt refused to undergo those tests, so he left the hospital before those “tests could be done. Audiologic test done to evaluate his hearing problen was -within normal limits.:- Sxin biopsy-of pigmented lesion of back was reported as showing 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 atc tation; this will be sent when it is” finalized. © aa ae WPA ENy a oeer sa : gov —7 Te ~~ re $202 rare oe veep wT ye “ie + yr pene Mek cs OT mee ops. toner 4 °% Se ae Pas tscver er Pet ee ote ee Te ee OES - quewerine® erstscra a we ee a . sm ae ND oc , - cases. pe see ee ° me get eee ee emer ee Re pr. Ne OF Oa ‘ . rarer. “La - “ny ~ 2 TSU ow icigm is TS AN oH Mola Py lela paves op oprht seis cre Tan : see Ree cNeee Pe ee ee ey ee eee ~~ ae gee we ° ae -o% -A --7 PLT So aep teu e i cage pnt QPEL PN TlTLeT Us mg rare, os rvieerc -, 1 . -- wp tt wee ’ - se meee wwe Me Oe . - “4 . - - . =-- , DOE ARCH a a ilVES ey Er “- _ ~ “ . a ~ cece ee - 7 - ss ae rT a. oo Vo ern i ee sown foam eee=e way feet 8, cae gece DP ses ~ “4! ot fn ov * tet fet wo ee _-