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| Thank you for referring Mr Harding, a 64 year old male to me for consideration of a cholecystectomy due to RUQ pain, reported gall stones, abnormal LFTs. I have placed his name on the waiting list at the Bay Hill Hospital and will send a report once the procedures are done. |
| Procedures | Diagnoses | Other Diagnoses |
|---|---|---|
|
| Time frame | Recommendation | Addressee | Address / Contact |
|---|---|---|---|
| 25 Aug 2012 - 8 Sep 2012 | Determined hospitalisation is needed. | Residential:1 Australia lane, North Adelaide, SA, 5006, Australia Phone: (07)30238400 |
| Medication | Directions | Clinical Indication | Change Type | Change or Recommendation? | Change Description | Change Reason |
|---|---|---|---|---|---|---|
| Tritace 10mg, capsule, 30 capsules | Take 2 tablet daily, oral | Hypertension | Changed | The change has been made. | Increase dosage from one tablet daily to two tablets daily | Worsening symptoms |
This section may contain the following subsections Pathology Test Result, Imaging Examination Result and Requested Service(s).
| 13 Sep 2011 07:33+1000 |
| Description | Location | Side | Image / File |
|---|---|---|---|
| Abdominal ultrasound |
| Result name | Modality | Result Status | Clinical Information | Findings | Result Representation |
|---|---|---|---|---|---|
| Abdominal ultrasound | Ultrasound | Final | The visualized liver is of uniform echo texture without evidence of mass or defect. There is no intra or extrahepatic biliary ductal dilatation. The common bile duct measures up to 4 mm. The gallbladder is physiologically distended with multiple calculi. The gallbladder wall is thickened measuring 6 mm however there is no pericholecystic fluid |
| Substance/Agent | Manifestation |
|---|---|
| Phenoxymethylpenicillin |
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Patient
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Author
Clinical Document Details
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Referrer
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| Name | Contact | Address | Organisation | Department |
|---|---|---|---|---|
| Mary Harding (Patient's Nominated Contact) |
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