CONTACTS 

SUBJECTS
Antibiotics Amoxicillin Prescribed to Treat Possible Infection Based
Blood Test Shows No Obvious Problem WBC High Another Blood Test Orde

0604 -
0604 -    ..
0605 - Summary/Objective
0606 -
060601 - Follow up ref SDS 19 0000. ref SDS 18 0000.
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060607 -  ..
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0609 - Progress
0610 -
061001 - Went to the VA and they took another blood test to check on elevated
061002 - WBC after taking medication, implementing planning on 050818.
061003 - ref SDS 19 OR4G
061005 -  ..
061006 - This lab also tested for cholesterol again.
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0611 -

SUBJECTS
Ultrasound Sonograph Test Performed to Diagnose Digestion Gastric Di
Report Ultrasound Sonograph Test Performed on 050830

0904 -
0905 - 1315
090601 -  ..
090602 - Ultrasound Test Radiology Report Shows No Evident Diagnosis
090603 -
090604 - Follow up ref SDS 20 DG8G, ref SDS 19 BM6R.
090605 -
090606 - Received ref DRT 1 0001 from Nicol in the Medical Records Department,
090607 - which is a transmittal letter for the report on the radiology imaging
090608 - test performed on 050730, ref SDS 20 DG8G, and ordered by the primary
090609 - care physician on 050816. ref SDS 18 6E7H
090610 -
090611 -           [On 050912 GI clinic referral scheduled for 051115 1530
090612 -           and no instructions for patient to be prepared. ref SDS 21
090613 -           0001
090614 -
090615 -    1.  Radiology Report, ref DRT 1 P074,
090617 -         ..
090618 -        ECHOGRAM ABDOMEN COMPLETE
090620 -         ..
090621 -    2.  Examination Date:  August 30, 2005 1006
090623 -         ..
090624 -    3.  Clinical History
090626 -         ..
090627 -        Pt with h/o swallowing problem and achlasia and with elevated
090628 -        alk phos and t. bil. will need ultrasound to r/o any abd
090629 -        pathology.thanks, ref DRT 1 PR9L
090631 -  ..
090632 - Achlasia-like symptoms were noted in the barium test report received
090633 - on 040830. ref SDS 20 6H9S  Previously, on 050816 the doctor described
090634 - symptoms, and indicated achlasia has not been diagnosed. ref SDS 18
090635 - 4B6G
090637 -  ..
090638 - Report continues...
090639 -
090640 -    4.  Report:, ref DRT 1 P084
090641 -
090642 -        Sonographic examination of the abdomen.
090644 -         ..
090645 -        There is diffuse fatty infiltration in the liver.  The liver is
090646 -        normal in size without focal abnormality.  Gallbladder is free
090647 -        of stone, wall thickening and pericholecystic fluid collection.
090648 -        There is no evidence of intrahepatic or extrahepatic biliary
090649 -        ductal dilatation.  Part of the pancreas is obscured by bowel
090650 -        gas.  Visualized portions of the pancreas and abdominal aorta
090651 -        appear normal.  Spleen and kidneys are normal in size and
090652 -        echotexture.  No renal mass, cyst or hydronephrosis is seen.
090653 -        Urinary bladder and prostate are unremarkable. ref DRT 1 YE5N
090655 -         ..
090656 -    5.  Impression
090657 -
090658 -        1.  Mild diffuse fatty infiltration isn teh liver.
090660 -             ..
090661 -        2.  No other significant abnormality recognized.
090663 -         ..
090664 -    6.  Primary Diagnostic Code:  MINOR ABORNAMLITY
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