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SUBJECTS
Cellulitis Left Arm Lymphedema Subsided Temperature 97.2 Red Rash In

2603 -
2603 -    ..
2604 - Summary/Objective
2605 -
260501 - Follow up ref SDS 39 0000. ref SDS 38 0000.
260502 -
260503 -
260505 -  ..
2606 -
2607 -
2608 - Progress
2609 -
260901 - Cellulitis Lymphedema Left Arm Subside Rash Increases Slightly
260902 -
260903 - Follow up ref SDS 39 V45J, ref SDS 38 V45J.
260904 -
260905 - This morning there is now evidence of slight increased rash on the
260906 - upper left arm, less on the lower arm.  This is compared to the report
260907 - yesterday evening of the rash having completely subsided, ref SDS 39
260908 - V45J, and is further distinguished from IBC, because the rash on the
260909 - upper arm wraps around the arm, while the rash of IBC occurs only on
260910 - the upper are near the shoulder.
260912 -  ..
260913 - IBC rash on the chest also seems more intense.
260915 -  ..
260916 - This change today seems associated with patient history of side
260917 - effects from treatment with cetuximab, listed in documentation from
260918 - UCSF received on 070116. ref SDS 11 MH4Q
260920 -  ..
260921 - The most notable example of inflammation side effects from cetuximab
260922 - treatment was examination at Kaiser on 070330, the day after Millie
260923 - was treated with cetuximab at UCSF.  At that time, on 070330 the
260924 - doctor made findings similar to today, ref SDS 14 T87G, and diagnosed
260925 - elevated intensity of rash as Cellulitis. ref SDS 14 7C5F  Keflex
260926 - treatment was prescribed. ref SDS 14 7D5L  However, the rash subsided
260927 - later in the afternoon, leading to the conclusion that elevated
260928 - inflammation observed the day after treatment at UCSF was caused by
260929 - side effects of cetuximab, and so treatment with Keflex was not taken
260930 - at that time. ref SDS 14 N75M
260932 -  ..
260933 - Today, Millie has no temperature, 97.2.  She is already taking Keflex,
260934 - and continues the 14-day treatment prescribed by Doctor Pujol on
260935 - Wednesday, 080409.
260937 -  ..
260938 - As a result of evident rising rash on the left arm and chest, Millie
260939 - decides not to take the full hike around Lafayette Reservoir today.
260940 - She is very restless and wants to do something, and so wants to walk
260941 - the flat sections at Lafayette, and aovid the hills today.
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2610 -