| _creationDate | August 3, 2023 |
| _modificationDate | December 9, 2024 |
| _creator | Em99 |
| _fullText | {{ServiceRequestCase
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|subject=MGH
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|code=faculty
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|authoredOn=August 03, 2023 11:10:18 AM
|requester=Em99
|locationCode=learn
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|reasonCode=Case #16 - The patient is a 55-year-old male wit ... |
| _numRevisions | 4 |
| _isRedirect | No |
| identifier | WSI23-111-Case-16 |
| basedOn | WSI23-111 |
| requisition | null |
| intent | order |
| category | null |
| priority | routine |
| code | faculty |
| orderDetail | case |
| subject | MGH |
| occurrenceDateTime | December 31, 1969 7:00:00 PM |
| authoredOn | August 3, 2023 11:10:18 AM |
| requester | Em99 |
| performer | RMN6 |
| locationCode | learn |
| reasonCode | Case #16 - The patient is a 55-year-old male with past medical history significant for antiphospholipid antibody syndrome (APLS) with multiple pulmonary emboli and deep vein thromboses now on coumadin • type I diabetes mellitus complicated by end-stage renal disease requiring Monday-Wednesday-Friday hemodialysis. He has had a chronic lower extremity ulcer for the past 4 years in the setting of pressure related trauma secondary to wheelchair dependence. Relevant laboratory results: Creatinine 6.72 mg/dL (reference interval 0.6-1.50 mg/dL) • calcium 9.3 mg/dL (reference interval 8.5-10.5 mg/dL) • phosphate 2.9 mg/dL (reference interval 2.6-4.5 mg/dL) • PTH 81 pg/mL (reference interval 10-60 pg/mL). On exam • he has a chronic non-healing lesion with no evidence of retiform purpura • no induration and without exquisite tenderness (see clinical photograph #16). A punch biopsy is obtained from the edge of the lesion. |
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| createdDateTime | August 3, 2023 11:10:18 AM |
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| identifier | deee4931-6af7-43e3-b54d-71cb2a9e0d8d |
| basedOn | WSI23-111-Case-16 |
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| status | completed |
| type | image |
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| createdDateTime | August 3, 2023 12:52:37 PM |
| operator | Em99 |
| reasonCode | Von Kossa |
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| status | active |
| identifier | WSI23-111-Case-16 |
| requester | Em99 |
| authoredOn | August 3, 2023 11:10:18 AM |
