Page values for "WSI23-111-Case-18"

From MGH Learn Pathology

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_creationDateAugust 3, 2023
_modificationDateDecember 9, 2024
_creatorEm99
_fullText{{ServiceRequestCase |requisition=null |subject=MGH |intent=order |basedOn=WSI23-111 |priority=routine |code=faculty |orderDetail=case |authoredOn=August 03, 2023 11:10:46 AM |requester=Em99 |locationCode=learn |sequence=18 |performer=RMN6 |reasonCode=Case #18 - The patient is a 62-year-old female w ...
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identifierWSI23-111-Case-18
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occurrenceDateTimeDecember 31, 1969 7:00:00 PM
authoredOnAugust 3, 2023 11:10:46 AM
requesterEm99
performerRMN6
locationCodelearn
reasonCodeCase #18 - The patient is a 62-year-old female with past medical history significant for obesity type II diabetes mellitus severe aortic stenosis atrial fibrillation on warfarin peripheral vascular disease and end-stage renal disease on hemodialysis. She has had progressive ulcerated skin lesions of the groin which now involve her lower extremity. She endorses severe pain. Relevant laboratory results: Creatinine 7.04 mg/dL (reference interval 0.6-1.50 mg/dL) calcium 9.4 mg/dL (reference interval 8.5-10.5 mg/dL) phosphate 5.6 mg/dL (reference interval 2.6-4.5 mg/dL) PTH 504 pg/mL (reference interval 10-60 pg/mL). On exam there are multiple wounds involving lower extremity and abdomen some with black eschar and some with foul-smelling discharge (see clinical photograph #18). An excisional biopsy is performed.
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