| _creationDate | August 3, 2023 |
| _modificationDate | December 9, 2024 |
| _creator | Em99 |
| _fullText | {{ServiceRequestCase
|requisition=null
|subject=MGH
|intent=order
|basedOn=WSI23-111
|priority=routine
|code=faculty
|orderDetail=case
|authoredOn=August 03, 2023 11:11:12 AM
|requester=Em99
|locationCode=learn
|sequence=20
|performer=RMN6
|reasonCode=Case #20 - The patient is a female above the age ... |
| _numRevisions | 3 |
| _isRedirect | No |
| identifier | WSI23-111-Case-20 |
| 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 11:11:12 AM |
| requester | Em99 |
| performer | RMN6 |
| locationCode | learn |
| reasonCode | Case #20 - The patient is a female above the age of 89 with a history notable for atrial fibrillation on warfarin • heart failure with preserved ejection fraction (65%) • hypertension • coronary artery disease • hypertension • hyperlipidemia • and peripheral vascular disease status post right and left below-the-knee amputations in the past 3 years. She presents with chest pain • transient aphasia • and mottling and pain of the right below-the-knee amputation site. Relevant laboratory results: Creatinine 0.54 mg/dL (reference interval 0.6-1.50 mg/dL) • calcium 8.6 mg/dL (reference interval 8.5-10.5 mg/dL) • phosphate 1.8 mg/dL (reference interval 2.6-4.5 mg/dL). PTH was not determined. On exam • the right extremity was cool to the touch with mottling and dusky discoloration and with an ulcer on the right below-the-knee amputation site (see clinical photograph #20). A revision surgery is performed and the involved skin sampled for histologic evaluation. |
| supportingInfo | 20 |
| specimen | null |
| bodySite | null |
| sequence | 20 |
| access | private |
| identifier | 347d8adb-b471-4951-b9ca-dd1d2d9d49a4 |
| basedOn | WSI23-111-Case-20 |
| partOf | WSI23-111 |
| status | completed |
| type | image |
| modality | mrxs |
| view | show |
| createdDateTime | August 3, 2023 11:11:12 AM |
| operator | Em99 |
| reasonCode | H&E |
| bodySite | null |
| frames | 1 |
| content | 347d8adb-b471-4951-b9ca-dd1d2d9d49a4.mrxs |
| note | null |
| subject | Z0FBQUFBQmt5NHRYQjVfa1Uxc2dsVDBCaWJIdjMzX1NweWNzUUVwNWtJeS1vS3YzUWtZRFJESWtzbkRkWkpTZHgzVXMzdWVQcHRfZDVuRHM0cmdfMF9RcmxvTVZualpUUmc9PQ |
| identifier | 7f1d6861-579c-4f35-85ac-c34097fe96d7 |
| basedOn | WSI23-111-Case-20 |
| partOf | WSI23-111 |
| status | completed |
| type | image |
| modality | mrxs |
| view | show |
| createdDateTime | August 3, 2023 1:00:53 PM |
| operator | Em99 |
| reasonCode | Von Kossa |
| bodySite | null |
| frames | 2 |
| content | 7f1d6861-579c-4f35-85ac-c34097fe96d7.mrxs |
| note | null |
| subject | Z0FBQUFBQmt5NlVzZXJGaGh1amRicXRva1RXVFd3U3o3dEVqcGlibXRLZUx0V3RuSXU5cGc5ckV4cXdRTUE2OVpkNF9wUHZXSzljcG8tcnB5VU9yQlNVeTBuNG50WkRpaHc9PQ |
| status | active |
| identifier | WSI23-111-Case-20 |
| requester | Em99 |
| authoredOn | August 3, 2023 11:11:12 AM |
