Difference between revisions of "WSI24-127-Case-3"

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{{ServiceRequestCase
 
{{ServiceRequestCase
|identifier=WSI24-127-Case-3
+
|subject=MGH
 
|intent=order
 
|intent=order
 +
|category=409073007
 +
|occurrenceDateTime=2024-06-07 12:00:00-07:00
 +
|basedOn=WSI24-127
 +
|priority=Routine
 
|code=study
 
|code=study
|category=409073007
+
|orderDetail=case
|subject=MGH
+
|authoredOn=2024-06-07 13:36:44.931440+00:00
 
|requester=Kx601
 
|requester=Kx601
 +
|locationCode=learn
 +
|sequence=3
 
|performer=Mm768
 
|performer=Mm768
|orderDetail=case
+
|bodySite=LUNG WEDGE BIOPSY
|locationCode=learn
+
|reasonCode=A 40-year-old male never-smoker presented with a 1 year history of progressive dyspnea on exertion, and dry cough for six months, occasional wheezing and chronic fatigue. The patient is an engineer, working as project manager, but reported a history of exposure to engine exhaust, benzene and carbon black in the 90’s. His medical history included ocular migraines and intermittent “hives with stress”. Pulmonary function tests showed an FEV1/FVC of 48%, FEV1 29% and DLCO 44%. Alpha-1 antitrypsin levels were found normal several times. ANA and RF were negative. IgG levels were low, 595.
 +
|supportingInfo=Panacinar emphysema with small vessel vasculitis. Hypocomplementemic urticarial vasculitis syndrome
 +
|identifier=WSI24-127-Case-3
 
|access=public
 
|access=public
 
|status=active
 
|status=active
 
|origin=CPOE
 
|origin=CPOE
|priority=Routine
 
|basedOn=WSI24-127
 
|requisition=
 
|reasonCode=History
 
|occurrenceDateTime=2024-06-07 12:00:00-07:00
 
|authoredOn=2024-06-07 13:36:44.931440+00:00
 
|sequence=3
 
|supportingInfo=Diagnosis
 
 
}}
 
}}
 
{{Media
 
{{Media
|identifier=2361f188-7583-458b-9fe6-a2bf988933cb
 
 
|operator=Kx601
 
|operator=Kx601
 +
|frames=1
 
|status=completed
 
|status=completed
|frames=1
 
 
|view=show
 
|view=show
|reasonCode=
+
|identifier=2361f188-7583-458b-9fe6-a2bf988933cb
|basedOn=WSI24-127-Case-3
 
 
}}
 
}}
 
 
{{Media
 
{{Media
|identifier=86380266-cc56-4886-a864-689df9707048
 
 
|operator=Kx601
 
|operator=Kx601
 +
|frames=2
 
|status=completed
 
|status=completed
|frames=2
+
|reasonCode=H&E
 
|view=show
 
|view=show
|reasonCode=
+
|identifier=86380266-cc56-4886-a864-689df9707048
|basedOn=WSI24-127-Case-3
 
 
}}
 
}}

Revision as of 09:05, June 7, 2024

WSI24-127-Case-3
A 40-year-old male never-smoker presented with a 1 year history of progressive dyspnea on exertion, and dry cough for six months, occasional wheezing and chronic fatigue. The patient is an engineer, working as project manager, but reported a history of exposure to engine exhaust, benzene and carbon black in the 90’s. His medical history included ocular migraines and intermittent “hives with stress”. Pulmonary function tests showed an FEV1/FVC of 48%, FEV1 29% and DLCO 44%. Alpha-1 antitrypsin levels were found normal several times. ANA and RF were negative. IgG levels were low, 595.
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