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COMPLAINT
PROCEDURE
5-May-01 13-Jul-01
Leg pain and weakness Lower back pain radiating to left leg
RESULT Normal Findings: No evidence of fracture and dislocation; No abnormal soft tissue calcification
INTERVENTION
PHYSICIAN
DR JUAN KOMIYA
Chronic L5-S1 Radiculopathy, Left; Acute re- Ten sessions PT; pain meds; ESGIC exacerbation S1 DR SYLVAN LORENZO UA within normal range; LS APL shows normal LS results - (-) fracture, dislocations, Ten sessions PT; Meloxicam; Vit. spondylolisthesis; Lumbar lordosis preserved B 500 MG; warning against inappropriate posture, prolonged Radiculopathy L5-S1; Spondylolysis, Grade 1 walking, long distance travel, and heavy lifting spondylolisthesis; smallboad-based disc protrusion; narrowed left neural foramen and impingement of exiting L% nerve root Mild pulvo caliectasis, R, 2o ureteral
obstruction d/t imfection or partially obstructing stone; normal prostate gland; post voiding urine of 45 ml; RK - 10.3 cm x 4.9 cm; LK - 8.; cm x 5.4 cm (LW); PG - 2.7 cm x 2.4 cm x 2.6 cm (LWT) Suggested KUB-IVP
30-Jan-02
14-Feb-02
17-Feb-05
Back pain; frequent urination with KUB IVP 25-Feb-05 feeling of urinary retention
29-May-06 Back pain; weakness of left leg Chronic Neck Pain/Headache; 5-Oct-06 Dizziness
Mild pulvo caliectasis, R, 2o narrowed ureter; unremarkable left pelvocalyceal system and urinary bladder Degernerative disc disease with a mild disc bulge causing no significant spinal canal or neural foraminal stenosis, L5-S1; presence of posteriolateral annular tear noted at same level Right maxillary tonsilitis; otherwise grossly normal pre/post cranial CT scan Page 1 of 4
Xatral, Sambong
PT, pain meds, reiteration of Jan/Feb 2002 health teaching Antibiotic; Sibelium
COMPLAINT
PROCEDURE
RESULT
INTERVENTION
PHYSICIAN DR WERNER PAUL IRMSCHER/DR ROBERTO LEGASPI DR SYLVAN LORENZO DR MARLON MAMURIC/DR ROGER BAGUIOEN DR GENERALDO MAYLEM/DR SHEILA ONG/DR ROSE ANGELIE JOY LIM
Mild thoracic osteophytosis Electro physiologic evidence of Acute C-5 radiculopathy. L RK - 11.3 x 4.7 cm; LK - 10.2 x 5.2 cm; PG 2.9 x 2.2 x 2.8 cm; pre/post voiding vol - 190 mL/ 30 mL
15-Aug-07 Follow up
KUB UTZ
Elevated blood sugar, LDL, ALT/AST, KUB ? UTZ - Gallbladder polyps vs adherent calculi; Renal cortical cyst (Bosniak II), R; Parenchymal calcifications, L; normal liver, GB, biliary tree, pancreas, spleen, abd aorta, urinary bladder and prostate gland No evidence of urolithiasis; renal cortical cyst (Bosniak II); Prostatomegaly with concretion; degenerative osseous changes; Grade 1spondylolisthesis L5-S1
2-Jul-11
Losartan. Simvastatin, To repeat lipid profile, SGPT, Normal Blood Chem; Normal TRUP (verified); Renal UTZ ater 2 months; Blood Chem w/PSA, TRUP, prostate gland enlarged (DRE) Duodart, Simvastatin prostate gland enlarged (DRE) Terazosin 2 mg
DR MYRNA CABALLERO
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INSTITUTION SLU HOSPITAL OF THE SACRED HEART DE VERA's GH Santiago City DE VERA's GH Santiago City
NKTI
NKTI NKTI
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