CONTACTS
SUBJECTS
Meeting Primary Care Physician Kaiser Oncology
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 42 0000, ref SDS 41 0000.
040502 -
040503 - Good news today in report that CA 15-3 cancer marker has begun to fall
040504 - again, after several months of a rise. ref SDS 0 GJ5M The PET scan
040505 - shows improvement because prior findings of distant metastasis are no
040506 - longer visible. There is now no clear evidence of distant metasis.
040507 - New findings are nonspecific and so attributable to post-treatment
040508 - trauma at this time. ref SDS 0 GJ69 Further testing will monitor new
040509 - findings to verify new and distant metastasis is not occurring and
040510 - enable timely treatment if needed. ref SDS 0 GK65 Slight discomfort
040511 - in shoulder, neck, left side and arm are attributable to reactions
040512 - that occur from cancer treatments. ref SDS 0 KW5F Red coloration of
040513 - breast may indicate cellulitus, and a dry cough that could signal a
040514 - broncial infection, both being treated with antibiotics. ref SDS 0
040515 - 0T6N
040516 -
040517 -
040518 -
040519 -
040520 -
040521 -
040522 -
040523 -
0406 -
040601 -
0407 -
SUBJECTS
CA 15-3 37 10% Decline from 41 Doctor Advises Signals Response to Tr
0903 -
0904 - Discussion
090501 - ..
090502 - Recovery Progress CA 15-3 Cancer Marker Drops Toward Target Level
090503 - CA 15-3 Cancer Marker Reverses Trend and Shows Improvement on Recovery
090504 -
090505 - Follow up ref SDS 42 SM6M, ref SDS 41 SQ5I.
090507 - ..
090508 - The doctor submitted results of the latest blood test on 030106
090509 - showing the CA 15-3 cancer marker has dropped from 41 to 37, reversing
090510 - a rising trend over the previous two (2) months...
090511 -
090512 - 030106......... 37 H............. 030109, ref SDS 0 SM6M
090513 - 021202......... 41 H?............ 021204, ref SDS 41 SP5G
090514 - 021102......... 36 H?............ 021113, ref SDS 40 Y65I
090515 - 021023......... 33 H?............ 021023, ref SDS 39 SQ5I
090516 - 020930......... 33 H?..29........ 021002, ref SDS 38 SQ5I
090517 - 020917......... 36 H?............ 020924, ref SDS 37 SQ5I
090518 - 020717......... 59 H?............ 020726, ref SDS 36 YN5K
090519 - 020629......... 75 H ............ 020705, ref SDS 34 UX6I
090520 - 020608........ 67 H ............ 020614, ref SDS 30 0001
090521 - 020603........ 108 H ............ 020607, ref SDS 28 X67F
090522 - 020511........ 117 H ............ 020603, ref SDS 27 PJ4J
090523 - 020419......... 81 H ............ 020430, ref SDS 23 7N5H
090524 - 020321......... 85 H ............ 020405, ref SDS 13 6T8K
090525 -
090527 - ..
0906 -
0907 -
0908 - Analysis
0909 -
090901 - The doctor was very pleased explaining that continued decline over the
090902 - past month in CA 15-3 cancer marker from 117 in June, now down to 37
090903 - shows substantial improvement that indicates response to treatment
090904 - with Taxotere. There is no concern today about progression of disease
090905 - at this point, even though 37 is about 25% (8 points) above the target
090906 - range of 29, per above. ref SDS 0 SM6M
090908 - ..
090909 - [On 030220 25% rise in CA 15-3 from 37 to 46 not alarming based
090910 - on results of CT scan report; plans to continue monitoring CA
090911 - 15-3 and further CT scan tests ordered. ref SDS 47 GJ5M
090912 -
090913 -
090914 -
090915 -
090916 -
090917 -
0910 -
SUBJECTS
PET Scan Planned to Evaluate Condition Following Completion of Phase
PET Scan Scheduled for 030110 to Evaluate Condition Following Phase
PET Scan Findings Show Previous Metastatic Lymphadenopathy No Longer
Metastasis New Nonspecific May be Post Treatment Trauma Inflammatory
PET Scan Test Results Received from Doctor During Meeting at Kaiser
1407 -
140801 - ..
140802 - PET Scan 020218 Test Report Submitted by Kaiser Today
140803 -
140804 - Follow up ref SDS 43 0001, ref SDS 42 LK5L.
140805 -
140806 - The doctor submitted results of the PET scan test performed on
140807 - 021218....
140808 -
140809 - [On 040713 received results of bone scan comparing with PET
140810 - scan test taken today. ref SDS 60 I27I
140812 - ..
140813 - Patient
140816 - ..
140817 - Body PET of Glucose Metabolism
140821 - ..
140822 - History
140824 - ..
140825 - 66 year old female with breast cancer, s/p surgery, radiation and
140826 - chemotherapy. Last study in 5.02 showed multiple metastic
140827 - lymphadenopathy in the left axilla. This is for follow up
140828 - evaluation post treatment.
140830 - ..
140833 - ..
140834 - RADIOPHARMACEUTICAL: F-18 2-deoxy-2-fluoro-D-glucose, 14.4 mCi
140836 - ..
140837 - Findings
140839 - ..
140840 - Emission imaging using a full ring dedicated scanner of the neck,
140841 - chest, abdomen, pelvis and upper thighs was acquired about 1 hour
140842 - and 5 minutes after tracer injection in multiple bed positions
140843 - (about 5 minutes/position). Transmission scanning was then done
140844 - of the same regions of the body using two Ge-68 rod sources
140845 - without moving the patient (about 3 minutes/position). Emission
140846 - images were then corrected for attenuation using these data before
140847 - reconstructing in three orthogonal planes for interpretation.
140849 - ..
140850 - The study is compared to the last study done in 5/02. The
140851 - previously noted multifocal hypermetabolic findings in the left
140852 - axilla are no longer visiualized today. The previously noted mild
140853 - increased uptake irregularly at the posterior aspect of the L5
140854 - verbetrae bilaterally however is more prominent today appearing
140855 - nonspecific but may be secondary to inflammatory changes.
140857 - ..
140858 - This report of conditions on 021218, that seems to find activity under
140859 - the left arm is no longer visible, appears conflicting with patient's
140860 - report on 021206 of increased swelling. ref SDS 42 KW5F
140862 - ..
140863 - PET test report continues...
140864 -
140865 - Otherwise new is a hypermetabolic finding at the 11th rib on the
140866 - left and relatively linear hypermetabolic finding at the left
140867 - apical lung.
140868 -
140869 - [On 040713 received bone scan report comparing with PET scan
140870 - test taken today, and finding no evidence of PET findings on
140871 - 11th rib. ref SDS 60 I27I
140873 - ..
140874 - PET scan report continues...
140875 -
140876 - Also, new are mild diffuse increased uptakes at the region of the
140877 - left axilla as well as the left upper chest wall both anteriorly
140878 - and posteriorly including the left supraclavicular region. No
140879 - other significant finding.
140881 - ..
140882 - Meaning and implications of "mild diffuse increased uptakes at the
140883 - region of the left axilla..." requires professional analysis. Sounds
140884 - like cancer activity under the left arm that may align with patient
140885 - report today of increased swelling and discomfort under the left arm,
140886 - and along the left side, per below, ref SDS 0 KW5F, and further with
140887 - the patient's report on 021206 of occassional, mild discomfort from
140888 - new swelling under the left arm. ref SDS 42 KW5F
140890 - ..
140891 - Previously, on 020603 the doctor applied PET test findings to
140892 - determine discomfort under the left arm was caused by cancer, and that
140893 - this required changing treatment. ref SDS 27 0001
140895 - ..
140896 - PET scan test findings today related to the left upper chest wall,
140897 - ref SDS 0 L66M, could pertain to the left breast; doctor observes red
140898 - rash today, and treats with antibiotics for cellulitus. ref SDS 0 KW5F
140900 - ..
140901 - PET scan findings related to left supraclavicular region may pertain
140902 - to patient report today of stiff neck. ref SDS 0 II34
140903 -
140904 - [On 030710 meeting receive CT test performed on 030626;
140905 - reports of regional persistant dermal (skin) thickening
140906 - left breast; notes that invasion of the dermal lymphatics
140907 - from known breast cancer can present similarly. ref SDS 49
140908 - VM7I
140910 - ..
140911 - [On 030915 doctor explains PET test on 021218, and reviewed
140912 - today, presented several places of interest for monitoring.
140913 - ref SDS 50 H79H
140915 - ..
140916 - [On 040318 report on biopsy of lumps in the neck found
140917 - cancerous lymph nodes in supraclavicular region.
140918 - ref SDS 51 8R6M
140920 - ..
140921 - [On 040504 doctor awfully sorry about delay diagnosing and
140922 - treating IBC - inflammatory breast disease; was unexpected
140923 - because this rare affliction has not previously occurred in
140924 - his practice. ref SDS 56 UR6M
140926 - ..
140927 - [On 040517 patient diagnosed with IBC based on biopsy,
140928 - ref SDS 57 7D6F; clinical symptoms inflammation of left
140929 - breast, swelling in left supraclavicular and left axilla
140930 - regions occurred irregularly for about a year following the
140931 - PET scan today. ref SDS 57 LS3L
140933 - ..
140934 - [On 040614 The Doctor diagnosis IBC, assigns stage IV
140935 - treatment status for metastatic cancer. ref SDS 59 SZ3I
140937 - ..
140938 - [On 041104 doctor reports analyst called and alerted the
140939 - doctor about pulmonary emboli, to ensure that a serious
140940 - condition is not overlooked. ref SDS 61 RZ4I Why didn't
140941 - the analyst in this case also call the doctor to alert
140942 - about finding 3 symptoms of IBC?
140944 - ..
140945 - [On 060428 read medical test findings - case study doctors
140946 - limited time prevents reading findings to correlate
140947 - clinically for discovering symptomatic trends that enable
140948 - proactive case management; there is only enough time to
140949 - read summaries that present the gist of findings.
140950 - ref SDS 62 VG5L
140952 - ..
140953 - [On 061020 CT test findings enlarged right ventricle not
140954 - enough time to read report. ref SDS 63 3Z9N
140956 - ..
140957 - PET scan report continues...
140959 - ..
140960 - Impression
140962 - ..
140963 - Abnormal examination and is compared to the last study done in
140964 - 5/20 showing the previously noted metastic lymphadenopathy in the
140965 - left axilla no longer active. New linear hypermatabolic finding
140966 - at the left apical lung and mild diffuse increased soft tissue
140967 - activities at the left axilla, upper chest wall and
140968 - supraclavicular regions are likely secondary to post-radiation
140969 - changes.
140971 - ..
140972 - Analysts "impression" does not address context of doctor's examination
140973 - today finding mild inflammation in the left breast, ref SDS 0 KW5F,
140974 - and the patient reporting new discomfort from "stiff neck,"
140975 - ref SDS 0 II34, and, also, increased discomfort along the left side,
140976 - per below, ref SDS 0 KW5F, and previsously on 021206 of mild,
140977 - occassional discomfort from new lumps under the left arm. ref SDS 42
140978 - KW5F
140980 - ..
140981 - [On 030606 Millie requested emergency meeting with the
140982 - doctor to investigate sudden rise a week earlier of rash
140983 - and inflammation on the left breast; doctor found that
140984 - condition had subsided by the time of examination on
140985 - 030606. ref SDS 48 7C6W
140987 - ..
140988 - [On 030710 CT test reports similar findings of skin
140989 - thickening on left breast may be side effects of radiation
140990 - therapy, and also notes that the same symptoms occur with
140991 - "known breast cancer," ref SDS 49 VM7I, recommends doctor
140992 - correlate clinically. ref SDS 49 GJ69
140994 - ..
140995 - [On 040318 report on biopsy of lumps in the neck found
140996 - cancerous lymph nodes in supraclavicular region.
140997 - ref SDS 51 8R6M
140999 - ..
141000 - [On 040517 patient diagnosed with IBC based on biopsy,
141001 - ref SDS 57 7D6F; clinical symptoms inflammation of left
141002 - breast, swelling in left supraclavicular and left axilla
141003 - regions occurred irregularly for about a year following the
141004 - PET scan today. ref SDS 57 LS3L
141006 - ..
141007 - PET scan report continues...
141008 -
141009 - New hypermetabolic finding at the left 11th rib appears
141010 - nonspecific and may represent early bone metastasis or less likely
141011 - acute post-traumatic change. Suggest clincial correlation. There
141012 - is no recent CT scan of the chest available for comparison
141013 - however.
141014 -
141015 - [On 040713 received bone scan report comparing with PET scan
141016 - test taken today, and finding no evidence of PET findings on
141017 - 11th rib. ref SDS 60 I27I
141019 - ..
141020 - PET scan report continues...
141021 -
141022 - More prominent irregular increased uptake noted at the
141023 - posterior L5 vertebrae bilaterally also appear nonspecific where
141024 - inflammatory changes cannot be excluded.
141026 - ..
141029 - ..
141030 - DD: 021218 DT: 021220 DJH
141031 -
141032 -
141033 -
141034 -
1411 -
SUBJECTS
Start Radiation Treatment Schedule Lost Doctor Cannot Find in Patien
End Radiation Treatment Schedule Lost Doctor Cannot Find in Patient
PET Scan Test Pathology Report Analysis Doctor Advises Patient Dista
2605 -
2606 - Analysis
260701 - ..
260702 - PET Test Shows No Distant Metastasis
260703 - Distant Metastasis PET Test Shows None
260704 - PET Test Findings Align with Radiation Side Effects
260705 - Treatment Schedule Lost Cannot Find Date Radiation Ended
260706 -
260707 - The doctor drew a diagram to illustrate findings in the report showing
260708 - mild activity in the upper edge of the left lung. He indicated this
260709 - condition can result from radiation treatment, as cited in the PET
260710 - scan report. ref SDS 0 GJ69
260712 - ..
260713 - The doctor thumbed through Millie's medical chart, and then checked
260714 - the office computer for the date of the last radiation treatment. He
260715 - could not find the date, and so asked when the last radiation
260716 - treatment was performed? Difficulty finding information in Kaiser's
260717 - records was reported previously on 020726, when the date that
260718 - radiation treatments began could not be found. ref SDS 36 4Y5I The
260719 - Tumor Board report on Millie's case was, also, lost at that time.
260720 - ref SDS 36 RQ5F
260722 - ..
260723 - Millie advised that the last radiation treatment was on 020910, and
260724 - included several additional treatments relative to the original plan,
260725 - as discussed with the doctor previously on 020924. ref SDS 37 0J7H
260727 - ..
260728 - The doctor indicated that the report on the PET scan test is generally
260729 - favorable showing no clear indications of distant metastasis. There
260730 - was no discussion correlating clinical examination with PET scan
260731 - findings of regional "mild diffuse uptakes" on the left chest, Left
260732 - side of the neck, and under the left arm, per above. ref SDS 0 L66M
260734 - ..
260735 - The doctor scheduled a CT scan to provide additional information
260736 - requested for comparison with the PET scan. ref SDS 0 GJ69
260737 -
260738 - [On 030128 CT scan performed. ref SDS 46 0001
260739 -
260740 - [On 030220 CT scan shows no evidence of cancer; recommends follow
260741 - up testing. ref SDS 47 GK51
260743 - ..
260744 - [On 040318 report on biopsy of lumps in the neck found cancerous
260745 - lymph nodes in supraclavicular region. ref SDS 51 8R6M
260747 - ..
260748 - [On 040517 patient diagnosed with IBC based on punch biopsy of
260749 - left breast, ref SDS 57 7D6F; inflammation of left breast, and
260750 - swelling in supraclavicular and axilla regions are listed as
260751 - symptoms of IBC. ref SDS 57 LS3L
260753 - ..
260754 - Work plan is to continue monitoring CA 15-3 cancer marker, per above.
260755 - ref SDS 0 SM6M Further PET scan tests will be performed for ongoing
260756 - treatment.
260757 -
260758 - [On 030220 rise in CA 15-3 from 37 to 46 will be monitored with
260759 - further testing. ref SDS 47 S36J
260761 - ..
260762 - Schedule next meeting with the doctor in six (6) weeks.
260764 - ..
260765 - The doctor approved normal dental care can be resumed, and that a
260766 - vacation trip to Chicago is fine with respect to having no impact on
260767 - treatment and recovery.
260768 -
260769 -
260770 -
260771 -
260772 -
260773 -
260774 -
260775 -
2608 -
SUBJECTS
Swelling Left Side Under Left Arm Likely Caused by Draining Lymph Nod
Cellulitus Mild Diagnosed Redness Breast Observed in Examination Tre
Discomfort Swelling Increase Under Left Arm
Cellulitus Rash Left Breast Mild Redness Firm Thickened Skin Observe
3006 -
300701 - ..
300702 - Red Rash Inflammation Left Breast Firmness Oberserved in Examination
300703 - Tiredness, Discomfort Shoulder, Left Arm and Left Side Stiff Neck
300704 -
300705 - Follow up ref SDS 42 KW5F.
300706 -
300707 - During examination today, the doctor observed mild red coloration,
300708 - like a rash, and firmness of the left breast. On 020726 the doctor
300709 - reported no findings of reaction to radiation side effects, which at
300710 - that time were described as rash and firmness of breast skin.
300711 - ref SDS 36 2F5J Last month on 021206 the doctor found firmness and
300712 - thickened skin on the left breast, and attributed that to a reaction
300713 - from radiation back in July - September. ref SDS 42 SG7J The doctor
300714 - feels that inflammation in the left breast seen today could be effects
300715 - of radiation treatments in August and September, as described in the
300716 - PET scan test on 021218, and reported above. ref SDS 0 GJ69
300718 - ..
300719 - [...below, red rash treated for Cellulitis. ref SDS 0 0T6N
300721 - ..
300722 - Millie described discomfort in the left shoulder, under the left arm,
300723 - and along the left side, as well as increased tiredness/low energy the
300724 - past few days, despite no increase in activity. This extends the
300725 - prior report on 021206 of mild, occassional discomfort under the left
300726 - arm. ref SDS 42 KW5F
300728 - ..
300729 - This may align with report today on the PET scan test taken 021218,
300730 - which says that activity previously shown in PET scan report on 020520
300731 - is no longer visible, per below, ref SDS 0 GJ55, and, also, notes new
300732 - diffuse increased "uptakes" in left axilla, supraclavicular, and upper
300733 - chest wall. ref SDS 0 L66M
300735 - ..
300736 - [On 030606 patient requests emergency meeting for doctor to
300737 - examine sudden severe inflammation and rash on left breast; a
300738 - week later the doctor finds rash has subsided, ref SDS 48 7C6W,
300739 - but observed skin firmness in the left breast, attributed to
300740 - side effects of surgery and radiation treatments. ref SDS 48
300741 - O16M
300743 - ..
300744 - [On 030710 CT test reports similar findings of skin thickening
300745 - on left breast may be side effects of radiation therapy, and
300746 - also notes that the same symptoms occur with "known breast
300747 - cancer," ref SDS 49 VM7I; patient requests further testing with
300748 - biopsy; Kaiser defers testing for cancer on grounds symptoms
300749 - are most likely side effects of radiation treatment in 2002.
300750 - ref SDS 49 T64L
300752 - ..
300753 - [On 040318 report on biopsy of lumps in the neck found
300754 - cancerous lymph nodes in supraclavicular region. ref SDS 51
300755 - 8R6M
300757 - ..
300758 - [On 040517 patient diagnosed with IBC based on punch biopsy of
300759 - left breast, ref SDS 57 7D6F; inflammation of left breast, and
300760 - swelling in supraclavicular and axilla regions are listed as
300761 - symptoms of IBC. ref SDS 57 LS3L
300763 - ..
300764 - [On 061208 red rash on right breast diagnosed with method of
300765 - prescribing medication and check for response to treatment,
300766 - rather than biopsy to check for IBC. ref SDS 64 KW45
300768 - ..
300769 - The doctor performed clinical examination under the left arm where
300770 - surgery was previously performed. He explained feeling for
300771 - indications of scar tissue and infection that may be forming under the
300772 - skin from the prior surgery on 020312 to remove cancerous lymph nodes.
300773 - ref SDS 8 7V61 He found no express indications of these conditions to
300774 - explain discomfort and tiredness.
300775 -
300776 - [On 040517 pathology report submitted to patient with findings
300777 - of inflammatory carcinoma of the left breast, ref SDS 57 7D6F;
300778 - research shows that in addition to redness, another symptom of
300779 - inflammatory breast cancer is thickening of the skin, which
300780 - might, also, be described as "firmness" reported today.
300781 - ref SDS 57 S65H
300783 - ..
300784 - Millie reported periodic stiffness of the neck the past number of
300785 - weeks. The doctor examined the neck. There was no discussion of
300786 - corellations with PET scan test report finding diffuse uptakes in the
300787 - supraclavicular region. ref SDS 0 L66M
300788 -
300789 - [On 030915 persistant problems with periodic stiff neck, so
300790 - doctor orders xray. ref SDS 50 H84F
300792 - ..
300793 - The doctor advised that surgery and radiation treatment can impact
300794 - nerve cells in this area that cause discomfort for a period of time.
300795 - Periodic changes in energy levels and fluctuations in emotions are
300796 - expected aspects of recovery from cancer treatment.
300797 -
300798 - [On 040517 swelled lymph nodes in the neck are symptoms of
300799 - inflammatory breast cancer. ref SDS 57 6M9H
300801 - ..
300802 - [On 040607 Jeannie reports that inflammatory breast cancer
300803 - evolves, or "morphs," from an original condition that is not
300804 - IBC. ref SDS 58 ZL7L
300805 -
300806 -
300808 - ..
300809 - Redness Breast Diagnosed Cellulitus Treated with Antibiotics
300810 - Cellulitus Causes Redness of the Skin Treated with Antibiotics
300811 -
300812 - The doctor explained that "cellulitus" is a common reaction to breast
300813 - cancer treatment, and is evident by redness of the skin, observed
300814 - during the examination, per above. ref SDS 0 KW5F
300815 -
300816 - [On 030220 treatment with antibiotics seems to have reduced
300817 - symptoms of redness. ref SDS 47 0T6N
300819 - ..
300820 - [On 030606 redness returns, clinical examination observed
300821 - non-treatable condition. ref SDS 48 7C6W
300823 - ..
300824 - [On 040318 redness returns; cellulitus diagnosed again, and
300825 - antibiotics prescribed. ref SDS 51 IM6J
300827 - ..
300828 - [On 040402 redness continues, steriods prescribed.
300829 - ref SDS 52 IM6J
300831 - ..
300832 - [On 040416 redness diagnosed as reaction to radiation,
300833 - treatment ends, ref SDS 53 IM6J, chemotherapy and trial on
300834 - Avastin scheduled to start on 040420. ref SDS 53 8R6M
300836 - ..
300837 - [On 040419 biopsy taken of breast during minor surgery.
300838 - ref SDS 54 789F
300840 - ..
300841 - [On 040429 the surgeon says during a meeting that pathology
300842 - report on biopsy shows new cancer in the left breast;
300843 - pathology report not submitted to patient. ref SDS 55 F66N
300845 - ..
300846 - [On 040517 pathology report submitted to patient with
300847 - findings of inflammatory carcinoma of the left breast,
300848 - ref SDS 57 7D6F; research shows that in addition to redness,
300849 - another symptom of inflammatory breast cancer is thickening
300850 - of the skin, which might, also, be described as "firmness"
300851 - reported today. ref SDS 57 S65H
300852 -
3009 -
SUBJECTS
Cellulitus Research Rash Inflammation Infection in Skin
3203 -
320401 - ..
320402 - Cellulitis Research Rash Inflammation Infection in Skin
320403 -
320404 - Research on the Internet found a paper dated 020111 that says in
320405 - part...
320406 -
320407 - http://www.emedicine.com/EMERG/topic88.htm
320409 - ..
320410 - The word cellulitis literally means inflammation of the cells. It
320411 - generally indicates an acute spreading infection of the dermis and
320412 - subcutaneous tissues resulting in pain, erythema, edema, and
320413 - warmth.
320415 - ..
320416 - Pathophysiology: Skin and subcutaneous tissues are involved when
320417 - microorganisms invade disrupted skin.
320419 - ..
320420 - In the US: Cellulitis is a common infection.
320422 - ..
320423 - Mortality/Morbidity: Cellulitis may progress to serious illness by
320424 - uncontrolled spread contiguously or via the lymphatic or
320425 - circulatory systems.
320427 - ..
320428 - History: Patient may have a history of trauma or surgery, causing
320429 - a break in the skin, or may have no discernible dermal injury. The
320430 - infection typically develops over a period of several days.
320432 - ..
320433 - In those with prior surgery involving lymph node dissection, such
320434 - as mastectomy, no evidence of recent injury may be observed.
320435 - However, these patients are prone to recurrent cellulitis in these
320436 - areas.
320438 - ..
320439 - Physical: Hallmarks of cellulitis include the following:
320440 -
320441 - Warmth, erythema, edema, and tenderness of affected area are
320442 - present.
320444 - ..
320445 - Associated red streaking visible in skin proximal to the area
320446 - of cellulitis is characteristic of ascending lymphangitis. In
320447 - lymphangitis the infection is carried through the lymphatic
320448 - system.
320449 -
320450 - Regional lymphadenopathy may be present.
320452 - ..
320453 - The margin of cellulitis will not be palpable.
320455 - ..
320456 - Fever may be present.
320457 -
320459 - ..
320460 - Patients with the following conditions are at increased risk of
320461 - developing serious or rapidly spreading cellulitis:
320462 -
320463 - Lymphadenectomy following tumor excision, such as mastectomy
320464 -
320465 -
320466 -
3205 -
SUBJECTS
Cellulitis Treatment Antibiotics
3503 -
350401 - ..
350402 - Treatment
350403 -
350404 - Mild cellulitis
350405 -
350406 - May be treated on an outpatient basis with a regimen of
350407 - oral antibiotics.
350409 - ..
350410 - Some clinicians prefer an initial dose of parenteral
350411 - antibiotic with a long half-life, followed by an oral
350412 - agent.
350414 - ..
350415 - Reevaluate within 24-48 hours. Patients who have not
350416 - improved should be considered for admission.
350417 -
350419 - ..
3505 -
3506 -
3507 - Treatment
3508 -
350801 - Cellulitis Treatment Antibiotics
350802 -
350803 - Today, the doctor prescribed Keflex antibiotic medication taken as
350804 - pills 4 times a day to treat cellulitis, ref SDS 0 0T6N, diagnosed
350805 - from clinical examination showing mild red rash on left breast, per
350806 - above. ref SDS 0 KW5F This treatment seems to line up with the
350807 - research, also, per above. ref SDS 0 TE98
350808 -
350809 - [On 030220 treatment with antibiotics seems to have reduced
350810 - symptoms of redness. ref SDS 47 0T6N
350812 - ..
350813 - [On 030606 redness returns, clinical examination observed
350814 - non-treatable condition. ref SDS 48 7C6W
350816 - ..
350817 - [On 030710 temporary redness of the breast can be caused by
350818 - medication, and since the condition has not persisted, this
350819 - indicates that observed "redness" does not indicate cancer
350820 - recurrance. ref SDS 49 7C6W
350822 - ..
350823 - [On 040318 the doctor diagnosed possible cellulitus again,
350824 - and prescribed antibiotics. ref SDS 51 IM6J
350825 -
350826 -
350827 -
350828 -
350829 -
350830 -
350831 -
350832 -
3509 -
SUBJECTS
Dry Cough Possible Bronchial Infection Treated with Antibiotics
3603 -
360401 - ..
360402 - Dry Cough for Two Weeks May Indicate Mild Bronchial Infection
360403 -
360404 - The doctor explained that a dry cough experienced over the past
360405 - several weeks could indicate mild bronchial infection, as another
360406 - reaction to treatments.
360408 - ..
360409 - The doctor said that the antibiotic prescribed for Cellulitus, per
360410 - above, ref SDS 0 GK7T, will also treat the bronchial infection.
360411 -
360412 -
360413 -
360414 -
3605 -
SUBJECTS
Breast Firmness About Surgery and Radiation Area Typical Result
Radiation Treatment Completed Chemotherapy Schedule Phase II Called L
3804 -
380501 - ..
380502 - Breast Firmness Results from Surgery Scar Tissue and Radiation
380503 -
380504 - Follow up ref SDS 42 SG7J, ref SDS 37 0J7H.
380505 -
380506 - Breast examination was performed, per above. ref SDS 0 KW5F
380507 -
380508 -
380509 -
380510 -
380511 -
380512 -
380513 -
380514 -
380515 -
3806 -