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P-310010
Rev 11/10/04
(DATE RECEIVED)
CLINICAL ABSTRACT
6. Chief Complaint
LUTS
8. Brief History
8 months PTC patient noted frequent urination until January 2015 which prompted consult with a private MD, Work-up was
done revealing Prostatic CA. Patient then had a check-up done at PGH OPD for second opinion which prompted this
admission.
11. Pertinent Laboratory and Perinent Diagnostics Findings (CBC, Urinalysis, Fecalysis, X-Ray, Biopsy, etc.)
WBC 7.75 Hgb 119 Hct 0.36 Plt 292 Neut 0.48 Lymph 0.38Mono 0.06 Eos 0.07
Na 135 K3.4 Cl105 BUN 3.8 Crea 85 Alb 33 Ca 2.16
Urine GS/CS (-)
U/A Unremarkable
13. Discharge :
a. Date : b. Time:
Right Thumbmark
(In case the patient and representative could not Write) Printed Name and Signature of Witness to Thumbmark