Patient Copy Pediatric Hematology/Oncology 6-252-122 05-Jul-2012 14:05 Maria Foteini Kallimachou Generated: 8-Jul-2012 10:07
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DEMOGRAPHIC INFORMATION Clinic Number: 6-252-122 Patient Name: Maria Foteini Kallimachou Age: 10 Y Birthdate: 25-Apr-2002 Sex: F Address: 8 Epidavrou Str., Platy City: 2114 Nicosia, CY Service Date/Time: 05-Jul-2012 14:05 Provider: Amulya A. NageswaraRao, MBBS Pager: 3-4097 Service: PDHO Type/Desc: CON Status: Fnl Revision #: 4 REFERRAL Dr. Suresh Kotagal 5-3652 Department of Pediatric Neurology CHIEF COMPLAINT/PURPOSE OF VISIT Elevated fetal hemoglobin noted on testing. HISTORY OF PRESENT ILLNESS Maria is a sweet 10-year-old young girl with a history of Dravet syndrome and intractable generalized tonic-clonic and atonic seizures, followed by Dr. Kotagal in Neurology. She has been referred to us due to detection of an elevated fetal hemoglobin noted on hemoglobin electrophoresis. Her history of seizures dates back to when she was 3 months of age. Following that, in 2008 she was diagnosed with Dravet syndrome. The family is from Cypress, and they here for evaluation once a year. During her evaluation, she had a sleep study done. Following that she had a ferritin level done, which was normal, and also had a hemoglobin electrophoresis done on the 4th of June. I am not quite sure why she had the testing done. On talking to the family, it appears that she was started on a ketogenic diet in 2005. Seizures had stopped until late 2007, and then, since she had further seizures, more medications were added to her regimen. As far as mom can say, she was on Depakene since 1 year of age, was then transitioned to Depakote in 2005. Has been on Topamax since 3 years of age. Also on Klonopin. Currently started on clobazam about a month ago. She is also on Vimpat, started in 2009. Also on L-carnitine. I have reviewed all her labs that we have here since May of 2007. Her lowest hemoglobin recorded is 12.7. Her platelets have varied from 140 to 248, and her white counts have ranged from 3.9 to 6.1, ANC ranging from 1.19 to 2.6. Talking to family, she has never had any infections or admissions secondary to that. She has not had any history of anemia that the mom recalls. Also, on reviewing her labs, her MCV has always been on the higher side, ranging from 88.6 to 92.9. Her ferritin levels have been normal. Her vitamin B12 levels are slightly on the higher side, based on labs from May of 2011. Hemoglobin electrophoresis that was done recently on the 6th of June shows a hemoglobin A2 slightly reduced at 1.9, fetal hemoglobin F increased at 5.6. Also had a beta globulin gene test sequencing done, which was negative. CURRENT MEDICATIONS Bicitra 500-334 mg/5 mL solution by mouth as directed by prescriber. Indication, Site, and Additional Prescription Instructions: Take 2.5 mL twice a day after meals Calci-Mix capsule 500 mg calcium (1,250 mg) by mouth one time daily #1 MONTHS SUPPLY. Indication, Site, and Additional Prescription Instructions: Constipation 1.5 capsule daily with food International patient Children's Multi Vitamins chewable tablet one-half tablet by mouth one time daily.
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