№ files_lp_4_process_1_50506
Detailed clinical report presenting patient history, physical examination, and electrophysiological findings for assessment of lumbar radiculopathy and peripheral polyneuropathy.
Date of Test: 3/16/2023
Patient Age: 73
Sex: Male
Weight: 150 lbs
Referring Physician: Not specified
Clinician: Matthew Evans, DPT
Reason for Referral: Lumbar radiculopathy
Medications: Fentanyl, Gabapentin
Past Medical History: C6-7 ACDF (2013), C5-C6 ACDF (2003), L5-S1 microdiscectomy
Family History: No known nerve or muscle disease
Imaging Findings: MRI L4-5 hemilaminotomy, multilevel lumbar spondylosis, discogenic disease
Examination Findings: Decreased light touch sensation L3-S1, absent L4 and S1 reflexes, mild quadriceps atrophy, gait abnormalities
EMG/NCV Results: Moderate chronic sensory > motor polyneuropathy of distal lower extremities, mild chronic right L4 nerve root compromise
Clinical Notes: No evidence of left mid/lower lumbar nerve root compromise, correlation with clinical findings recommended
Type of Document: Clinical electrophysiology report
Location: Ventura, CA, USA
Price: 8 / 10 USD
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