| 48cb847c-711f-4546-86a7-eb823aa0788a | d39b3dd3-94a7-4cff-9cda-6a5a432d2e27 | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 93f5d1d0-b73d-4fc0-aa90-c127a7badfc8 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | fb5d6d62-e8e2-4047-9ea1-997d18b87f8d | <span class="null">NULL</span> | 11573 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T13:54:00.993000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 820f4089-d239-4246-94e0-e6013f18f4f1 | 23b457e9-7c28-4c0b-a68c-0fd21d52fa19 | edbeabc4-49d6-4015-8600-b5186398483d | CONSULTA_MEDICA | # HAS, DM2 EM USO DE INSULINA
PACTE ACOMAPNAHDA PELO FILHO, REFERE DOR LOMBAR INTENSA, COM DIFICULDADE NA DEAMBULAÇÃO E TENDO VARIOS EPISODIOS DE QUEDA . PACTE MORA SOZINHA RECEBENDO AUXILIO DE FILHO E FILHA QUE MORAM PROXIMOS. PERGUNTO SOBRE EXAMES DE RX E ECOCARDIO QUE FORAM SOLICITADOS NO ULTIMO ANO, MAS NAO SABEM INFORMAR SE PACTE FEZ. VERIFICO EM PRONTUARIO QUE PACTE RECEBEU CONSULTA DOMICILIAR E FOI ENCAMINAHDA P/ FISIOTERAPIA, REFERE NAO TER INICIADO AINDA | AC; SP AP; SP
ABDOME; SP
DOR IMPORTANTE EM PALP LOMBAR | DOR LOMBAR A ESCLARECER | ADM SF = DEXA + VOLTAREN + DIPIRONA = VOLTAREN
SOL LAB + RNM DE COLUNA LOMBAR E RX DE BACIA | 67a2574e-51f5-4860-885b-44ed597bc29a | e6f53be3-9cf4-4b3b-9db1-2ac136e1a35a | dda3b133-4c66-4b3d-801c-4a2c6666ea55 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 9f5434fb-080b-4df0-9728-f845753242c3 | <span class="null">NULL</span> | 29190 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T13:43:34.190000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 374b144d-fc97-4277-8215-936cc6bfab3f | 060c1b63-de52-4c7e-8595-0a4a80885a0e | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | ENCAMINHAMENTO PARA PSICOLOGA GERAL | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 411c260f-4c59-4f0d-8e1b-ea464f2464e5 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 25f0cbd8-52ed-4285-8b65-e877947f4405 | <span class="null">NULL</span> | 3097 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T14:04:52.997000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 5ced7b33-4be9-4c9b-8680-29016b736bc5 | 497c8485-c58e-4c23-b428-e4491252e159 | 038d672e-cd05-45a2-b100-4636417ba429 | ODONTOLOGICA | MOLDAGEM PPR SUP E INF. | . | . | . | <span class="null">NULL</span> | d03a41bd-338e-495d-b4e0-9e7f686dfdee | 6eef17b4-eba9-411a-92d5-ea60d6bf2568 | 42337159-5e0a-4e34-8d79-93ea94095b4e | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 0 | 14d0fe21-f3d8-49ef-b139-de76d212f89f | <span class="null">NULL</span> | 27751 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-29T11:14:43.206000+00:00 | 216d4330-daac-49b6-9b29-adaa60f56f71 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| e5f53ff7-58ce-4ec8-8248-eff6b408524c | 62f48269-b7c9-4e03-8fa3-c6403886dd95 | 038d672e-cd05-45a2-b100-4636417ba429 | ODONTOLOGICA | MOLDAGEM PT SUP E PPR INF. | . | . | . | <span class="null">NULL</span> | d03a41bd-338e-495d-b4e0-9e7f686dfdee | 67ac67ef-9fc5-45c2-87ec-cb63de52ad13 | 42337159-5e0a-4e34-8d79-93ea94095b4e | <span class="null">NULL</span> | 0 | 0 | 0 | c99c20d1-ae3b-4bfd-960e-10e98ed07005 | <span class="null">NULL</span> | 23661 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-29T11:43:47.210000+00:00 | 216d4330-daac-49b6-9b29-adaa60f56f71 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 74fabf33-508e-43be-8b7b-71e9ce2d116f | 37f71366-a56d-4cb6-83d1-b57736df83b3 | 1546c4fe-2d40-4b4e-b015-bdb122c4b086 | ODONTOLOGICA | Consulta | Avaliação | Oriento consulta para avaliação Nutricional | Profilaxia, ATF | <span class="null">NULL</span> | 23a64de9-dc2f-472a-b38b-725978251caa | bf0a85be-a567-49b3-aba4-56916852277b | 42337159-5e0a-4e34-8d79-93ea94095b4e | <span class="null">NULL</span> | 0 | 0 | 0 | 2abce03a-0ca8-41aa-b8d6-3dc925feb720 | <span class="null">NULL</span> | 1528 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-29T11:29:53.096000+00:00 | 216d4330-daac-49b6-9b29-adaa60f56f71 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 86f59a6a-ad62-46ae-8e34-07bb483f2fe5 | e10082e0-e947-488a-a450-2a5dfa0a822c | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | 72920ad5-dfd9-42e2-9332-ba0c2d159771 | b29ad8fb-c0be-456e-b963-478dd429f541 | eddedc78-43b9-4551-835a-d4adcaf1bf4f | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | ac6a638e-327c-4b26-b9a8-95a8e482f27e | <span class="null">NULL</span> | 31880 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-29T12:07:05.306000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 65c56c42-13b8-4013-a3c5-323150939a22 | eee57453-e94b-41cd-891d-f0c2dc5a710b | 651d22db-98a7-48f3-9c7d-f54549ecd026 | CONSULTA_MEDICA | #DG
GESTANTE DE 31,2 SEM, RELATA DOR LOMBAR BAIXA HÁ 4 DIAS , IRRADIA A ABDOME INFERIOR, CONTRAÇÕES DE TREINAMENTO, CONSTIPAÇÃO (DEPOSIÇÕES A CADA 3 DIAS ENDURECIDAS, SANGRAMENTO JUNTO COM AS FEZES), NEGA CORRIMENTO VAGINAL OU SINTOMAS URINARIAS. DORME REGULAR, E SE ALIMENTA BEM, TRABALHA NA PARATI, RELATA PIORA DA DOR DURANTE O TRABALHO, A NOITE MELHORA E REPOUSO. | ABDOME : CEFALICO, DE , BFC 134 BPM, DU 0/10
TCE SEM EDEMAS
SOMA PERCUSÃO DOLOROSA NA REGIÃO LOMBAR BAIXA.
PA 110/70 MMHG
| SACROILEITE
GESTAÇÃO DE 31,2 SEM
| AMANHÃ COLETA DE EXAMES DO 3RO TRIMESTRE
DEIXO PARACETAMOL SE DOR
ENC FISIOTERAPIA
AUMENTAR FRUTAS LAXATIVAS: MAMÃO, LARANJA, AMEIXA, MANGA, AUMENTAR A INGESTA DE LIQUIDOS (3 LITROS DE AGUA/DIA)
LACTULONA QUANDO NECESSARIO
| 7119d96a-7c1c-4477-8d59-ada722f8942d | 074c16b3-cefb-489c-b6aa-c84bb805edcb | f7e47bd3-1d77-4438-82c0-b63c9b794fc7 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 27af6d40-b08d-48ce-a0c1-90a1837856b3 | <span class="null">NULL</span> | 10880 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:00:43.734000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 6bf4f824-586a-417c-830a-eb1eef94cf1d | 9421af90-bf36-4860-b409-c34ed2f91b37 | 651d22db-98a7-48f3-9c7d-f54549ecd026 | CONSULTA_MEDICA | CRIANÇA TRAZIDA PELA TIA, COM QUADRO DE TOSSE SECA, CONGESTÃO NASAL, EPISTAXIS ONTEM A NOITE, NEGA FEBRE | AR:
RINOSOCOPIA:
OROSCOPIA: | IVAS | ORIENTO SOBRE SINAIS DE ALARME
SINTOMATICOS | 26e5fda8-6fcf-4870-ab21-317352f80692 | 074c16b3-cefb-489c-b6aa-c84bb805edcb | d3790d81-0145-4b83-bccf-296c09c24c70 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 7acc9b41-9161-4a50-9e30-3b8740aca8e8 | <span class="null">NULL</span> | 1485 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-27T12:14:58.218000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 2ee1cc41-62e6-4542-946a-07408ad0c8be | aca48a83-e02d-435d-b2a8-6e2a934441f7 | 049ddb7d-02fa-4b2c-83cc-216e2206ef34 | PROFISSIONAL | | DOR LOMBAR | TENS LOCAL | | <span class="null">NULL</span> | 8e2ce22e-b6f7-465c-9fb0-1663f85daeb4 | b918e045-65d5-48ef-969d-b4ea6754ec77 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 89590eb6-e5b3-4278-ac3b-8b7d6cf9c63c | <span class="null">NULL</span> | 22280 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-09-08T16:54:40.213000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| faa1d989-57d0-4c9a-9547-fe733dc01353 | f5da8890-5c78-4cbb-a3ae-d5567393e289 | edbeabc4-49d6-4015-8600-b5186398483d | CONSULTA_MEDICA | PACET ACOMPANHADO PELA MAE QUE REFERE HA VARIAS SEMANS QUADRO DE IVAS, NOS ULTIMOS 3 DIAS,PIORA DA TOSSE, OBSTRUÇÃO NASAL, SECREÇÃO PURULENTA OLHOS, NEGA FEBRE | AC; SP AP; SP
OROSC; HIPERMIA DE ORF
OLHOS: SECREÇÃO PURULENTA ABUNDANTE BILATERAL | IVAS + CONJUNTIVITE | PRESC AZITRO, PRELONE, DEXCLORF, CIPRO/DEXA COL | 5814c5dc-4258-45e0-ba02-285c6a492d9f | e6f53be3-9cf4-4b3b-9db1-2ac136e1a35a | 680adf6b-e199-4e2e-bb93-733353873182 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 22c74947-f453-4e57-9d17-4d6df7205f1a | <span class="null">NULL</span> | 1043 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-27T12:21:57.872000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 4a37e5a6-5441-4e89-b5e8-f1c7b2cc4d3e | 8c2f505e-ff7e-476e-a335-0da5e0d187b5 | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | REENCAMINHO PARA ONCOLOGISTA
NATUREZA 2ÁRIA EM RNM LOMBAR
HX DE CA DE PROSTATA
MTX? | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | e9b0a1a4-0974-4d13-aab1-abd1e3370123 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | d497f89e-2fcb-4858-bede-c8d3b2aa9e40 | <span class="null">NULL</span> | 24715 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:31:06.233000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 00146519-36c0-4b67-a147-2b55f72ef560 | e4410541-eae6-4861-aebc-bb43418ed06e | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 752feecd-355d-4ee5-9ff5-4b8861662444 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 8755acb2-0a10-49f8-9635-34a2c1f730dc | <span class="null">NULL</span> | 23405 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:59:15.305000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| ca86df0a-4d65-4fe1-8583-aa756409e1c6 | 9bf49d71-6464-4b17-9c05-11327f33d31b | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 9462c2ed-7945-47f5-9771-56dd7d423101 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | b6d0fb48-01c4-4879-8a59-b451889b2cee | <span class="null">NULL</span> | 21919 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:21:37.015000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 22d412cc-8f92-4ec3-b539-11953f22e22d | e93c0e67-e98f-46d6-94dc-537fc33512f5 | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 0ed55fa4-b2f9-4188-b947-202a0be51f7d | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 36980b1a-6cce-4398-83d9-822c926a8d3b | <span class="null">NULL</span> | 22292 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:34:52.090000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 2123845c-d604-43d4-8114-9f62f2eb2cef | 67ef475d-4a55-4f6f-adb1-52b3fdb956fb | edbeabc4-49d6-4015-8600-b5186398483d | CONSULTA_MEDICA | # DM II, DISLIPIDEMIA
PACTE BEM, VEM COM EXS | RX DE COLUNA LOMBO-SACRA(21/07/25) REDÇAO DO ESPAÇO DISCAL EM L4-L5 E L5-S1 COM ESCLEROSE DOS PLATOOS AOSPTOS
RX DE BACIA: COXA LEVEMENTE PROFUNDA BILATERAL. ESPAÇOS ARTIC COXOFEMORAIS REGULARES.
LAB(08/08/250 HB GLIC 5,8
LAB(21/08/25) COL 212 HDL 71 LDL 123 TRIG 87 VIT B12 283 VIT D 48 | ROTINA | PRESC B12 + CONTROLE 90 DIAS | cfc9c80d-70c8-4e67-ac7b-62a71ad80366 | e6f53be3-9cf4-4b3b-9db1-2ac136e1a35a | d421eb0c-c9cd-49e8-89be-5f430b6fdc15 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 4dd6882c-5425-4708-b40e-45b6d3e86c26 | <span class="null">NULL</span> | 25655 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:25:27.425000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 0d7a41e4-df91-49fd-80e7-3a72aeba827c | ec5a9bb4-c7b4-47d6-a7b9-1b1bab798d3f | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 6d12cd9c-6ef6-420f-80b7-bb639c0ba8ee | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 45958d8a-5949-4e38-852d-5be51f930532 | <span class="null">NULL</span> | 27770 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:36:51.803000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 68889236-7d79-4e87-9d35-7d093e162da4 | 3c19ee6c-3a55-470a-a5b0-bbaca49ba8cd | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | TRIADO ERRADO | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 67a99daf-6462-46fc-b54a-9a1b96e967ee | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 3e6e786c-86bc-41b7-a309-87a29ba3de6a | <span class="null">NULL</span> | 25691 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:39:31.549000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 38c99141-2f9a-4f6c-aaac-99c4652f7359 | 338d7b79-304f-4e07-86e5-a0ad6d9288ca | 2fc3c8a0-740c-4264-a761-70653b91f3ac | PROFISSIONAL | obesidade | Acompanhamento nutricional | Exames: TESTE DE INTOLERANCIA A LACTOSE - 85 (88/89/85)
CA - 109 cm
Edema de tornozelo e panturrilha (garote)
| CHÁ DE CAVALINHA - 5OOML / DIA - DE MANHÃ (Diluir 2 colheres de sopa de erva em 500ml)
NÃO CONSUMIR ALIMENTOS MAIS FERMENTAVEIS
DIETA SEM LACTOSE
ENZIMA LACTASE | <span class="null">NULL</span> | 5588fa8f-8e79-42c4-8c2d-958b734696a4 | 3d8aaa7c-1fc0-4d61-a9ae-0dd3cbe6791f | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | ca3ef20a-45f6-4374-ba00-4a4fba87d6eb | <span class="null">NULL</span> | 13555 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:10:42.333000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 2f38c686-ffb9-47f1-8f5c-8eb3d0ec2344 | e9b256c5-4c15-43a8-a387-2c3923838766 | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | cfce7b7a-8b0f-4ce2-9b1f-b0dcd06182c3 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 0f0d3f62-d022-44a0-bb01-d8ab85c919f8 | <span class="null">NULL</span> | 23496 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:00:54.475000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 38ba3534-d218-42e2-9b3c-94e7b58212da | bf90eb30-8d34-4c31-8c1b-01b0baa13ce3 | 651d22db-98a7-48f3-9c7d-f54549ecd026 | CONSULTA_MEDICA | #DM
PACIENTE VEIO A CONSULTA COM QUEIXA DE DOR ABDOMINAL, PIORA COM O ESFORÇO FÍSICO, HÁ 4 MESES, TRABALHA NA ADF, RELATA TAMBÉM SECREÇÃO PURULENTA PELO OUVIDO ESQUERDA COM MAU CHEIRO. | OTOSCOPIA: MT TRANSLUCIDA, SECREÇÃO PURULENTA NO MEATO
ABDOME: RHA + INDOLOR A PALPAÇÃO, MINIMA TUMORAÇÃO EM REGIÃO UMBILICAL DURANTE A MANOBRA DE VALSALVA | HERNIA UMBILICAL?
OMA | SOLIC USG PAREDE ABDOMINAL
DEIXO ATM
RETORNO | b2595134-534e-47d9-b18a-c77cd6029807 | 074c16b3-cefb-489c-b6aa-c84bb805edcb | a9b4148f-36a9-4ba8-9919-688c158de0a1 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | ce553331-8e6f-4555-82f9-e97f1059ecf1 | <span class="null">NULL</span> | 17782 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:48:14.011000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 4d5fd923-4651-4998-ada3-b5327aee7268 | 2965dcbe-e6e2-496a-a3d6-460fc1a0a42e | edbeabc4-49d6-4015-8600-b5186398483d | CONSULTA_MEDICA | # PRÉ TERMO + SUSPEITA DE LESÃO DE PLEXO POR DISTOCIA DE OMBRO
PACTE EM ACOMPANHAMENTO COM ORTOPEDIA POR SUSPEITA DE LESAO DE PLEXO EM OMBRO ESQ, MAE REFERE NO ULTIMOS DIA AUMENTO DE VOLUME E EQUIMOSE LOCAL. REFEE LIMITAÇÃO FUNCIONAL DO MSE | AC; SP AP; SP
AO EX: DIMINUÇÃO NA AMPLITUDE DE MOVIMENTO VOLUNTARIO MSE, AUSENCIA DE EDEMA OU EQUIMOSE | LESAO DE PLEXO BRAQUIAL ESQ? | ORIENTO SEGUIMENTO COM ORTOPEDIA + PRESC AINES 2 DIAS | 0d52cfde-1e42-4482-a73f-ac9f59464a81 | e6f53be3-9cf4-4b3b-9db1-2ac136e1a35a | 3fe73837-e377-42cb-aab6-b0ac301ca6d2 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | f92af44e-f9b5-453e-87ee-ad60d01fc504 | <span class="null">NULL</span> | 30 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:57:28.962000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 50cd15a1-1162-41ae-9d06-c8c4a0ca12a6 | 89d86863-4047-432a-97ae-849031592147 | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | DUPLICADO | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 6d37a98e-fee1-4588-a3c8-f704239e264a | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | b1c430cb-1618-4f4e-b3b4-d202d1e1aa6b | <span class="null">NULL</span> | 19447 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:05:38.774000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| a80e9176-8367-4d10-93a6-b0dd735b9981 | addd2ea1-2074-466d-b1dc-1220614e4bd5 | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | fb11c082-a099-4077-8378-95f629c07db1 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 0db1d5d1-8e26-4acf-8e2c-9ab11de8c9f7 | <span class="null">NULL</span> | 19447 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:08:23.129000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 7c48de10-228b-4e2b-8178-f4f28f427039 | 868f747d-e2ab-4b17-b7ae-84cfb59cfca6 | 651d22db-98a7-48f3-9c7d-f54549ecd026 | CONSULTA_MEDICA | PACIENTE RETORNA COM BASTANTE DOR, LATEJANDO, FEBRE DE 39 GRAUS . | ECTOSCOPIA: AUMENTO DE VOLUME DA PAROTIDA A ESQUERDA | PAROTIDITE | CETOPROFENO + DEXAMETASONA +TRAMADOL IV
ORIENTAÇÕES:
TRAMADOL SE DOR FORTE
| 9bee1dd8-d748-452d-9c87-514e35148431 | 074c16b3-cefb-489c-b6aa-c84bb805edcb | deb87a8a-2578-47a2-aecc-509f9bf81c43 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 1 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | f431d4dd-f695-48c9-8864-b52fb04780b1 | <span class="null">NULL</span> | 11799 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:32:13.841000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 1c2db367-07b4-4804-be6e-2c5c15c72a11 | 18f38419-7cb5-4f41-a320-4eab27136e22 | 3ee83be0-f06d-4dfb-af4a-22c87827e2f8 | PROFISSIONAL | Escuta ativa | | Paciente refere manter sentimento de desânimo, humor deprimido, tristeza, falta de interesse por atividades do cotidiano.
Tbm relata ter intensificado crises de ansiedade, como falta de ar, pensamentos intrusivos sobre morte e agitação. Identifica como gatilho o luto pelo corpo saudável, cobrança pela perda de funcionalidade.
| Seguimento, com atendimento a ser programado. | <span class="null">NULL</span> | 0e304f64-0583-4a7f-97a5-c121fa0f4b99 | 4ff115e4-1f78-467a-9727-f855ce84adef | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 81ad3647-124c-4811-983f-225c86e05819 | <span class="null">NULL</span> | 17453 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:21:46.538000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 319ffe18-da4a-4fa9-ba4a-372c1e3d407b | 6858c222-d94f-44f1-8aa7-af2efd48a67f | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 82e019af-0879-4f27-95bf-7949e0facde1 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | c03c6f5e-b8a5-4075-980a-2059f9e07577 | <span class="null">NULL</span> | 25591 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T13:38:32.979000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 059e4f4d-30a4-4878-b047-ee0799f24fc4 | de88c3d1-ff10-4715-a1a7-248e77c9ed95 | 049ddb7d-02fa-4b2c-83cc-216e2206ef34 | PROFISSIONAL | | | PO DE OMBRO | TENS LOCAL | <span class="null">NULL</span> | 8e2ce22e-b6f7-465c-9fb0-1663f85daeb4 | 461901a2-a579-475e-8dad-181fc8d0a09e | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 44501f40-4719-4620-89a6-e87c83cd2b51 | <span class="null">NULL</span> | 22095 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:45:06.272000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| a71cd51e-3600-44c5-8ea9-b012254f5f74 | 3f18c304-b3c4-4187-84c3-ed109411935c | 049ddb7d-02fa-4b2c-83cc-216e2206ef34 | PROFISSIONAL | | | EPICONDILITE LATERAL | TENS LOCAL | <span class="null">NULL</span> | 8e2ce22e-b6f7-465c-9fb0-1663f85daeb4 | 38836970-da4a-4b1c-a28e-e602967dd850 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 89bc79fb-ff90-4944-8b6b-0cbd23a0d9bd | <span class="null">NULL</span> | 17120 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:47:46.855000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| ebc1a08c-86af-43e8-814f-c6c0e428378e | e18316fd-8aed-4d2b-911e-21a1d815979e | a5fb1663-ef8b-4ddc-ad66-84b3a76fc9ca | CONSULTA_MEDICA | | | LAIS
G2C1- DUC HÁ 2 ANOS E 4 MESES
IG: 15+5 SEM
1 US: 31/07/25: 11+6 SEM (TN 0,73MM, OSSO NASAL +)
EM USO DE SULFATO FERROISO, ACIDO FOLICO E CALCIO
# HOJE: SEM QUEIXAS. NEGA PERDAS VAGINAIS OU DISURIA
>> LABS 11/07/25: EAS SP; UCA NEGATIVA/ GLICOSE 84/ VDRL NR/ HB 13,5/ HT 40/ LEUCO / PLAQ / HIV NR/ HBSAG NR/ ANTI-HBS / HCV NR/ TOXO IGM NR E IGG REAG/ CMV IGM NR E IGG REAG; RUBEOLA IGM NR E IGG REAG; VIT B12 3032/ VIT D 21/ TSH 1,41/ T4 0,57
#AO EXAME:
PESO 78,9
PA: 120/70
AFU: 14 CM
BCF: 154
CD: PRESCREVO COMPLEXO B E VITAMINA D
RETORNO EM 4 SEMANAS
| | 341b547a-ba7f-4c77-9015-89dda3e74f7f | bf1abb90-4892-4de6-8f4d-55dde6e1ddab | 301a99bf-666a-4313-b238-6a6d86cbdd08 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | f34c7a7e-de19-4296-bf65-7248aae2a64e | <span class="null">NULL</span> | 9147 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-27T12:15:10.905000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 1eb0a09f-a1be-476c-ad3f-9c3db91b656a | 8ee14539-51ac-4cef-a9e0-400bf6b2fe2f | 2fc3c8a0-740c-4264-a761-70653b91f3ac | PROFISSIONAL | AVALIAÇÃO | AVALIAÇÃO NUTRICIONAL | CONSTIPAÇÃO
INGESTÃO DE LEITE E DERIVADOS REFERE QUE PIORA AS QUEIXAS | AVALIAÇÃO BIOQUIMICA
ORIENTAÇÕES NUTRICIONAIS
DIERA SEM LACTOSE | <span class="null">NULL</span> | 5588fa8f-8e79-42c4-8c2d-958b734696a4 | a1cd53e9-5ed7-4424-8b47-47c70bf20c2f | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | d10839bd-3b99-4341-b668-529fbee58d57 | <span class="null">NULL</span> | 663 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:13:25.250000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| fb2fc490-cb77-4f5e-a2b7-42d0577db0e6 | c9146a1e-1bd1-4400-b8b2-33e49dabf033 | 1546c4fe-2d40-4b4e-b015-bdb122c4b086 | ODONTOLOGICA | Recebida a PAN | Avaliação | Dente 18 e 48 semi incluso - sugere-se TOMO para cirurgia | Avalição de exame, orientações via WHATS | <span class="null">NULL</span> | 23a64de9-dc2f-472a-b38b-725978251caa | f8e191bb-78a6-49f8-bdea-781d73043e54 | 42337159-5e0a-4e34-8d79-93ea94095b4e | <span class="null">NULL</span> | 0 | 0 | 0 | 4cb893f1-d4e2-45c7-9664-da7540f74776 | <span class="null">NULL</span> | 8420 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-29T10:55:38.183000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 72d61891-5af4-4aef-9cba-a44daf1fdaf0 | f610ebea-2846-4bd4-9d4a-1801992027bc | 038d672e-cd05-45a2-b100-4636417ba429 | ODONTOLOGICA | PROVA DOS DENTES. | . | . | . | <span class="null">NULL</span> | d03a41bd-338e-495d-b4e0-9e7f686dfdee | ecc4a1b2-02ae-4ab4-858a-d6484a499e70 | 42337159-5e0a-4e34-8d79-93ea94095b4e | <span class="null">NULL</span> | 0 | 0 | 0 | 4634856c-b750-4dfe-84d2-a30915283399 | <span class="null">NULL</span> | 21471 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:22:55.781000+00:00 | b5d88af0-fec3-4dac-8cf4-44e87b87817c | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 4a58ec11-0ae9-48b6-898d-3a5822e40d59 | 9fe52b9f-3ac0-413c-8fcf-6b5b9482a66a | 651d22db-98a7-48f3-9c7d-f54549ecd026 | CONSULTA_MEDICA | PACIENTE VEIO A CONSULTA PARA AVALIAR EXAMES, NEGA COMORBIDADES, EM USO DE SINVASTATINA , PERGUNTADO SOBRE ANTESC FAMILIARES DE DOENÇAS CARDIACAS OU AVE OU PESSOAIS NEGA. ELIMINAÇÕES FISIOLOGICAS NORMAIS
PAI FALECIDO DE CA DE COLON (84 ANOS) | AR MV + SRA
ACV BNF 2T SS | EXAME MÉDICO GERAL | ORIENTAÇÕES SOBRE ALIMENTAÇÃO E ATIVIDADE FISICA
SUSPENDO SINVASTATINA
ENC PARA OFTALMOLOGISTA
SOLIC SANGUE OCULTO NAS FEZES
RETORNO EM 1 ANO PARA AVALIAR EXAME | c892efda-464c-4a38-89d4-45c9c0ed48d1 | 074c16b3-cefb-489c-b6aa-c84bb805edcb | 5732f33b-cad0-407b-b85b-725405c170e4 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 295f60d0-81f9-4bec-aa2b-11d785714376 | <span class="null">NULL</span> | 22663 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:23:43.375000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 81495eeb-c6d4-40b8-ada1-d287db5e95af | a935aabf-9b90-4578-8130-a9f4e3ac9d4f | 2fc3c8a0-740c-4264-a761-70653b91f3ac | PROFISSIONAL | EXCESSO DE PESO | ACOMPANHAMENTO NUTRICIONAL | PESO - 68
CA - 92
SONO - DEMORA PARA DORMIR
RELATA ANSIEDADE
PILATES 1 X NA SEMANA
AGUA - MENOS QUE 2 LITROS | OREINTAÇÕES NUTRICIONAIS
CAMINHADAS - 2 X NA SEMANA COMO META
CHÁ DE MELISSA / CAMOMILA - ANTES DE DORMIR
INCLUIR NO JANTAR SOPAS CREMOSAS DE LEGUMES, OMELETE.
| <span class="null">NULL</span> | 5588fa8f-8e79-42c4-8c2d-958b734696a4 | a83eec56-a9f8-4927-af42-43befe5a00bb | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | ab03a8ab-dba4-4dcb-8761-38590f6170df | <span class="null">NULL</span> | 18183 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:08:28.856000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 037cd365-4aaf-4daf-948f-6a0487e5f30c | fb2c2aba-0409-41a9-832f-d24d2e571ac0 | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | renovação de mucs | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 646f4755-6234-4ec2-8800-73666b8f65c8 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | d8438815-b3f7-4dcc-ba9c-4d64ce80d76b | <span class="null">NULL</span> | 18106 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:25:06.722000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 17eccd94-b6df-40d9-a199-dd8b5fa893b5 | 9dd7c88a-295a-48b8-820f-746c8f15440f | 038d672e-cd05-45a2-b100-4636417ba429 | ODONTOLOGICA | PROVA DOS DENTES. | . | . | . | <span class="null">NULL</span> | d03a41bd-338e-495d-b4e0-9e7f686dfdee | b545bc58-5bd3-4f6d-be1a-a254af625ecb | 42337159-5e0a-4e34-8d79-93ea94095b4e | <span class="null">NULL</span> | 0 | 0 | 0 | d27d4283-df70-4c12-a9f3-121ece516dda | <span class="null">NULL</span> | 18516 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:29:04.111000+00:00 | b5d88af0-fec3-4dac-8cf4-44e87b87817c | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| e7892c1a-9560-4670-bb81-a07dca690447 | 4c2b48e8-6f6f-46be-9a1d-c07f039c2a61 | edbeabc4-49d6-4015-8600-b5186398483d | CONSULTA_MEDICA | # DEPRESSAO/ANSIEDADE
PACTE REFERE INICIO DE TTO COM SERTRALINA HA 16 DIAS POR QUADRO DE DEPRESSAO/ANSIEDADE, EVOLUINDO MANTENDO ANEDONIA, TRISTEZA, INSONIA, EPISODIOS DE SENSAÇÃO SUFOCO, PALPITAÇÃO, INAPETENCIA, NEGA OUTRAS QUEIXAS. PACTE ACOMPANHADA PELO ESPOSO | AC; SP AP; SP | DEPRESSAO/ANSIEDADE | PRESC DZP 10 POR 20 DIAS + RETORNO | 5b58e434-0b11-498c-a1ee-76507a265c89 | e6f53be3-9cf4-4b3b-9db1-2ac136e1a35a | ab6ea6d1-c8bd-4cc6-b5d8-e9363ebf8e62 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | da1c9602-036e-4470-83d5-bf2fd17b980e | <span class="null">NULL</span> | 17263 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:36:52.253000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| b58d045b-07d3-4240-9664-5e13a9ae6fc7 | 77710c5e-2182-46eb-88cb-115a07e4e222 | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | 07a8b22b-6af7-434e-90a3-5ef825d03bdc | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 60869975-0ae8-47ff-8dd0-a9e7e4d4a9b2 | <span class="null">NULL</span> | 23822 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:28:46.783000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| e03abb73-6230-4a0b-ba58-2ff113cd8332 | 90344b04-e663-4374-b8b1-9d1328255665 | 049ddb7d-02fa-4b2c-83cc-216e2206ef34 | PROFISSIONAL | | | DOR NA LOMBAR | TENS LOCAL | <span class="null">NULL</span> | 8e2ce22e-b6f7-465c-9fb0-1663f85daeb4 | fc98e473-46f8-465d-bbed-dfab30caa1a3 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | f56ce05c-404e-4f4a-992d-9bde9a62ebdc | <span class="null">NULL</span> | 28363 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:06:01.437000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 7140a6af-e571-406b-b8c8-70cb2e1224c0 | ba89433a-5d39-4a04-bd24-23759a6c01ba | 651d22db-98a7-48f3-9c7d-f54549ecd026 | CONSULTA_MEDICA | # ESTEATOSE HEPÁTICA, HAS, IVC
# HEMANGIOMA HEPÁTICO (NÓDULO ECOGÊNICO COM CALCIFICAÇÃO CENTRAL EM LOBO HEPÁTICO DIREITO SEGMENTO VI)
# LITÍASE VESICULAR COM CÁLCULOS QUE MEDEM APROX 0,5CM
# CISTO CORTICAL RENAL BOSNIAK I
# DOR LOMBAR CRONICA POR ESPONDILODISCOPATIA DEGENERATIVA LOMBAR
# ARTROSE DE JOELHO DIREITO
PACIENTE VEIO A MOSTRAR RESULTADO DE RMN COLUNA LOMBAR | SOMA: DOR A PALPAÇÃO DAS VERTEBRAS LOMBARES
RMN COLUNA LOMBOSACRA 18/08/2025: DESVIO DO EIXO LONGITUDINAL DA COLUNA LOMBAR A DIREITA, LEVE ANTEROLISTESE DE L3 EM RELAÇÃO A L4 Á L5 A S1 DE ASPECTO DEGENERATIVO, ESPONDILODISCOPATIA DEGENERATIVA LOMBAR, HEMANGIOMAS DE ALGUNS CORPOS VERTEBRAIS SEM SINAIS DE AGRESSIVIDADE, ABAULAMENTOS E PROTUSÕES DISCAIS , ATROFIA E LIPOSSUBTITUIÇÃO DA MUSCULATURA PARAVERTEBRAL
| ESPONDILODISCOPATIA DEGENERATIVA LOMBAR | DEIXO BEMOVE
DEIXO GABAPENTINA 300 MG 12/12 H , SUSPENDO PREGABALINA
MANTER A FISIOTERAPIA | 269d7fd9-8231-4ebd-82fe-bc10be5755e6 | 074c16b3-cefb-489c-b6aa-c84bb805edcb | b7ee4c5a-286b-48de-9a32-cd8c760b9c3c | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 70142614-8bea-417d-abd4-6cd151397126 | <span class="null">NULL</span> | 27443 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:37:52.930000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 1255094e-d518-4b9d-805c-c8cc41e81ebe | 8b502ce3-c72f-4a0a-96dd-71f7660f6e7b | a54f4900-a66a-4469-84e6-3642fed34a86 | CONSULTA_MEDICA | RENOVAÇÃO DE MUCS | - | - | - | <span class="null">NULL</span> | b29ad8fb-c0be-456e-b963-478dd429f541 | ef9e4998-9c22-4a61-bdd9-7f85b8b6bed9 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 36ebb18b-9c8e-4c3a-8bd3-f096ec998e25 | <span class="null">NULL</span> | 10568 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:45:52.831000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 6ecac21f-39db-463e-9779-94a0c157079e | 26757e16-55ae-4737-a592-119254c0df9a | edbeabc4-49d6-4015-8600-b5186398483d | CONSULTA_MEDICA | # HAS
# CA GASTRICO, TABAGISMO
PACTE VEM P/ REAVALIAÇÃO, REFERE MELHORA SIGNIFICATIVA DA DOR, DORMIU BEM | . | HERPES ZOSTER | ADM SF + DEXA + DIPIRONA + VOLTAREN + TRAMADOL | 12265693-37de-471f-b406-02d9bc8b0aee | e6f53be3-9cf4-4b3b-9db1-2ac136e1a35a | 1d6bba11-373b-4e7f-bbb9-5310fdaacc1e | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 04fbd514-b718-40f0-9264-38fd92ca7bf3 | <span class="null">NULL</span> | 25474 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:51:35.260000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 9f7f19bd-3cbe-4145-9071-37cde2bf9538 | d3e4f301-fd1b-43e4-b08d-7f90013aee3f | edbeabc4-49d6-4015-8600-b5186398483d | CONSULTA_MEDICA | # FA, HIPOTIREOIDISMO,
# ULCERA VARICOSA CRONICA/IVP
CURATIVO | AO EX: BOA EVOLUÇÃO | . | MANTIDO | <span class="null">NULL</span> | e6f53be3-9cf4-4b3b-9db1-2ac136e1a35a | 5151fd0e-20e8-4e4b-81e8-c233f93d9a5d | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 39ea45c7-86a0-49c1-9b1f-e8f01a744300 | <span class="null">NULL</span> | 26126 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:53:13.164000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| c3e0c11f-65b9-4be0-999e-e8c2edab2f05 | b059f86d-efc2-430d-863e-45536c458d7c | 049ddb7d-02fa-4b2c-83cc-216e2206ef34 | PROFISSIONAL | | | DOR LOMBAR | VENTOSAS E TENS LOCAL | <span class="null">NULL</span> | 8e2ce22e-b6f7-465c-9fb0-1663f85daeb4 | 1f1b0276-e37d-44a7-bb47-2cfba9d93acf | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | a9a2b115-5648-4377-b19f-d1f55274ed58 | <span class="null">NULL</span> | 16580 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T11:06:06.738000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| def08fe2-3568-4bc4-b310-dd0d8956be14 | e7e66c8a-e4d8-490a-8f26-263218c78a2f | edbeabc4-49d6-4015-8600-b5186398483d | CONSULTA_MEDICA | # DM / HTA/ DISLIPIDEMIA/ GLAUCOMA
# ULTIMA MAMOGRAFIA 2024
PACTE HJ PELA MANHA APRESENTANDO QUADRO DE VERTIGEM E NAUSEAS QUE PIORAM COM MOVIMENTO, NEGA CEFALEIA, NEGA OUTRAS QUEIXAS | AC; SP AP; SP
ABDOME; SP | LABIRINTOPATIA | ADMS F + DRAMIN B6 + FLUNARIZINA | eb267da8-9712-4e7f-8c06-93a8c8487669 | e6f53be3-9cf4-4b3b-9db1-2ac136e1a35a | 8eecc9f9-bf91-4731-b35b-075e3b1ded79 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | d77b180e-7905-45d6-9d52-574df52400f4 | <span class="null">NULL</span> | 21771 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:54:19.035000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| b4f90f4c-3a1f-493e-98c1-bc6afe54e157 | 65385aea-76d6-4fc7-8e56-3810e9cdbc05 | 049ddb7d-02fa-4b2c-83cc-216e2206ef34 | PROFISSIONAL | | | DOR LOMBAR | TENS LOCAL | <span class="null">NULL</span> | 8e2ce22e-b6f7-465c-9fb0-1663f85daeb4 | 80c5e693-47a6-46ee-87a1-894e0f685d3d | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | d5c02a1f-c382-45b0-9b71-ec92afca14be | <span class="null">NULL</span> | 23164 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:28:18.737000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| c0cdeb21-635e-4bae-bd46-c346dac94258 | fb9f5123-9ae2-4318-aead-b49bfca73113 | 651d22db-98a7-48f3-9c7d-f54549ecd026 | CONSULTA_MEDICA | ENC PARA TROCA DE SONDA GASTROSTOMIA | | TROCA DE SONDA GASTROSTOMIA | ENC HF | <span class="null">NULL</span> | 074c16b3-cefb-489c-b6aa-c84bb805edcb | 22589742-c365-4ead-b42d-73320eb52561 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | c4c6f7c6-7511-4026-a3b8-092fc0878e88 | <span class="null">NULL</span> | 29361 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T13:03:18.624000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 175e4115-ce56-413f-b9b3-c066e3cc99a2 | b6ce7973-56c9-4f03-a7c7-2f9c3d4439d8 | 66344d98-5ce6-48d6-ac06-56c8413c9d01 | PROFISSIONAL | . | . | . | Orientações | <span class="null">NULL</span> | 8389c535-12e5-42d0-bdb5-3ae1dc06ca6e | 534af284-7434-4e63-9578-6a0081e03ed2 | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 7c98c518-adf2-4aef-a6ae-3fcf0025d439 | <span class="null">NULL</span> | 18183 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:33:13.526000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |
| 7b27ffb9-8cdd-4011-8717-3a1d6fc6c85e | 9373cfb0-756c-4e36-afcd-f2e836f92f09 | 66344d98-5ce6-48d6-ac06-56c8413c9d01 | PROFISSIONAL | Criança veio para receber a vacina do Hpv dos 9 anos | . | . | . | <span class="null">NULL</span> | 8389c535-12e5-42d0-bdb5-3ae1dc06ca6e | b2515c40-a1a9-4ac3-aa38-c1ace33a6b3f | 42337159-5e0a-4e34-8d79-93ea94095b4e | 0 | <span class="null">NULL</span> | <span class="null">NULL</span> | 0 | 5d0bcf25-91ba-48df-8fd5-68b656594975 | <span class="null">NULL</span> | 3614 | <span class="null">NULL</span> | <span class="null">NULL</span> | 2025-08-28T12:47:21.231000+00:00 | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> | <span class="null">NULL</span> |