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    Aizam Yusof
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    This referral letter summarizes a patient's case and requests a definitive procedure. The patient, Muhammad Nabil Iqbql Bin Ayob, presented with a triad of cholangitis and was found to have a grossly distended CBD with sludge on imaging. He underwent ERCP and stent placement, which improved his symptoms and LFTs. The referring doctor requests an assessment and potential KIV biliary reconstruction for the patient, who has been diagnosed with choledochal cyst type 1. Relevant test results are attached.

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    This referral letter summarizes a patient's case and requests a definitive procedure. The patient, Muhammad Nabil Iqbql Bin Ayob, presented with a triad of cholangitis and was found to have a grossly distended CBD with sludge on imaging. He underwent ERCP and stent placement, which improved his symptoms and LFTs. The referring doctor requests an assessment and potential KIV biliary reconstruction for the patient, who has been diagnosed with choledochal cyst type 1. Relevant test results are attached.

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    15 views1 page

    Img 20220221 0001

    Uploaded by

    Aizam Yusof
    This referral letter summarizes a patient's case and requests a definitive procedure. The patient, Muhammad Nabil Iqbql Bin Ayob, presented with a triad of cholangitis and was found to have a grossly distended CBD with sludge on imaging. He underwent ERCP and stent placement, which improved his symptoms and LFTs. The referring doctor requests an assessment and potential KIV biliary reconstruction for the patient, who has been diagnosed with choledochal cyst type 1. Relevant test results are attached.

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    of 1

    AVISENA Holdinss Sdn. Bhd.

    (377907-Y

    No.4, Jolon lkhtisos, Seksyen


    ,14,

    T:(603) 55,15 I BBB F:(603) 55,15


    40000 Shoh Alom, Selongor, Moloysio
    I Bl5 www.oviseno.com.mv
    A
    IVISENA
    SPECIALIST HOSPITAL

    MRD/o9/V1l2014

    REFERRAL LETTER

    DATE :0311112021
    CONSULTANT HEPATOBILIARY SURGEON,

    PATIENT'S NAME MUHAMMAD NABIL IQBAL BIN AYOB


    MRN / IC M00170267 / 05051 8-1 0-0651

    PROBLEMS : CHOLEDOCHAL CYST TYPE 1

    Thank you for seeing En Nabil. Presented to me with triad of cholangitis. US done then followed by
    MRCP- grossly distended CBD with sludge within. He underwent ERCP and stenting (2511012021,
    Stented with 10cm/ 10F Soehendra stent)

    Symptoms and LFT improved post procedure.

    Referring for definitive procedure , KIV biliary reconstruction after your assessment.

    Attached are his blood and imaging results

    REQUEST:
    () ADMIT FOR FURTHER TREATMENT
    () SEND REPORT OF RESULT AND PROGRESS
    () KINDLY ISSUE LETTER OF GUARANTEE

    THANK YOU.

    Yours Sincerely

    [\Iohammad mad
    AZHAR

    'iBBS (MalaYa),
    nnsultant General
    ,i,irena SPeciali:t Hospital
    NSR No : 133648
    rvlir4C No : 4i-t]10

    ilsqul @
    TL- D---Jr

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