Event degrade items
~~~~~~~~~~~~~~~~~~~

Consent obtained
Current medication - nil THREAD
eye corrective surgery as child

DH// omeprozole 

otherwise fitr and well
Ideal body weight - Lemmens formula
Admin. reminder - Task sent to admin team about referral
Diagnostic HbA1c - (rowan.needham) - Normal / Satisfactory
Comment - Some patients with HbA1c <42 mmol/mol may still be at risk of
diabetes.  Review the patient's personal risk and treat as 'high
diabetes risk' if indicated (provide intensive lifestyle advice;
warn the patient to report symptoms of diabetes; and monitor HbA1c
annually.
Please note the change in HbA1c methodology as of 16/12/24.
This change in method showed an average negative bias of 5.5%,
and therefore please consider this when reviewing your patients
GGT (Gamma Glutamyl Transferase) - (rowan.needham) - Normal / Satisfactory
Ferritin - (rowan.needham) - Normal / Satisfactory
Comment - Ferritin < 15 ug/L may be indicative of iron deficiency.
Levels <30 ug/L can also be associated iron deficiency but are
less specific.  Ferritin is an acute phase protein.  Levels may
be raised in inflammatory states, kidney or liver disease and
malignancy.  In these states a level within the reference range
cannot exclude iron deficiency
Comment - Ferritin < 15 ug/L may be indicative of iron deficiency.
Levels <30 ug/L can also be associated iron deficiency but are
less specific.  Ferritin is an acute phase protein.  Levels may
be raised in inflammatory states, kidney or liver disease and
malignancy.  In these states a level within the reference range
cannot exclude iron deficiency
Comment - Some patients with HbA1c <42 mmol/mol may still be at risk of
diabetes.  Review the patient's personal risk and treat as 'high
diabetes risk' if indicated (provide intensive lifestyle advice;
warn the patient to report symptoms of diabetes; and monitor HbA1c
annually.
Please note the change in HbA1c methodology as of 16/12/24.
This change in method showed an average negative bias of 5.5%,
and therefore please consider this when reviewing your patients
GGT (Gamma Glutamyl Transferase) - (rowan.needham) - Abnormal - routine appointment required with GP or NP
Ferritin - (rowan.needham) - Normal / Satisfactory
Diagnostic HbA1c - (rowan.needham) - Normal / Satisfactory
MRI KNEE RT - (andrew.lee) - Abnormal - routine appointment required with GP or NP
RES - MRI Knee Rt
Exam Name: MRI Knee Rt
Thank you for choosing Healthshare Diagnostics.
Patient Last Name (current): Kerr
Patient First Name (current): Colin James
Patient Date of Birth: 19791129
IDs: MRN - ICE232440, NHS Number - 6241911090, Attendance Number -
1725356, Accession Number - GD2775406, all from Soliton; any GP SoC,
ICE, or PACS identifiers
Examination Date: 202502111035
Clinical History:
45-year-old male patient presents with persisting right medial knee
pain following twisting injury.
? Meniscal tear.
Technique:
Coronal proton density, sagittal T2 gradient echo and PD fat sat,
axial T2 fatsat.
MRI Findings:
There is a small oblique radial/horizontal cleavage tear at the
junction between the posterior horn and meniscal body of the medial
meniscus which extends into the meniscal body and posterior horn.
There is mild medial and patellofemoral compartment cartilage
degeneration.
Normal appearances of the lateral meniscus with no meniscal tear is
identified.
Normal cruciate ligaments and collateral ligament complexes.
The lateral compartment articular cartilage surfaces are preserved
with no significant focal chondral or osteochondral defect identified.
There is a small joint effusion with a small semimembranosus/medial
gastrocnemius bursa posteromedially and secondary ganglion cystic
change proximally.
No sign of intra-articular loose bodies.
The subchondral marrow signal is within normal limits.
Normal extensor mechanism.
Comment:
1. Small oblique radial/horizontal cleavage tear at the junction
between the posterior horn and meniscal body of the medial meniscus
which extends into the meniscal body and posterior horn.
2. Mild medial and patellofemoral compartment cartilage degeneration.
3. Small joint effusion with a small semimembranosus/medial
gastrocnemius bursa posteromedially and secondary ganglion cystic
change proximally.
4. No other significant intra-articular pathology.
Electronically signed by: Tom Marshall   GMC 3326239 (Feb 11, 2025
17:50:26)
Reported by: Tom Marshall - GMC 3326239
Report Author - , Authorised Date - 202502111751.
Healthshare Diagnostics
Current Telephone: +44 (0) 800 6524157 Current Website:
www.healthsharediagnostics.org.uk
Current Email: healthshare.diagnostics nhs.net
Current Address: Colney Hall, Watton Road, Norwich, NR4 7TY
Should any patient require referral to secondary care, it is advisable
to confirm in the referral letter that:
- a copy of the report is included.
- the patient has been imaged at Healthshare Diagnostics, and related
images can currently be requested directly via the National Image
Exchange Portal (IEP) selecting Global Diagnostics.
- images can also be made available by contacting Healthshare
Diagnostics - currently on 01603812266
Thank you for choosing Healthshare Diagnostics. All details marked
current and current at the date of the report to the best of our
knowledge.
Reported by Tom Marshall - GMC 3326239 / intelerad
Appointment made - Appointment booked following patient's request for an appointment
Appointment made - Appointment booked following patient's request for an appointment
Appointment made - Appointment booked following patient's request for an appointment
Appointment made - Appointment booked following patient's request for an appointment
Comments - As of 10/1/22, we will no longer be accepting
samples that do not fulfil our new acceptance
criteria, which should consist of 3 unique
identifiers; full name, DOB and either the NHS or
hospital number
SPECIMEN INFO
Specimen - Faeces
HELICOBACTER PYLORI STOOL ANTIGEN - (Hannah1) - message sent to patient
SAMPLE REJECTION
Sample Rejection - Insufficient details on request form/sample
NO NHS NO. AND DOB ON SAMPLE
Appointment made - Appointment booked following patient's request for an appointment
Appointment made - Appointment booked following patient's request for an appointment
Appointment made - Appointment booked following patient's request for an appointment
Admin. reminder - Referral task declined by user
Admin. reminder - Referral task declined by user
Immature Granulocytes - Value: 0.02 10*9/L
Reference range: 0.0 - 0.5
HAEMOGLOBIN A1C - (Hannah1) - 02.Normal , No action
Non HDL Cholesterol - Value: 3.7 mmol/L
See NICE CG181 for guidance on lipid modification
UE + LFT - (NS) - repeat LFT in 6-8 weeks
GPPAQ hours in last week spent walking - 3 hours or more
GPPAQ usual level of walking pace - steady
GPPAQ hrs in last wk spent gardening/DIY-some but less than 1hr
GPPAQ not in employment
GPPAQ hours in last week spent cycling - none
GPPAQ hrs last wk spent physical exercise-1hr but less than 3hrs
GPPAQ hrs last wk spent house work/child care-1hr less than 3hrs
US Testes - (thomas.pearson) - Satisfactory
US Testes
Clinical History
testicle examination: overall tenderness, palpable lump left
testicle, firm, not able to fully separate from left testicle, upper
testicle pole, around 0.5-1cm, firm, painful. Ex heroin user,
ex-alcoholic. Discomfort in testicles for around 8 monts. To rule out
cancer
Report
No significant pain with probe pressure.
The testes demonstrated normal echotexture and vascularity
bilaterally.  No focal testicular mass lesion.  No epididymal mass
lesion on either side.  Small bilateral hydroceles.
Reported by: Dr Hamzah Younus (Radiology ST)
US Testes - (thomas.pearson) - Satisfactory - no obvious abnormality
US Testes
Clinical History
testicle examination: overall tenderness, palpable lump left
testicle, firm, not able to fully separate from left testicle, upper
testicle pole, around 0.5-1cm, firm, painful. Ex heroin user,
ex-alcoholic. Discomfort in testicles for around 8 monts. To rule out
cancer
Report
No significant pain with probe pressure.
The testes demonstrated normal echotexture and vascularity
bilaterally.  No focal testicular mass lesion.  No epididymal mass
lesion on either side.  Small bilateral hydroceles.
Reported by: Dr Hamzah Younus (Radiology ST)
Sample extracted - 08/02/2023
Comment - This result is negative and makes a diagnosis of
inflammatory bowel disease less likely.
Review the patient and consider other causes
for a change in bowel habit.
Please note, change of Calprotectin UOM reporting from mg/kg to ug/g o
n 24/10/2014
mg/kg = ug/g.  This change was applied to align our units with the PBC
L recommended
units
Comment - Negative FIT result.  FIT has a very high negative predictive
value for colorectal cancer.  However, consider GI referral if
clinical concerns or persistent symptoms
Faecal Calprotectin - (karolina.debska) - Normal / Satisfactory
Sample received - 08/02/2023
Helicobacter antigen - (karolina.debska) - Normal / Satisfactory
I - Faeces (Helicobacter)
Helicobacter antigen NOT detected
Authorised by :  Laura Mansell     (Senior BMS)
Date    08.02.23
Microbiology at NNUH Trust trading as EPA
***F
Faecal Immunochemical Test - (karolina.debska) - Normal / Satisfactory
B12 Comment - Total B12 level > 300 ng/L: Vitamin B12
deficiency unlikely.  HoloTC not performed.
All tests for vitamin B12 should be
interpreted in conjunction with
haematological and clinical findings.
Neurological features of Vitamin B12
deficiency can occur without anaemia
HDLC - (clare.starling) - Normal / Satisfactory
Comment - Lipid modification in NICE CG181 is based on CVD risk rather
than solely on cholesterol results. Statins are recommended for
patients with cardiovascular disease, and in those with CVD risk
> or = to 10% at 10 years. A reduction > 40% from baseline
non-HDL-cholesterol should be achieved
GGT (Gamma Glutamyl Transferase) - (clare.starling) - Normal / Satisfactory
Ferritin - (clare.starling) - Normal / Satisfactory
Comment - Ferritin < 15 ug/L may be indicative of iron deficiency.
Levels <30 ug/L can also be associated iron deficiency but are
less specific.  Ferritin is an acute phase protein.  Levels may
be raised in inflammatory states, kidney or liver disease and
malignancy.  In these states a level within the reference range
cannot exclude iron deficiency
B12 & serum Folate - (clare.starling) - Normal / Satisfactory
Diagnostic HbA1c - (clare.starling) - Normal / Satisfactory
Comment - Some patients with HbA1c <42 mmol/mol may still be at risk of
diabetes.  Review the patient's personal risk and treat as 'high
diabetes risk' if indicated (provide intensive lifestyle advice;
warn the patient to report symptoms of diabetes; and monitor HbA1c
annually
Cholesterol - (clare.starling) - Normal / Satisfactory
Comment - Lipid modification in NICE CG181 is based on CVD risk rather
than solely on cholesterol results. Statins are recommended for
patients with cardiovascular disease, and in those with CVD risk
> or = to 10% at 10 years. A reduction > 40% from baseline
non-HDL-cholesterol should be achieved
Preferred method of contact: unknown
Preferred method of contact: unknown
Sending of medical records to health authority
Joint British Societies cardiovascular 10yr risk
Joint British Societies adjusted cardiovascular 10yr risk
Helicobacter Pylori Positive - Came to discuss his medications  for h pylori .
He missed taking a dose and worried. 
Advised complete the medications that he has remaining. 
gp prn
Helicobacter Pylori Positive
Frequent use of night hostels
