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DISCHARGE SUMMARY
Diagnosis
Primary Refractory DLBC (Diffuse Large B-Cell Lymphoma)
Reason for Admission
Re-apheresis + C1D15 Glofitamab
Age/Sex:
17-year-old Male
Comorbidities
Diabetes Mellitus (Diabetic), Hypertension (HTN)
Family History (F/H):
Sister had breast carcinoma
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Transcript
History of Presenting Illness
Sharp, stabbing pain in lower back. Difficulty sitting for extended periods. No injury or physical activity that could have caused the
Clinical Notes
Location
Lower back.
Intensity
7/10 on a standardized pain scale (0 = no pain, 10 = worst possible pain)
Characteristics
Sharp, stabbing pain.
Impact
Difficulty sitting for extended periods.
Onset and Cause
No known injury or physical activity contributing to the pain.

Dr. Jane Foster
Use a standardized pain scale and document location, intensity, and characteristics.
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