Robert Bosch Hospital (a charitable hospital in Stuttgart, Germany, which was founded by Robert Bosch in 1936) address: Auerbachstrasse 110 70376 Stuttgart Telephone 0711 / 8101-0 Fax 0711 / 8101-3790 info@rbk.de The center of emergency medicine: Dr. med. Christoph water Telephone 0711 / 8101-0 Fax 0711 / 8101-3792 christoph.wasser@rbk.de Mrs./ Asmaa Mohamed Mohamed Mahmoud address: No.14, Tunnelstr, 70469 Stuttgart Please forward this letter to your the physician responsible for further treatment. The physician's letter Regarding: Mrs./ Asmaa Mohamed Mohamed Mahmoud Date of birth: 01/01/990 Address: No.14, Tunnelstr, 70469 Stuttgart Admission number: 12003885 Outpatient treatment has taken place on 15.01.2021 Dear colleague, we would like to inform you about the above-mentioned patient, who was undergone the medical treatment in our emergency center: Principal diagnoses: 1. Currently 01/21: Urinary tract infection 2. Status post Gravida (the number of times the women has ever been pregnant) IV. Para (number of babies delivered) III, 3 Caesarean sections, the last one took place a year ago. Anamnesis: The presentation of patient took place in our hospital. The patient submitted also a clinical picture of a urinary tract infection. The patient has been describing that “Pollakiuria” and “Alguria” have taken place since the early evening. It is detected that (peripheral) blood contamination does not exist in urine. Proper stool/bowel movements, last one has taken place this afternoon. No fever. The patient has not yet had a urinary tract infection. The last cesarean section took place a year ago, no urological abnormalities. Medication: contraceptives No allergies are known Vital signs: Blood pressure Pulse respiratory rate SpO2 O2 l/min Temperature Glucose / blood sugar 120/70 mmHg 12/min 88/min 99% 36,4 º C ……………………………………………………………………………………. Written by hand: 50, Dra Clinical information x clinical problem/issue: Thyroiditis due to new swelling Findings: Sonography of the anterior neck region incl. color coded duplex sonography (CCDS): Normal results with respect to thyroid glands parenchyma with regular perfusion in the color coded duplex sonography (CCDS). The volume of the thyroid glands is 71 ml, on the right side: 6 ml and on the left side: 65 ml. There are several nodules in both lobes of the thyroid glands, exemp. in the following sites: right central apical spongiform: 0.2 ml. right central apical, hypoechoic with smooth borders: 0.1 ml left apical conglomerate, inhomogeneous echo pattern: 15 ml. left central caudal conglomerate, inhomogeneous echo pattern: 37 ml. no path. enlarged neck – lymph nodes. normal results with respect to the submandibular salivary glands and mouth base. Physician's letter relevant issue: evaluation Radiology: Ultrasound:. B-scan ultrasound of thyroid 12.01.2021, 10:41 Pronounced multinodular goiter of grade 2 on the left side. The findings were issued by: Dr. Seyed Mahmoud Mousavi Written by hand: Multinodular goiter This document was issued through an interface. The originator of the data is the system of SUBSYSTEMNAME