เลขที่บัตรผู้ป่วย : AN.CA.63/095
ชื่อ - สกุล (Name - Surname) : นางสาว สุรัตนา จินเดหวา
อายุ (Age) : 44 ปี 2 เดือน 4 วัน
การวินิจฉัยโรค Other ระดับผู้ป่วย Stage 4
การตรวจร่างกาย (PE)
สภาพทั่วไป (GA) :
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ซีด (Pale) :
เหลือง (Jaundice) :
ต่อมน้ำเหลือง (Lymh node) :
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ต่อมน้ำเหลืองที่ไหปลาร้าซ้าย (Virchow node) :
ไม่มี (No) :
มี (Yes)
ขนาด (Size) :
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ก้อนบริเวณ (Mass at) :
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ขนาด (Size) :
ซม.(cms./FB)
บริเวณ (At) :
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ขนาด (Size) :
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บวมบริเวณ (Edema) :
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" size="30" />
ศีรษะ (Head) :
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หัวใจ (Heart) :
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ปอด (Lung) :
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" size="30" />
สภาพจิต (Mental status) :
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" size="30" />
Diagnosis.............................................
STAGE...........................