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英語-病例-模板-資料下載頁

2025-08-05 16:12本頁面
  

【正文】 was not tenderness and rebound tenderness on abdomen or renal region. Liver was not reached. Spleen was not enlarged. No masses. Fluidthrill negative. Shifting dullness negative. Borhorygmus 5/min. No vascular murmurs.Extremities: No articular swelling. Free movements of all limbs.Neural system: Physiological reflexes were existent without any pathological ones.Genitourinary system: Not examed.Rectum: not exanedInvestigationNo. Professional Examination There are a about 3*3*2 cm mass in outerup field of her right breast. It is hard but no tendness. It can be moved and its surface is smooth. The skin of her breast is normal. Corresponding superficial lymph nodes don’t enlarge. History summary1. Patient was a teacher, female, 43 years old.2. Right breast mass found for more than half a month.3. No special past history.4. Physical examination showed no abnormity in lung, heart and abdoman. Information about her breast can be seen above.5. Shorting of investigation information.Impression: Breast cancer (right) Signature: He Lin (9510033)
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