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Medical Number: 682786
General information
Name: Wang Runzhen
Age: Forty three
Sex: Female
Race: Han
Occupation: Teacher
Nationality: China
Marital status: Married
Address: NO.38, Hangkong Road, Jiefang Rvenue, Hankou, Hubei. Tel: 82422500
Date of admission: Jan 11st, 2001
Date of record: 11Am, Jan 11st, 2001
Complainer of history: the patient herlf
Reliability: Reliable
Chief complaint: Right breast mass found for more than half a month.
Prent illness: Half a month ago, the patient suddenly felt pain in her right chest when she put up her hand. After touching it, she found a mass in her right breast, but no tendness, and the patient didn’t pay attention it. Then the pain became more and more rious, so the patient went to tumour hospital and received a pathology centesis. Her diagnosis was breast cancer. Then she came to our hospital and asked for an operation.
Since ont, her appetite was good, and both her spiritedness and physical energy are normal. Defecation and urination are normal, too.
Past history
Operative history: Never undergoing any operation.
Infectious history:竹林图片 No history of vere infectious dia.
Allergic history: She was not allergic to penicillin or sulfamide.
Respiratory system: No history of respiratory dia. 宝宝厌食
Circulatory system: No history of precordial pain.
Alimentary system: No history of regurgitation.
Genitourinary system: No history of 如何编中国结genitourinary dia.
Hematopoietic system: No history of anemia and mucocutaneous bleeding.
Endocrine system: No acromegaly. No excessive sweats.
婚外恋小说Kinetic system: No history of confinement of limbs.
Neural system: No history of headache or dizziness.
Personal history
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She was born in Wuhan on Nov 19th, 1957 and almost always lived in Wuhan. She graduated from nior high school. Her living conditions were good. No bad personal habits and customs.
Menstrual history: The first time when she was 14. Lasting 3 to 4 days every times and its cycle is about 30 days.
Obstetrical history: Pregnacy 3 times, once nature production, abortion twice.
Contraceptive history: Not clear.
Family history: His parents have both died.
Physical examination
T 36.4℃, P 80/min, R 20/min, BP 90/60mmHg. She is well developed and moderately nourished. Active position. The skin was not stained yellow. No cyanosis. No pigmentation. No skin eruption. Spider angioma was not en. No pitting edema. Superficial lymph nodes were not enlarged.
Head
Cranium: Hair was black and well distributed. No deformities. No scars. No mass. No tenderness.
Ear:瑶柱的做法 Bilateral auricles were symmetric and of no mass. No discharges were found in external auditory canals. No tenderness in mastoid area. Auditory acuity was normal.
No: No abnormal discharges were found in vetibulum nasi. Septum nasi was in midline. No nares flaring. No tenderness in nasal sinus.如何开通手机银行
