口腔科英文病历.doc

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OralandMaxillofacialSurgeryCompleteMedicalHistory(Zhangte)MedicalNumber:182786GeneralinformationName:TaoliliAge:FortyeightSex:FemaleRace:HanOccupation:workerNationality:ChinaMaritalstatus:MarriedAddress:NO.138,mawangduiRvenue,changsha,Hunan.Telateofadmission:Jun20st,2013Dateofrecord:11Am,Jun20st,2013Complainerofhistory:thepatientherselfReliability:ReliableChiefcomplaint:lowerincisorsgingivaemassfoundformorethan3month.Presentillness:3monthago,thepatientsuddenlyfoundasmallmassonlowerincisorsgingivae.Aftertouchingit,shefoundamasstendness,Shedidnotgetfever,dizziness,vertigoandheadache.thepatientdidn’tpayattentionit.Thenthemassbecamemoreandmorebigger,sothepatientshecametoourhospitalandaskedforanoperation.Sinceonset,herappetitewasgood,andbothherspiritednessandphysicalenergyarenormal.Defecationan

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