RPAHR00915_종합건진(소화기능).xml 3.9 KB

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  1. <?xml version="1.0" encoding="EUC-KR"?>
  2. <root xmlns="">
  3. <rexprnt>
  4. <digorgninfo>
  5. <pid>2090565</pid>
  6. <hngnm>신동화</hngnm>
  7. <hopedd>20110404</hopedd>
  8. <drnm>정준모</drnm>
  9. <rsrvdd>20110302</rsrvdd>
  10. <drlicnsno>6168</drlicnsno>
  11. <rrgstno1>600718</rrgstno1>
  12. <rrgstno2>1</rrgstno2>
  13. <title1>위내시경</title1>
  14. <unit1/>
  15. <scop1/>
  16. <curntrslt1>[Esophagus]
  17. normal
  18. [Stomach]
  19. Thin mucosa with well visible underlying vascular pattern at antrum and LC side of body. There noted multiple patchy hyperemia at antrum / body. There noted multiple mucosal papules with umblication at antrum (bx at LC of distal antrum).
  20. [Duodenum]
  21. There noted linear ulcer scar(X cm) with contracting mucosal folds at bulb.
  22. [Impression]
  23. Atrophic gastritis type C-III
  24. Erythematous, raised erosive gastritis
  25. Duodenal ulcer scar
  26. [시술자] 박진홍
  27. </curntrslt1>
  28. <bfrslt1>1. Esophagus : Normal
  29. 2. Stomach : Thin mucosa with well visible underlying vascular pattern at antrum and LC side of body. There noted multiple mucosal papules with umblication at antrum. There noted multiple, varying sized, mucosal lesions with central depression at antrum and LC of distal body. Ovoid ulcer with even-base and edematous hyperemic surrounding mucosa at LC of distal antrum(bx).
  30. 3. Duodenum : Scattered whitish or red spots at bulb. There noted linear ulcer scar with contracting mucosal folds at bulb.
  31. imp) Atrophic Gastritis type C-III
  32. Raised and flat erosive gastritis
  33. Gastric ulcer
  34. Duodenal ulcer scar, Duodenitis
  35. 판독의사 / 박진홍
  36. *수면내시경*
  37. *CLO(+)*
  38. *BX*
  39. DIAGNOSIS:
  40. Stomach, lesser curvature side of distal antrum, endoscopic biopsy:
  41. Chronic gastritis, active.
  42. &lt;Addendum&gt;
  43. * Special stain: Cresyl violet</bfrslt1>
  44. <bfbfrslt1>1. Esophagus : Normal
  45. 2. Stomach : Thin mucosa with well visible underlying vascular pattern at antrum and LC side of body
  46. 3. Duodenum : There noted linear ulcer scar with contracting mucosal folds at bulb.
  47. imp) Atrophic Gastritis type C-III.
  48. Duodenal ulcer, S2, bulb.
  49. 판독의사 / 윤석진
  50. *CLO(+)*</bfbfrslt1>
  51. <title2>CLO검사</title2>
  52. <unit2/>
  53. <scop2/>
  54. <curntrslt2>+</curntrslt2>
  55. <bfrslt2/>
  56. <bfbfrslt2/>
  57. <title3>조직검사1-3</title3>
  58. <unit3/>
  59. <scop3/>
  60. <curntrslt3>[Esophagus]
  61. normal
  62. [Stomach]
  63. Thin mucosa with well visible underlying vascular pattern at antrum and LC side of body. There noted multiple patchy hyperemia at antrum / body. There noted multiple mucosal papules with umblication at antrum (bx at LC of distal antrum).
  64. [Duodenum]
  65. There noted linear ulcer scar(X cm) with contracting mucosal folds at bulb.
  66. [Impression]
  67. Atrophic gastritis type C-III
  68. Erythematous, raised erosive gastritis
  69. Duodenal ulcer scar
  70. [시술자] 박진홍
  71. </curntrslt3>
  72. <bfrslt3>1. Esophagus : Normal
  73. 2. Stomach : Thin mucosa with well visible underlying vascular pattern at antrum and LC side of body. There noted multiple mucosal papules with umblication at antrum. There noted multiple, varying sized, mucosal lesions with central depression at antrum and LC of distal body. Ovoid ulcer with even-base and edematous hyperemic surrounding mucosa at LC of distal antrum(bx).
  74. 3. Duodenum : Scattered whitish or red spots at bulb. There noted linear ulcer scar with contracting mucosal folds at bulb.
  75. imp) Atrophic Gastritis type C-III
  76. Raised and flat erosive gastritis
  77. Gastric ulcer
  78. Duodenal ulcer scar, Duodenitis
  79. 판독의사 / 박진홍
  80. *수면내시경*
  81. *CLO(+)*
  82. *BX*
  83. DIAGNOSIS:
  84. Stomach, lesser curvature side of distal antrum, endoscopic biopsy:
  85. Chronic gastritis, active.
  86. &lt;Addendum&gt;
  87. * Special stain: Cresyl violet</bfrslt3>
  88. <bfbfrslt3>1. Esophagus : Normal
  89. 2. Stomach : Thin mucosa with well visible underlying vascular pattern at antrum and LC side of body
  90. 3. Duodenum : There noted linear ulcer scar with contracting mucosal folds at bulb.
  91. imp) Atrophic Gastritis type C-III.
  92. Duodenal ulcer, S2, bulb.
  93. 판독의사 / 윤석진
  94. *CLO(+)*</bfbfrslt3>
  95. </digorgninfo>
  96. </rexprnt>
  97. </root>