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  • Dosar Medical 05-Dec-2021 22-04-18

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    Dosar medical 05-Dec-2021 22-04-18

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    4 views9 pages

    Dosar Medical 05-Dec-2021 22-04-18

    Uploaded by

    Edy Eduard

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    © All Rights Reserved
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    ——ANEXA 5 la normele metodologice MINISTERUL ADMINISTRATIEL $I INTERNELOR ' DIRECTIA MEDICALA, C.M.D.T.A. PLOIESTL .M.J. SUCEAVA DOSAR MEDICAL NR. (772021 Num CMAN. Prenumele VICTORIA { Sex: M[_}/F (XJ, varsta 40 ani, data nasterii 13.02.1981 cl P 2810213331601 B Adresa: LOC.RADAUTI, JUD, SUCEAVA, Ocupatia/ Funetia INGRUITOR/ CR.C.PS.A, RADAUTL Formare profesionali... Ruta profesional Tocul de munca Perioada Funefia 4 f 4 } } Activititi indeplinite la actualul Toe de munci: ati | Noxe Boli profesionale: Da [ ]/Nu [X], Accidente de munc&: Da []/Nu [X], { Medic de familie DR. CAMPAN ELENA. ' j Deciar pe propria rispondere eX nu sunt in evidenfl cu epilepsie, boll psihice, Boll neurologice qi ub] tratament pentru boli neuropsihice, diabet: NEAGA eon eal Antecedente heredocolaterale: fira important Antecedente personale fiziologice si patologice / vaccinéri / di PM IS anne Fumat: Nu [X J/Da() Aleool: NU {X] / ocazional {}, {esut celular subcutanat: NORMAL CONFORMAT, 3. sistem ganglionar: YEPALPABIL, NEDUREROS§ 4 { 4, aparat locomotor: APARENT INTEGRU, 5. aparat respirators TORACE NORMAL CONFORMAT, VIBRATII VOCA\ SONORITATE PULMONARA NORMALA, M.V. PREZENT BILATERAL, 6. aparat CV: NORMAL, TA: 110/80 mm HG, AV: 68b/min, EKG ANEXAT pedioase: (ORMAL TRANSMISE, i 2. aparat digestv: ABDOMEN SUPLU, MOBIL, NEDUREROS SPONTAN SAU LA PALPARE, 8. apart urogenital: MICTIUNI FIZIOLOGICE, ‘ ' 9. SNC, analizatori: ROT PREZENT BILATERALOTS ‘ 4)-acuitate vizuali [ ], vedere cromaticd [X), vedere in relief fir corectie optica [ ], AVAO Ife. anexat nr.2708/24.11,2021 10. vove tare [], voce soptita [X ] 10, sistem endocrin: NORMAL CLINIC, ' BULETIN ANALIZE NR. 414718/24 11.2021 ANEXAT. Concluzii examen elinie: { X) sinatos elinie in momentul examinatii {J diagnostic: ‘Semnatura si parafa medicului: 2 ae em IOTEST SRL uhizenepans ator analize medicale inct de lucru Suceava dul George Enescu, nr. 13;Tel: 0751/143.222; poet ‘web: www. biotest.suceava.ro encBeiawan e-mail: biotest_suceava@yahoo.com ‘aaa Buletin de analize medicale nr. 414718 Data inregistrarii: 24/11/2021 11:27 Data si ora recoltare: 24/11/2021 11:27 Data tiparii: 24/11/2021 16:59 STARE PROBA LA PRIMIRE: corespunzatoare Nume: SECMAN VICTORIA Varsta: 40 Sex: F Medic: FARA TRIMITERE, CNP: 2810213331601 Recoltat: *Radauti Contract: BON FISCAL |_Localitate: Radauti Adresa recoltare: HEMATOLOGIE VALIDAT: DR. FILIPIUC SILVIA J. Hemoleucograma completa Sarge -(spoctoolometie de inpedertatroalonetre n Ruvspecrfotomet (Sysmex XN 1000)_ ANALIZE T_aearare TNTERVAL BIOLOGIC DE REFERINTA OM 'Hemogiobina medie 72.0 p9 26-34/p9 pe lLeucocite js 31 107AuL “3 -9.0/ 105A IHemati 4.59 108/ApL \Latime distributie hematit ai% IROwSD arn iHomogiobi aes 733 g/d pi Latime distributie trombocite 122% z Hematocrit 5 aes \Volum corpuscular media az ITrombocite Volum media trombocite (Conc, hemoglobina medic ‘Trombocitocrit ae |Neutrofile ~ 38 . r INr. neutrofile 1.5-7.5/ 107/ApL 2: \Limtocite = ai 18 507%. Ir. limtocite z B si 0-5.0/107/AuL [Monocite ea 0 147% [Ne monocite : 0.45 107A 2/107/Ap. aL |Eosinofite % INr. eosinofile % 0-0.2/ 10°/AuL \BIOCHIMIE LUCRAT : BIOCHIM.SPECIALIST PERJU ROXANA VALIDAT: BIOCHIM.SPECIALIST PERJU ROXANA “ANALIZE [aera J INTERVAL BIOLOGIC DE REFERINTA7 UM [2 Glicemie Serum specrotctometro (ALINTY e) 87 mg/al (60 - 105 / mg/d Scrisoare medicals | St oncnteeny ” Oper moe hs Scrisoare medicala OM | FON OUCEREW acd oO PAE MOCO Ov SE. - 0.50 2 Seeman ose ‘1c pacientul dvs. : numé os - oa age bn $38 = 0.50 180 eS isa ee es MT Ck a yee ne APT ANGE ARE Revine la control Data cesar SC Rianne [ At f i ae | { Co Oa anni 25am | | rsd nL] | ue ! f fl f. i | 6mm ‘te ey Victoria HR 64 /min = als Intervaia ars 49! i for et RR Gams oT Bt aoe er P96 ms fot = PR 128ms PQ) O18 mv Weight kg QRS S2ms) | Sv) 082 mv Ethene 422ms IVS). 0.80 mv a Gre 435ms Sokol, 132 my s (ease i BMPR ave ave ve eet ys pe yee Rimi 910 a8 =f as =] 811) or hoe aor aor tag — ogy im 907-043-072 010 ee eee é a fm} ft tel | pol lhe eet a é E Bima ast ita | ops! lors! lott | loge | bop | tea | om opm! abe lage Heine) hea ia bel pea) de | pet ef tee teeta Simvi 008-023-020 “027 02t ase 43g os2 01 012 008 é Sains} 2424 ap ett ae ae te og, elooe | ogy ta 4 “| : E L geste : Ramet 5 : E ‘ Q : Sim ‘ = aos ieee ee Sims} ee i ded eh i stm) 009-009-005 005.009 9.08 +001 004-904-004 Stim} —901. 902 003. 001 002 oo nos gor 002002. om Teimv 001 008 048 002 016 Joon | oos Gat 0m 070 one ome Tim | 017 01100541001 oar bop i =) jets ane 2a ssaant veaees canon ne eons? doi. map Poe N localitatep™ -GABINEE-. “> Unitatea Sanfiatroome.- ak x 3eeSrchueaN ©) ADEVERINTA MEDICALA a ee 2600.2 e } Se adevereste ia SECCIEY Whe Soniatumgetit in “ant 2 Head #luna .. Nr. fisa/carnet de sanatate Lo 4 7D jot cu smi in: judet St jee LEME. avand ocupatia de: ... Este suferind de: ....,...<. Se recomanda: ..<.... : 3 : Lt VAL hs etn Gt Dateta C4, yee Std S-a hate aba see Lele Data eliberarii: Dr. jtura 1g siparafa medicului, + Medic primar meq 202../ una .. Gog 689143 D 0230.564,752 Nr. fisa

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