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MEDICAL RECORD
(Last update effected from Capretti Marco date 24-05-2002)

 Patient Details
Date of birth: 22-03-1957
Civil status:  Married Profession:  Doctor

 Physiological Anamnesis
Race: Caucasian Sex: Male
Blood group: A positivo +
Born at Term: YES Breast fed: YES
Varied Diet: YES Vegitarian Diet: NO
Work: Non physical  8 h    Physical  2 h
Stessful work: YES

Physical training activity: YES
Non competitive sport: NO
Competitive sport: NO
More then 3h per week: YES

Diphteria Vaccination: YES   (date: 10-10-1970)
Polio Vaccination: YES   (date: 10-10-1970)
Whooping cough Vaccination: YES   (date: 10-10-1970)
Hepatitis B Vaccination: YES   (date: 10-10-1990)
Measles Vaccination: YES   (date: 10-10-1970)
German measles Vaccination: YES   (date: 10-10-1970)
Mumps Vaccination: YES   (date: 10-10-1970)
Antitetanus Vaccination: YES   (date: 10-10-2000)

Smoker: YES Typology: sigarette - di 10
Alcohol: YES
Use cell phone: YES
Amount of use (per day): + di 15 minuti With ear plug: NO

Allergies Chemical substances: - Negative
Allergies Drugs and medicines: - Negative
Allergies Natural substances: - Negative

 Family History
Arterial hipertension
Neoplasm of the intestine
stroke

 Remote Pathological Anamnesis
Artery and vein diseases: - Negative
b.d.: - Fracture
Cardiovascular diseases: - a.c.
- c.v
Ear , nose and throat diseases: - Negative
Endocrine diseases: - Negative
Eye diseases: - Negative
Gastrointestinal diseases: - Gastritis
Hematologic diseases: - Negative
Immune system diseases: - Negative
Liver , gallbladder and bile ducts diseases: - Negative
m: - Negative
m.c.t.d.: - Negative
Metabolic diseases: - Negative
Neurologic deseases: - Negative
Renal and genitourinary diseases: - Negative
Respiratory diseases: - Negative
Skin diseases: - Negative
Viral Illness: - Negative

 Clinical Diary
10-10-2001
Peptic ulcer (Gastrointestinal diseases)
ulcera gastrica trattata con omeprazolo.Biopsie negative(EGDS dr.Lippa) Gastric Ulcer
10-10-1998
Gastritis (Gastrointestinal diseases)
EGDscopia: gastrite erosiva trattata con omeprazolo.DrLippa SanCamillo Brescia
10-10-1997
Diseases of the rectum and anus (Gastrointestinal diseases)
emorroidi interne trattate con daflon 500 2 cpx3
20-02-1990
m (m)
malaria clorochinoresistente trattata in loco(madagascar) con chinino ( chinimax) 2 g x 2 i.m die per 3 giorni
10-10-1984
Fracture (b.d.)
frattura capitello radiale sx , mobilizzazione con gesso. P.S. salo’
10-10-1982
a.c. (Cardiovascular diseases)
BAV di primo grado e di secondo grado .sospende attivita’ agonistica. Dr.Rusconi FBF Brescia
24-12-1981
Fracture (b.d.)
lussazione acromioclaveare.Trattata con gesso.DrTerragnoli BS
10-10-1977
c.v (Cardiovascular diseases)
Ecocardiogramma m-2d .Dr Rusconi

 Cuttent medications and therapy
None

 Prosthesis
Apparato Oftalmologico IN:
No Prosthesis
Cardiache IN:
No Prosthesis
Estetiche IN:
No Prosthesis
Gastroenterology:
No Prosthesis
Scheletriche IN:
No Prosthesis
Vascolari IN:
No Prosthesis

 Blood tests and screening
Parameters
G.B.
G.R.
H.B.
H.T.C.
M.C.V.
Piastrine
VES
Glicemia
H.B. Glicata
Urea
Creatininemia
Uricemia
Sodio
Potassio
Amilasi
AST
ALT
LDH
GGT
Fosfatasi Alcalina
Colesterolo
Colesterolo HDL
Trigliceridi
Bilirubina Totale
Proteine Totali
PTT
Fibrinogeno
TSH
PSA
Proteinuria
Glicosuria
SOF
Pap-Test
Mammografia
RX.Torace
P.A. Min
P.A. Max
Weight
Height
Rischio cardiovascolare
ECG
22-05-2002
5
5
13
43
80
200
15
70
4
21
1
3
140
4,2
40
30
40
340
22
50
240
90
120
1
7
80
300
2
2
0
0
Negative
Negative
Negative
Negative
80
140
85
185
0
Not available

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