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Manipulative Procedures Example 4

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Gastrointestinal Diagnostic Report

  • Hospital No.: 000022
  • Name: George E. McJoin
  • Service:
  • Age: 74
  • Race: White
  • Sex: Male
  • Date: 3/4/91
  • Medication: None
  • Clinical: Elderly male with epigastric distress, wt. loss 50 lb.
  • X-Ray: Filling defect fundus - stomach

Esophagogastroscopy Report:

Esophagoscope was passed with ease to the GE junction. At that point the lumen narrowed and prevented entrance of the scope into the stomach. The mucosa in the distal esophagus is erythematous, and white patches measuring 2-3 mm were noted.

Biopsy:

Two mucosal biopsies taken

Impression:

  • Obstruction of distal esophagus
  • Etiology undetermined
  • Prob. carcinoma of fundus of stomach
  • R/O benign tumor

Recommendation:

Louis Tewells, MD