Identification Number
9702013087
Telephone Number
000000000
Record Created
2026-07-27 09:00
History of Present Illness (HPI)
55Y FEMALE
DM, HTN, ARRHYTHMIA
C/O EPIGASTRIC PAIN + MELENA FOR 2 MONTHS
Medical Conditions
3 record(s)
| Condition |
Type |
Diagnosis Date |
ICD-10 |
Severity |
Status |
Notes |
| Arrhythmia |
Chronic |
- |
- |
- |
Active |
- |
| Hypertension |
Chronic |
- |
- |
- |
Active |
- |
| DM |
Chronic |
- |
- |
- |
Active |
- |
Family Medical History
0 record(s)
No family medical history was recorded.
Social History
No social history was recorded.
Surgeries
0 record(s)
No surgery records were recorded.
Chemotherapy
1 record(s)
Treatment Plan
Hematology note:
For neoadjuvant CTX FOLFOX
Radiology Records
4 record(s)
Clinical Indication
Staging
Impression
Hypermetabolic malignant gastric mass arising from the greater curvature involving splenic flexurend distal duodenum + LT anterior peritoneum/ abd wall muscle.
Metastatic spread LT upper abd - peritoneal thickening + perigastric + multiple lymph nodes (LT costophrenic, perigastric, celiac group, splenic hilum and multiple mesenteric)
Clinical Indication
Melena
Impression
Ugly looking mass 70cm from anal verge
Bx - IMDA
Impression
Highly suggestive malignant gastric / duodenal GIST
Other possibility of small or large bowel CA.
Clinical Indication
Melena
Impression
Mass seen 15cm from ampulla - Bx taken.
Chronic inflammation
Specialist Opinions
0 record(s)
No specialist opinions were recorded.
Laboratory Tests
4 record(s)
| Date |
Test |
Category |
Result |
Reference Range |
Status |
Notes |
| 2026-06-08 |
CEA |
Tumor Markers |
63.55
Ng/ml
|
Up to 3 (non-smoker), up to 5 (smoker) |
High |
- |
| 2026-05-31 |
CA125 |
Tumor Markers |
63.3
U/ml
|
0-35 |
High |
- |
| 2026-05-31 |
CA19-9 |
Tumor Markers |
123.69
U/ml
|
0-39 |
High |
- |
| 2026-05-31 |
AFP |
Tumor Markers |
1.37
Ng/ml
|
Up to 5 (non-smoker), up to 10 (smoker) |
Normal |
- |