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CVS Consultation
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ชื่อและเบอร์โทรแพทย์เจ้าของไข้
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Your answer
วันที่
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MM
/
DD
/
YYYY
Type of consultation
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Urgency กรุณาโทรแจ้งresident รังสีเมื่อกรอกเสร็จ
Non-urgency
HN
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Your answer
Clinical
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Your answer
Findings
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Your answer
Diagnosis
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Ddx/final management
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Tag
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Coronary CTA
Cardiac CTA
Cardiac T2*
CRA aorta
Other:
Required
Tag
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Coronary artery disease
Congenital heart disease
Cardiomyopathy
Valvular heart disease
Pericardial disease
Cardiac mass/tumor
Other:
Required
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