[宝典]--诊断英文总结

《[宝典]--诊断英文总结》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、AdmissionNotes(l)Thepatient,a32一year一oldmarriedfemale,wasadmittedtoFirstAffiliatedHospitalOfZhengzhouUniversityonApril16,2009,complainingofpalpitation,whichhadbeencausedbyhardworkandhadlastedsometenyears,andofchills,fever,dyspneaandedemaoftheankle,whichhad

2、allbeencontinuingforhalfamonth..Abouttenyearsago,thepatientsufferedforthefirsttimefrompalpitations,whichoccurredaftershehaddonevigorousphysicallabour,andwhichhavebeengraduallyworseningeversince・Abouthalfamonthago,shebegantoexperiencedyspneawhilegoingupstai

3、rsordoingwork;therefore,shehadtoseekmedicaltreatment.Acardiacmurmurwassubsequentlydiscoveredandadiagnosiswasgivenofheartdisease,whichwasnottreated.Nevertheless,shehadbeencapableofdoinglightworkuntillhalfamonthago,whenshecaughtabadcold,whichwasaccompaniedby

4、chills,cough,non一productiveofsputum.Inthelastfewdays,herconditionhasbecomeciggravatedbyepigastricdistention,nausea,vomitingandedemaoftheanklesandshewasthusunabletoliesupine・Palpitationsanddyspneawerefurtheraggravatedatthesametime・Forthisreason,shehadtocome

5、tothehospitalfortreatment.Inthecourseofherillness,shehashadanorexiaandoliguriawithoutabnormalbowelmotion;shehasnottakendigoxinoritsequivalent;andshehasnotsufferedfromparoxysmalnocturnalasthma.Shehasoftenhadlaryngalgiaandarthralgiasinceherchildhood・Hermenar

6、chebeganwhenshewasfifteenanditwasregula匚Shegotmarriedattheageoftwenty一three・Ayearlater,shenormallydeliveredababyboy,whoisnoweightyearsoldandhealthy.Thereisnocardiacdiseaseorotherrelateddisordersinherfamilymeicalhistory.PET.3&C;P;24/min.;PB;120/80mmHg(16/11

7、Kpa).Normallydeveloped・Moderatelynourised・Mindclear.Inasmisittingposition.Acutelyill——looking,showingdyspnea,slightcyanosisandflushing.Supcrficallymphnodesnotpalpable.Nojaundiceonskinorsclerae.Pharynxslightlycongested.Necksoftandsupple.Tracheainmidline.Not

8、hyroidenlargement,butwithengorgementofjugularveins.Chestnotasymmetrical.Lungsclear.Apexbeatfeltin5thinmter—costalspacealongleftmidclavicularline.Heartbeatfluctuatedbetween100/min,・And108/min,extrasystolesoccu