华西肝脏外科英语晨病例讨论 - 副本

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1、英语晨病例讨论模版Thisisamalepatientof33yearsold，whosechiefcomplaintis“thepancreaticmasswasfoundinCTscanfor14days”TheMRIsuggeststhatthereisamassabout4.7multiply4.5centimeterintheheadofpancreas.Thebloodexaminationsuggeststhattheroutinebloodtestisnormal,liverfunctionischi

2、ldA,ASTandALTarenormal.Bilirubinisnormal.Twoantibodyandoneantigenarepositive.ThetumormarkershowsthatCA199is.Currentdiagnosis:OPERATION:Thisisafemalepatientof58yearsold，whosechiefcomplaintis“yellowingofskinforonemouth”TheCTscansuggeststhatthereisamassinuppercomm

3、onbileduct.Thebloodexaminationsuggeststhattheroutinebloodtestisnormal,liverfunctionischildA,ASTandALTarehigherthanusual.Totalbilirubinis433,bothdirectandindirectbilirubinishigherthanusual.ThetumormarkershowsCurrentdiagnosis:OPERATION:2)Hemangioma;hepaticcyst;ad

4、enocarcinoma(腺瘤):INTRODUCTION:Thisisafemale/malepatientof_____yearsold.CC:whosechiefcomplaintis“thelivermasswasfoundinCTscan/MRIfor____days.”EXAMINATION:Singleone:TheCTscan/MRIsuggeststhatthereisalivermassabout___multiply___centimeterinleft/rightlobeoftheliver&

5、insegment__oftheliver//theCTshowsthetumorwithlatewashoutperformance(快进慢出的表现).Multiple:therearemultiplemassesin___,thebiggestoneisabout___multiply___centimeter.Thebloodexaminationsuggeststhattheroutinebloodtestisnormal,liverfunctionischildA/B/C,ASTandALTarehighe

6、rthanusual.Totalbilirubinis____,bothdirectandindirectbilirubinishigherthanusual.Thetumormarkerisnormal.//Shehasthehistoryoftakingcontraceptivepills.(腺瘤)Currentdiagnosis:Hemangioma/hepaticcyst/adenocarcinomaOPERATION:samewithHCC;cystectomy.3)Hepaticechinococcosi

7、s/hydatiddiseaseforliver（肝包虫病）INTRODUCTION:Thisisafemale/malepatientof_____yearsold.CC:whosechiefcomplaintis“thelivermasswasfoundinCTscan/MRIfor____days.”Inthepast,thispatienthasahistoryofinfectinghadatid//thispatientisfromTibetorTibetanregion.EXAMINATION:Singl

8、eone:TheCTscan/MRIsuggeststhatthereisalivermassabout___multiply___centimeterinleft/rightlobeoftheliver&insegment__oftheliverMultiple:therearemultiplemassesin___,thebiggeston