心内科英文病历

更新时间:2023-06-30 05:36:39 阅读: 评论:0

                Medical Records for Admisson
  Medical Number: 701721
General information

Name: Liu Side
Age: Eighty
Sex: Male
Race: Han
Nationality: China
Address: 禁入点NO.35, Dandong Road, Jiefang Rvenue, Hankou, Hubei. Tel: 857307523
Occupation: Retired
Marital status: Married
Date of admission: Aug 6th, 2001
Date of record: 11Am, Aug 6th, 2001
Complainer of history: patient’s son and wife
Reliability: Reliable

花茶的功效与作用
笹川京子Chief complaint: Upper bellyache ten days, haematemesis, hemafecia and unconsciousness for four hours.
Prent illness:
  The patient felt upper bellyache about ten days ago. He didn’t pay attention to it and thought he had ate something wrong. At 6 o’clock this morning he fainted and rejected lot
s of blood and gore. Then hemafecia began. His family nt him to our hospital and received emergent treatment. So the patient was accepted becau of “upper gastrointestine hemorrhage and exsanguine shock”.
  Since the dia coming on, the patient didn’t 描写小动物urinate.                                         
Past history
  The patient is healthy before.
  No history of infective dias. No allergy history of food and drugs.
Past history第一英语怎么读
Operative history: Never undergoing any operation.
Infectious history: No history of vere infectious dia.
Allergic history: He was not allergic to penicillin or sulfamide.
Respiratory system: No history of respiratory dia.
Circulatory system: No history of precordial pain.
Alimentary system: No history of regurgitation.
Genitourinary system: No history of genitourinary dia.
负担英语 Hematopoietic system: No history of anemia and mucocutaneous bleeding.
Endocrine system: No acromegaly. No excessive sweats.
Kinetic system: No history of confinement of limbs.
Neural system: No history of headache or dizziness.
Personal history
He was born in Wuhan on Nov 19th, 1921 and almost always lived in Wuhan. His living conditions were good. No bad personal habits and customs.
威武的反义词
Menstrual history: He is a male patient.
Obstetrical history: No
Contraceptive history: Not clear.
Family history: His parents have both deads.
Physical examination
T 36.5, P 130/min, R 23/min, BP 100/60mmHg. He is well developed and moderately nourished. Active position. His consciousness was not clear. His face was cadaverous and the skin was not stained yellow. No cyanosis. No pigmentation. No skin eruption. Spider angioma was not en. No pitting edema. Superficial lymph nodes were not found enlarged.
Head
  Cranium: Hair was black and white, well distributed. No deformities. No scars. No mass
es. No tenderness.
  Ear: Bilateral auricles were symmetric and of no mass. No discharges were found in external auditory canals. No tenderness in mastoid area. Auditory acuity was normal.
  No: No abnormal discharges were found in vetibulum nasi. Septum nasi was in midline. No nares flaring. No tenderness in nasal sinus.
  Eye: Bilateral eyelids were not swelling. No ptosis. No entropion. Conjunctiva was not congestive. Sclera was anicteric. Eyeballs were not projected or depresd. Movement was normal. Bilateral pupils were round and equal in size. Direct and indirect pupillary reactions to light were existent.time是什么意思

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