CASE
Medical Number: 682786
General information
Name:Guo **
Age:Thirty four
Sex: Male
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Race:Han
Nationality:China
Marital status: Married
Native place:Tianjin
Address: Tianjin Municipality Jinghai county Da feng dui town zhen dafengdui
village
Occupation: freelance work
Date of admission: Jan 11st, 2001
Date of record: 11Am, Jan 11st, 2001超长待机智能
Complainer of history: the patient herlf
Reliability: 八字对联Reliable
Tel: 82422500
Chief complaint: Trauma result to the arms and legs feeling,activities obstaclesabout 6 hours
Prent illness: six hours ago, the patient had a traffic accident,suddenly felt pain in his neck ,the feeling of his arms and legs lost,he can’t move .At the same time ,he have unco
nscious barriers, no dizziness, no headache, no chest distress ,no dyspnea ,no naua and vomiting技术开发合同模板 ,no abdominal pain ,no diarrhea . He was nt to the emergency department of the hospital ,MRI of the neck shows C4/5 intervertebral disc broken and extruded ,Cervical spinal cord was compression, and high signal change at the same spinal cord,so he was nt the bone spine becau of Cervical spinal cord injury with tetraplegia
Since ont, his appetite is good, both his spiritedness and sleepare normal. His defecation and urination are normal, too.His weight is not significantly change
Past history
Operative history: Never undergoing any operation.
Infectious history: No history of vere infectious dia.
Allergic history: She was not allergic to penicillin or sulfamide.
Review of systems音标单词:
Respiratory system: no history of Sore throat, chronic cough, sputum, hemoptysis , wheezing , dyspnea , chest pain
Circulatory system: no history of Palpitation, dyspnea on exertion, hemoptysis , syncope, edema of lower limbs, precordial pain ,hypertention
Alimentary system:no history of anorexia ,sour regurgitation ,belching ,naua, vomitting
Genitourinary system: No history of 一点怎么打lumbago, frequent micturition, urgent micturition, urodynia,军训感言500字 dysuria hematuria nocturia polyuria oliguria facial edema
Hematopoietic system: No history of fatigue, dizziness, blurred vision, gingival bleeding, subcutaneous hemorrhage ,ostealgia ,epistaxis
Metabolic and endocrine system: No history of excessive appetite, anorexia, sweats, cold intolerance, polydipsia, tremor hands, change of character, obvious obesity,emaciation, hirsutism hair, losing pigmentation, chang of xual function, amenorr
hea
Musculoskeletal system: No floating arthralgia,no arthraliga ,no swelling of joints,no deformiteies of jionts ,no myalgia ,no atrophy of muscle.
Neural system:No history of headache ,dizziness, vertigo, syncope, degeneration of memory, visual disturbance, insomnia, disturbance of consciousness, tremor, spasm, paralysis, paresthesia
Personal history
He was born in Tianjin, and almost always lived inTianjin. His living conditions were good. No bad personal habits and customs,no 羊肚菌种植history of smoking,no history of drinking
Obstetrical history:get married at 24 years old,have two children,they are healthy
