精神分裂症 英文病历报告

更新时间:2023-06-03 12:47:08 阅读: 评论:0

                                                  June 5, 2010
spicy 
Our local doctor in SH led patient to Shanghai Mental Health Center at 2 PM this afternoon then visited psychiatrian there. Following is updated information for the patient.
woThe insured came to Shanghai in Dec of 2009 to study Chine. In January 2010 the Chine cour finished then he started to live in an apartment alone. He admitted since April of 2010 visual/audio hallucination started. On May 9 he visited psychiatrian in UFH of Shanghai then Olanzapine was administered in out-patient department, until he was admitted there on May 29 for operation of Tibia/fibula fracture. Upon discharge of UFH SH, anti-schizophrenia agent Abilify 5 mg Bid and Clonazapam 2mg QN were ever prescript. Upon enquiry by the psychiatrian in SH Mental Health Center this afternoon, the insured showed state of alert, easy contact. He still complained instructive audio-hallucination and percutive feeling (delusion). He felt somtimes his thought was fully perspected by others. 
However, no tendency of violent assaulting or obvious depression were noted. He had no recognization of his condition being sicked. 
Diagnosis: schizophrenia
Treatment/advice: 1. Olanzapine 5 mg Bid. 新东方考研政治
                              2. He should follow up in out-patient department 1
                                  week later to regulate(add?) do of Olanzapine.
                              3.  His current condition permits travel now, but
                                  under medical escort.
                              4. He should be monitored by relation or caregiver
                                  for regular u of medication after back to UK. In
resist temptation
                                   this ca, there is no need to be admitted into 小狼人泰勒
                                  hospital for therapy. If there is none to look after
                                  him for medication taking, admission of hospital is
                                  advid after he is back to UK.
 
After the visit of psychiatrian finished this afternoon, the insured was nt to Changning District Central Hospital for cardiologist visit.
There was no discomfort complaint of chest depress or shortness of breath. His vital signs as BP, T, RR, HR and oxygen saturation were in normal range. Heart and lungs (-).
 
ECG of this afternoon: normal.
 
Labs done this afternoon
Blood routine: WBC 10800(normal < 10000), with LYM 41%.
五十音
CK, CK-MB, Tryponin etc were in normal range.
Coagulation function tests were basically in normal range.
bestiality videoBlood platelet cell: 380000(100000-300000)
D-dimmer result was normal.
 
The cardiologist thought his heart condition was stable now, no impression of cardiac ischemia. Then he was prescript Cefuroxime tabs and L-Glutamine, Sodium Gualenate Granules. The cardiologist thought his heart condition would not disturb his travel.
halftime 
The current medications he is taking now:
1. Oxycodone/Paracetamol tabs (painkiller)
2.  Cefuroxime tabs
hpq3.  L-Glutamine, Sodium Gualenate Granules
4.  Aripiprozole tabs
 
英语记忆术Hope above information will be helpful to you.

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