15 yo boy has dysphagia for 2 days.ppt

15 yo boy has dysphagia for 2 days.ppt

15 y/o boy has dysphagia for 2 days 臺大醫院 小兒科 張鑾英醫師 Patient data Name: 吳Xx Age: 15 y/o Patient No.: 5572797 Birthday: 1994/07/04 Residence :桃園縣桃園市 Occupation :student Admission date: 2010/05/12 Chief complain :Progressive dysphagia for 2 days Past History 1. Birth history:: G3P3, NSD, GA 39 wk, Birth BW 3100gm, perinatal asphyxia (-). Perinatal insult(-) 2. Admission history: admitted once in 2+y/o due to fever 3. Surgical history: Nil 4. Vaccination: H1N1(1) last year 5. Allergies: Denied drug and food allergy 6. Current medication: nil 7. TOCC: T: travel history: denied O:occu

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