casereportAnteriorpituitarydeficiency解读.ppt

Case Conference Reporter: Liu Yu-Ping Date: 2014/10/07 General Data Name: Chan x x Age: 31 Gender: female Birth place: Fu-jian Occupation: no Date of admission: 2014/08/14 Chart No.: 20x0x66 Chief Complaint She had URI 3 days ago and felt weak She appeared disturbances in consciousness and seizure had been 2 hours before admission. Present Illness A 31-year-old Chinese female had URI 3 days ago and she felt weak She appeared disturbances in consciousness and seizure had been 2 hours before admission,subsequently,her hunband presented her to our emergency. Past History And Patient Profile Past medical history: postpartum hemorrhage（She was given a blood transfusion 400ml）3 years ago Postpartum without milk Loss of libido for 1-2 years Menstrual history ：Irregular menstruation or ?menstrual quantity is little ? LMP:2014/08/07 She is afraid of cold and alopecia a few months. Hypertension and DM:denied. TB and B type hepatitis: denied HIV and syphilis: denied Allergy: nil Smoking: denied Alcohol: denied Recent travel history: denied Animal contact history : denied Marital History She has a husband and one daughter, all of them are healthy Review of Systems Respiratory system: cough, sputum, short of breath, chest pain, night sweeting, fever Circulatory system: palpitation, chest pain, short of breath, cough and hemoptysis, edema, syncope, dizziness Alimentary system: belching, sour regurgitation, abdominal distension, abd. pain, diarrhea, nausea and vomiting, no constipation Urinary system: difficulty in micturition, frequency and urgency of micturition, painful micturition Review of Systems Hematopoietic system: fatigue, dizziness, palpitation, bleeding Endocrine system: palpitation, heat intolerance, excessive sweeting, polydipsia, edema, hand tremble, wasting and obesity Nervous system: headache, coma, dizziness and vertigo, insomnia Motor system:normal Physical Examination On arrival (ER)： vital sign: T?36.5℃，P 71次/分，R 21次/分，B