完整病历(国外英文资料).docVIP

完整病历The main action is a pain in the right upper abdomen in January, with jaundice and half a month. The patient with a history of present history begins at the beginning of march, with persistent pain in the right upper abdomen, the back of the back radiation, and the weight of the lower back. In the first half of the month, there was a sclera, yellowish and yellowish skinItchy, defecate in clay. Without fever, with nausea and loss of appetite, the amount of rice is reduced from 150 g to 50g per meal. Anemic, emaciated, the weight of the disease is presentReduce 5 kg. In the local hospital hypochondria, the treatment of Chinese medicine and the treatment of the treatment is invalid, the jaundice has become more progressive, come to our clinic to be treated with obstructive jaundice.The patient had no previous history of abdominal pain, no vomiting blood and black history.In the past, it was healthy. She was diagnosed with measles and pneumonia at the age of 3, and was cured five weeks after her illness. At the age of 4, he suffered from diphtheria and hyperpharyngeal paralysis, and was cured in January. 9 years old withDysentery, the abscess of the abscess, cured by Chinese medicine. The history of hepatitis, schistosomiasis and other infectious diseases is denied. Young cattle were vaccinated against cattle. The year before spring, the five systems were administeredThree doses of the vaccine will be injected in May. No major skin history.A systematic reviewOfficial: head is unsorbed and traumatic history. Good eyes. There is no earache and pus. No chronic nasal obstruction and discharge history. No toothache. The year before lastThere was a sore throat, acute tonsillitis, cured with green and streptomycin.Respiratory system: no asthma, chest pain, cough, sputum, hemoptysis.Circulatory system: no palpitations, shortness of breath, cyanosis, difficulty breathing. The history of pain and blood pressure increase in the preintentional area.Digestive system: since 1975,