实践技能考试病案资料：腰痛(国外英文资料).docVIP

实践技能考试病案资料：腰痛 Practical skill test case data: waist pain Author: release time: 2008-05-25 source: network 05 dry: First stop: the illness writing (60 minutes) Yue x, male, 46 years old, civil servant, on October 20, 2002. Repeated lumbar pain of two years, happy to be kneaded, meet the strain, the urine bubble is more, because the work is busy, did not pay attention. In the last two weeks, the waist is sore and the pain is weak, the legs are weak, the feet are not warm, the night urine is long, and then the diagnosis is made. Physical examination: T: 36.8 ℃, R: 18 times/min, P: 76 times/min, BP: 155/95 mmHg. God qing qi ping, complexion is white white, pale tongue fat, while there are teeth marks, moss thin white, pulse heavy fine, did not see other positive signs. Laboratory examination, routine urine: protein + +, RBC + + / Hp, particle type tube 2-3 / Lp. Blood routine: RBC 3.55 x 1012 / L, 115 g/l. hemoglobin, blood urea nitrogen tendency for 6.8 / L, 100 umol/L, serum creatinine and blood uric acid 416 umol/L, blood sugar (hollow) tendency for 5.6 / L, 38 g/L, plasma albumin globulin 28 g/l.B super: double kidney size to the normal range, the structure is fuzzy. Reference: Main narrative: repeated lumbar pain of 2 years with foam urine, increased 2 weeks The reason of differentiation of the disease is based on: because the fatigue is too long, the illness of the disease is long, even the kidney fine loss, does not have the strength of the waist pain with the undoing. Waist is the kidney of the kidney, the kidney master marrow, the heart of the kidney is deficient, but the back of the waist is lost, so the sour and weak, the pain of the pain, the happiness to be kneaded, is to be seen for the false evidence. Lowes gas consumption is worse. The kidney secretion, the nephrotic and the missing department, so the night urine is increased, the subtle and unsolid and the leakage, so see the foam urine. The Yang is not warm enough to raise all four limbs. Pale and whit