病例评论辩论 - 发烧待查(国外英文资料).docVIP

病例讨论 - 发热待查(国外英文资料) Case discussion History: the patient, zheng * *, male, 25, was admitted to the hospital at 10:40 on 0/07, 2006, for over two months. Due to no significant incentives in 2 months ago prior to admission, chills, malaise, and fever, temperature fluctuations in 38.3 to 38.5 ℃, with the knee joint ache, fever, poor appetite, when no other joint pain, night sweats, poor appetite, cough, expectoration, hemoptysis, chest pain, chest tightness, difficulty breathing, abdominal distention, nausea, vomiting, no lower extremity edema, no rash, no urinary frequency, urgency, urine pain, defecate number more than usual, 2-3 times per day, paste, color black,. In the * * hospital check routine blood: the WBC 10.2 * 10 ^ 9 / L, widals negative reaction, to be azithromycin, levofloxacin, rifampicin, treatment, such as not seen improved markedly. Blood was present yesterday, about 250 ml, 1 / day, dark red, accompanied by abdominal pain relief. In order to further the diagnosis and treatment, the clinic is called fever waiting to be admitted to the hospital. Since the onset of the disease, the patients mental state is normal, sleep and appetite is normal, urine is normal, the weight drops about 10 kilograms. A history of gastritis, deny that history always has the infection such as hepatitis, tuberculosis, deny that history of trauma surgery, deny that history of blood transfusion, deny that history of drug allergy, vaccination history is unknown. Marital history: unmarried and unbred. Hospital physical examination: T: 38.4 ℃ P: 80 times/min R: 20 times/min BP: 110/72 MMHG god, whole body skin mucous membrane, no rash, eschar and bleeder, ammonites and superficial lymph node enlargement, palpebral conjunctiva and lip slightly pale, pharyngeal hyperemia, bilateral amygdala, no swelling, neck soft, double lung breath sounds clear, no smell and wet rale. The heart rate was 80 times per cent, the law, and there was no obvious pathological noise in the listening area.