病例分析试题(国外英文资料).docVIP

病例分析试题(国外英文资料) Number one problem Case summary female, 49 years old, the number of defecate increases, take blood 3 months. There was no obvious cause before march, and the number of defecation increased, 3-6 times/day, not formed, and the gap was red blood. There are middle, lower abdominal pain, no apparent abdominal distention and nausea and vomiting. No fever, no feeding. Recently, the weight has dropped by about 4kg. To further diagnose the income hospital. In the past, there was no such disease in the family. Physical examination: T37.2 ℃, P78 times/min, R18 times/min, BP120/80 MMHG general situation is a bit poor, skin yellow dye, conjunctival pale, not swollen superficial lymph nodes. No specific lesions in the heart and lungs. The abdomen is flat, not to see the gastric bowel type and writhing movement wave, the abdomen is soft, have no tenderness, no muscle strain, liver spleen is not. The right lower abdomen appears to be approximately 4 by 8cm2 of the flexible block, which can be promoted, the boundary is not clear, the mobile voice is voiced (-), the bowel sound is roughly normal, the rectal is the diagnosis and the abnormal. Supplementary examination: stool blood (+), blood WBC4.6 by 109 / L: Hb86g/L, the blood CEA42ng/mL after admission. Answer 1. Preliminary diagnosis 2. Diagnostic basis 3. Treatment principle The answer (1) initial diagnosis: colon cancer (2) diagnosis The bowel habit changes, the next time increases the red blood, the blood (+). The right lower abdomen lumps 4. The companion is thin and weak (3) the principle of treatment Pathologic confirmation of postoperative radical surgery 2. Adjuvant chemotherapy 2 Question no. 2 Case summary male, 15 years old, because of fever, loss of appetite, nausea 2 weeks, skin yellow dye 1 week. Patients with no obvious cause fever of 38 ℃, 2 weeks ago without chills and chills, and dont cough, but whole body discomfort, fatigue, loss of appetite, nausea, upper abdominal discomfort, vomiting occasion