病历_糖尿病1(国外英文资料).docVIP

病历_糖尿病1(国外英文资料) Hospital medical records Name: zhang SAN codon: department of endocrine disease: XX bed number: XX bed hospital number: 679672 Medical records Native place The gender address is in beishan village, fujian province, fujian province The age of 61 does not work The marriage was married at 15:00 on November 23, 2011 The history of ethnic han history is 15:30 on November 23, 2011 A person with no history of the medical history The history of allergies is not reliably reliable The main action is to drink more than 3 months and numb the end of the limb for one month. Now the history of the present medical history is 3 months of dry and weak, the rice is normal, weight loss is 10 jin. A month ago, there was numbness in the limbs, a kind of infusiform, and a perineum. The scalp hairpins is hot without tenderness for 5 to 6 years, occasionally dizzy. There is a bubble in the urine. Normal defecation. Two lungs and a wet tone. The patients chest, insomnia and quality of sleep decreased. The fear of cold fever, night sweats, heat, irritability, and goiter. The knee, the Achilles tendon, the radial periosteum reflex, no motor dysfunction, symmetrical limb paralysis. Yesterday, the external hospital had a blood glucose concentration of 14.1 mmol/L, which was not specified. The patient has been suffering from rheumatism, the cervical vertebra numbness of the year was aggravated, and the treatment is not specific. Patients usually There is no history of infectious diseases such as hepatitis and tuberculosis, no drugs and the history of physical allergies. No hand No history of blood transfusions. Vaccination is planned. Two years ago the outer court examined the bone gain Student: the specific dosage is unknown. A systematic review Respiratory system: no chronic cough, sputum, haemoptysis, no difficulty in breathing, no low heat and sweats. No history of close contact with tuberculosis patients. Circulatory system: heart palpitation, nocturnal breathing difficulty,