出科病例（Given case）.docVIP

出科病例（Given case） The family name Chen fei Yang was born in taihe county Male and female professional farmers Hospital admission date of 20 years old Ethnic han record date 2013-03-07 The patient with the history of marriage and marriage and the person who signed the signature The outbreak of solar terms and rainwater in the town of miao ji town of taihe county Main complaint: lumbar sacral and double knee joint pain for half a year. Present medical history: the patient showed no apparent inducement to the lumbar sacral stiffness and pain, after the activity, but did not pay attention. Centre-backs lumbosacral region stiff feeling is aggravating, earlier and knees double ankle pain discomfort, with adverse events, and a half months ago without cause a double ankle swelling, pain, to the hospital to check after HLA B27 positive, sacroiliac joint magnetic resonance not seen obvious abnormity, blood sedimentation, elevated c-reactive protein, for further treatment, today to my checking, quasi admitted bi syndrome. The course is accompanied by fever, weakness, no rash, no hair loss, no matte allergy, night sleep, general, 2. Previous history: general health status: general. History of illness: denial of a history of congenital heart disease. History of infection: denial of hepatitis, tuberculosis. Inoculation history: vaccinate on time and no adverse reaction. Surgical trauma history: denial of surgical trauma history. Blood transfusion history: denial of blood transfusion history. Drug allergy history: denial of drug allergy history. Personal history: born in origin, denied the history of parasite and epidemic water contact, no smoking and drinking history. History of marriage/menstruation: /. Family history: denial of familial genetic history. Physical check T36.4 ℃ P78 times/min R18 times/min BP110/70 MMHG General situation: the patient is sane and fully developed, and the body is in automatic position. Skin mucous membrane: normal color, no yellow dye, skin rash and