自选重点（Optional key）.docVIP

自选重点（Optional key） Oliguria, anterior fontanelle, orbital depression is obvious dehydration performance; skin pattern, cold limbs, weak pulse is peripheral circulatory failure, so severe dehydration. Deep breathing, listlessness, is notacidotic. A dehydration without peripheral circulatory failure, so as to moderate dehydration; normal blood sodium, the isotonic dehydration isotonic dehydration 1/2 containing liquid sodium. To supplement the physiological requirement, give 1/5 fluid. Moderate dehydration means that the water loss is 5% to 10% of the body weight; isotonic dehydration refers to the normal range of serum sodium (130 ~ 150mmol/L) 1. glomerulonephritis: eyelid / facial edema + juvenile + streptococcal infection history, +c3 decrease + hematuria, proteinuria, hypertension 2. urinary tract infection (1) = + + Female pyelonephritis lumbago fever and pyuria, white blood cell tube (2) chronic pyelonephritis acute attack = urinary tract injury history + bladder irritation sign, recurrent attack + lumbago + fever + kidney area percussion pain, +wbc increased (3) lower urinary tract infection = married women + fever + bladder irritation Hematuria and waist pectoris + B Ultrasound 3. or x = after kidney stones 4. ureteral calculi = hematuria + lumbar cramping + X-ray after active 5. renal carcinoma = elderly + (painless) gross hematuria 6. renal failure = chronic nephritis history + hematuria, proteinuria, hypertension + serum creatinine (compensatory period 133, decompensation 442, failure stage 707, uremia phase) increased 7. prostate hyperplasia = old person + frequent micturition + progressive dysuria 1. leukemia = fever + bleeding tendency + sternum tenderness + whole blood cell decrease 2. aplastic anemia = anemic appearance + bleeding tendency + three line decrease 3. autoimmune hemolytic anemia anemia (+coombs = antiglobulin test) + splenomegaly 4. iron deficiency anemia = decreased serum iron + anemia appearance (pale skin mucosa) + Female menorrhagia or