妇科病例（Gynecological case）.docVIP

妇科病例（Gynecological case） Zhang x, female, 36 years old, workers in September 8, 2002, newly diagnosed. 10 years before the birth of 1 children, 2 years ago after artificial abortion have more leucorrhea, vaginal itching. 2 weeks before the urgency and frequency of urination, painful urination, at rest and improved self medication after norfloxacin. The past 2 days due to fatigue after the symptoms worsen, urination short astringent, drop pain, low back pain, fever, chills, pain, urination, burning sensation, deep yellow urine turbidity, then. See: T:38.4 C, R:18 / min, P:96 / min, BP:120/75 mmHg. Red tongue, yellow greasy fur, slippery pulse number. Double kidney area percussion pain, abdominal tenderness point of upper ureter, there were no other positive signs. Laboratory examination: routine urine protein showed a small amount of white blood cells, ++++/Hp, ++/Hp of red blood cells, white blood cell type +/Lp. Peripheral blood white cells 12.7 * 109/L, neutrophils 84%. Clean urine bacterial culture showed disruption of Escherichia coli, colony 105/ml. Source: Examination Answer: the hospital medical records Name: Zhang * * sex: female source: Examination Age: 36 Nationality: Chinese Marital status: married workers Occupation: Admission time: September 8, 2002 history collection time: September 8, 2002 The 2 week: frequent micturition, aggravated in 2 days with fever lumbago History: 2 weeks ago because of Yin unclean appear painful urination, frequent urination, at rest and improved self medication after norfloxacin. 2 days ago because of fatigue after symptoms worsen, urination short astringent, drop pain, low back pain, fever, chills, pain, urination, burning sensation, deep yellow urine turbidity, then. Now in urination short astringent, drop pain, low back pain, fever, chills, pain, urination, burning sensation, deep yellow urine turbidity. Source: Examination Past history: leucorrhea, vaginal itching when there is a history of 2 years. No other important his