马偕医院健儿门诊自费疫苗一览表-马偕纪念医院.pptVIP

Case 1 廖x博 6 Y/O Male CC: abdominal pain since 2 days ago (maily RLQ and lower abdomen) PH: Suspect Appendicitis under antibiotics treatment 94/03/10~94/03/15 PE revealed tenderness over RLQ with muscle guarding and rebounding pain. Therefore, plain abdomen and abdominal CT was arranged 07/07 Plain abdomen 07/09 Abd. CT 07/09 Abd. CT Pus accumulation Case 2 王x云 9 Y/O female CC: coca cola-colored urine was noted today PH: She was found pale looking and occasional cough with blood-tinged sputum (hemoptysis) since 6 months ago. Survey at other hospital showed normocytic anemia. Urinalysis: RBC: Numerous/HPF WBC: 65/HPF Case 2 Pulmonary renal syndrome was suspected D/D: microscopic polyangiitis, HSP Autoimmune survey: C3: 129 MG/DL; C4: 30 MG/DL; (WNL) Antinuclear Factor: 160+, Anti-ds DNA: negative IGA: 198 MG/DL; (WNL) Perinuclear ANCA: Positive Cytoplasmic ANCA: negative CXR and Chest CT was arrnaged. 07/09 Chest CTPulmonary homorrhage 07/09 Chest CT 07/09 Chest CT Case 2 Renal biopsy was arranged: RPGN with crescent formation, IgA deposition. Consistent with HSP. Final diagnosis: Henoch-Schonlein purpura Case 3 陳x任 15 Y/O male PH: cystic fibrosis diagnosed on 2004-12 CC: Dry cough noted since 12 y/o and became productive since 13 y/o, acute exacerbation twice in recent 1/2 years CXR and Chest CT was arrnaged. 07/20 Chest CTBronchiectasis picture 07/20 Chest CTBronchiectasis picture 07/20 Chest CT Case 4 邱x華 11 Y/O female CC: Intermittent abdominal pain over RLQ and infraumbilical area at interval of 1 month since 6 months ago Abdominal echo: 1. a multilocular cystic mass (12*11*10cm) in pelvis 2. solitary hypertrphic Lt kidney with Rt kidney agenesis Pelvic MRI was arranged for her 07/15Pelvic MRI 07/15Pelvic MRI 07/15Pelvic MRI 07/15Pelvic MRI 07/15Pelvic MRI Case 4 Laparotomy was arranged on 94/07 Final diagnosis: Duplication of uterus and Vagina, right side obstruction and hydrometrocolpous * 94年7月小兒科X-Ray Conference