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《医学生物般内科病例讨论》ppt课件
业精于勤荒于嬉 行成于思毁于随 →【医学生物PPT，欢迎收藏分享】豆丁网友 * 细菌耐药与抗菌药物的合理应用施光峰上海复旦大学人寿保险基本法宣导部经理基本法课标研教材是集体备课的主要内容是高效课堂的基础高校基建管理相关法规培训七年级生物下册第七章第一节分析人类活动破坏生态环境的实例期权定价与动态无套利 * ㄧ般內科病例討論 2009-02-05 奇美PGY楊清傑 / VS鐘焜明 Basic data Name:杜慶X Gender: male Age: 57 y/o Occupation: worker Bed number: 9003A Chart Number:Date of admission: 98/02/01 Chief complaint Abdominal intermittent dullness pain for 1 year and progressed in recent 2 weeks . Present illness Hepatitis B carrier for 30 years and took 保肝片 form local pharmacy. Surgical history: sciatic n. pain s/p many years ago. Suffered from abdominal intermittent dullness pain for 1 year. He came to local clinic for help and was told just gastric ulcer .Then he took some gastric medication home and felt better. But the intermittent pain was still persisted. Severe abdominal pain in recently two weeks. Fever and mild weakness was also noted. The pain pattern ? located in RUQ. Last for more than 30 mins. Intermittent. No radiation .No aggravate factor but relife in bed rest. In 斗六醫院, abdominal sonography showed one liver mass ?transffer to 台大雲林醫院 ?the same finding ?屏東基督教醫院CT suspected liver abscess or tumor. Present illness At our ER ? ?No fever ,no cold sweating, no vomiting, no dyspnea, no chest pain, no dysuria, but malaise, poor appetite, abdominal dullness pain noted . ?CXR showed normal, no definite active lung lesion. ?Lab data showed W.B.C.[12.9] with Segment[82.5] ， CRP[141.3] 。 GOT[142]，GPT[24] 。 ?Impression of fever suspected liver abscess and hepatic mass. ?Admitted on 98/02/01 for further evaluation and management. Past Medical History 1.Previous disease: HTN(-),DM(-) ,CAD(-), HBV carrier for 30+ years. 2. Drug allergy: No known allergy. 3. Usual medication: 保肝片 Personal History Smoking: 1 ppd for 30~40 years Drinking: one glass of 洋酒/day Betel nuts use: quit for 30+ years. History of oversea travel: denied History of contact with animals or sick people: den
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