医院交班记录(英文版)精品.docVIP

最新教学课件 xx male 52y Primary diagnosis：type 2 diabetes mellitus Chief complaint: detection of glucose high of more than 10 years, polydipsia and polyuria, lack of power for more than half yearAuxiliary examination:a normal electrocardiogram. Glycated[ɡlaikeit] hemoglobin[,hi?m??ɡl??b?n]: 9%. routine urinalysis 15mmol/L.FBG(fasting blood-glucose)：glucose+++（plus sign）. Ketone bodies and urine protein are negative ( August 25th)Treatment: 1 control diet, adequate exercise, monitoring of blood glucose2 to improve the relevant examination in the assessment of pancreatic endocrine function and complications of diabetes3 according to the levels of blood glucose and check results of adjustment next plan. xxx, female, 75 y. Primary diagnosis：severe osteoporosis.Chief complaint：Body pain for more than one year, aggravated for two months. Hypertension 2 (medium risk group), chronic nephritis.Auxiliary examination：NoTreatment: Improve the relevant checks；added calcium, vitamin D and bisphosphonates,；calcitonin applications,；symptomatic and supportive treatment,；hygiene education。 xxx，male，24-year-old Primary diagnosis：Low gonadotropin gonadal dysgenesis低促性腺激素性性腺发育不良Chief complaint：short penis and scrotum empty for 20 yearsAuxiliary examination：No cracking, no beard, pubic hair, armpit hairTreatment: Improve the relevant checks,；hormone replacement therapy；hygiene education。 xxx female，50 years old Primary diagnosis：1. Goiter, 2. Rheumatoid arthritis, 3.cerebral vasospasm Chief complaint：Shoulders back pain persists more than 3 month Auxiliary examination：No Treatment: 1 Routine medical care,2 pay attention to rest, detects vital signs; 3 review the blood routine, thyroid function, liver function; 3. Strengthen support treatment; 4. Improve the related auxiliary examination xxx female 55 y. Primary diagnosis：Diabetes with peripheral neuropathy Chief complaint：Thirsty, polydipsia, diuresis for 8 years. With feet numbness for 1 year and muscle weakness for 8 m