...well until 5 days ago ,when she startedsuffering fever; cough c- sputum was noted the next day. The symptons exaggerated in recent 2 ...
Admission Note 入院記錄主訴:Intermittent chest pain since two year ago 兩年前胸腔就...
Admission Note 入院病歷 Chief complaint 主訴 low back pain for 6 ...smoothly. 雙腿無力也使得她無法順利行走 ...... (後記) 寫作這篇 admission note 的 Intern 或 R 該被打屁股了! 文法太差勁了...
she suffered form falling down and resulting in low back severe pain . associated with tenderness and pain of low back disability and muscle weakness of legs limping gait while.she walk limited motion of bilateral legs therefore. she was brough to...
主訴 今天下午開始頭昏眼花和嘔吐 目前病史 這位76歲女士有高血壓、氣喘和陳舊性腦中風。這次因為突然的出現頭昏眼花和嘔吐,送到我們的急診。收縮壓升高到243mm/Hg、左側虛弱。緊急腦部電腦斷層掃描顯示小腦腦出血及腦室內出血。在急診室她的GCS為E4M6V2...
He visited a local doctor, who was referred to our emergency unit immediately. 1) 他看了當地醫師。這位是只要提到急診單位的醫師,就會立即聯想到他。 2) 他看了當地急診單位的招牌醫師。 After initial management at the emergency room, he was...
主訴 在急診意外被發現腎功能惡化 現病史 這位86歲男性有包括1.肝腫瘤, 2.腹主動脈瘤, 3.慢性腎衰竭, 4.第二型糖尿病, 5.高血壓及高血壓性心血管疾病, 6.鬱血性心臟衰竭, 7.慢性表面胃發炎,8.高血脂症等病史。他平時意識清楚,並不需要插尿管/鼻胃管。他有本院開的藥,包括aranesp,allegra...
主要的不適: 突然不會講話,行走障礙。 目前的病況: 74歲的女病人以前有過腦血管意外,過去十年一直有服 Coxine 1#BID,Aprovel(150)1#QD 等藥來控制她的缺血性心髒病和高血壓。七年前也開始服 Crestor1#QN 來控制她的高血脂。據她...
Admission Note 住院記錄 Musuloskeletal: no weakness, arthritis, gout, joint pains...