可否幫忙翻譯...謝謝...這是學校報告非真實案例

PHx:1. head injury Hx: nil

2. growth/development: within normal range

3. previous attack of seizure: had febrile convulsion Hx

4. family Hx of seizure: nil

5. Received HAV vaccination on yesterday. Antipyretic suppository use

at home just now.

過去病史:(Past History)

1.NKA

2.Denied any other systemic disease

3.family history: no contributory

4.G6PD deficiency :negative

個人病史:(Personal History)

Vaccination: as scheduled

No Bleeding tendency

系統整理:(Review of System)

Marked=Positive**

Eyes: blurred vision, discharge, redness, other:

exophthalmos, double vision, pain, strabismus

ENT: epistaxis, rhinorrhea, obstruction, pain, mass

hearing impairment, otorrhea, otalgia, others:

Neck:pain, limitation of movement, mass, others:

Lung:cough, dyspnea, wheezing, chest pain, others:

CVS:palpitation, orthopnea, exercise intolerance

prolonged feeding, cyanosis, syncope, others:

GI: vomit, hematemesis, mass, diarrhea, distension

constipation, bloody stool, tarry stool, pain

swallowing disturbance, others:

GU:dysuria, discharge, bleeding, mass, others:

skeletal system: deformity, swelling, pain others:

CNS: mental retradation, **seizure, developmental delay

motor weakness, sensory impairment, microcephaly

macrocephaly, learning disorder, headache

behavioral disorder,** fever, others:

Endocrine: sexual precocity, growth retardation

obesity, emaciation, polyuria, polydipsia, others:

Skin: depigmentation, jaudice, bleeding tendency hyperpigmentation, **skin warm

2 Answers

Rating
  • singer
    Lv 6
    1 decade ago
    Favorite Answer

    過去病史:

    無頭部外傷病史。

    生長發育:正常。

    之前癲癇發作史:曾有熱性痙攣的病史。

    無痙攣的家族史。

    昨天剛施打 A型肝炎疫苗,並在家使用肛門塞劑退燒。

    過去病史:

    無過敏史。

    否認有其他全身疾病。

    家族疾病:不詳。

    病患沒有葡萄糖六磷酸鹽脫氫酶缺乏症(又名蠶豆症)

    個人病史:

    疫苗接種:皆按照時間施打。

    無出血傾向(如血友病)。

    系統整理:

    做記號**的為異常。

    眼睛:無視力模糊、無分泌物、無紅眼睛、無凸眼、無

    複視、無眼睛痛、無斜視

    耳鼻喉:無流鼻血、無流鼻水、無鼻塞、無鼻痛、無鼻

    腫塊、無聽力異常、無耳朵流膿、無耳痛

    頸部:無脖子痛、無頸部活動受限、無頸部腫塊

    肺部:無咳嗽、無呼吸困難、無喘鳴、無胸痛

    心血管系統:無心悸、無端坐呼吸、無運動耐受力差、

    無需延長餵食、無發紺、無暈厥

    腸胃道:無嘔吐、無咳血、無腫塊、無腹瀉腹脹、無便

    秘、無血便或柏油色便、無腹痛、無吞嚥困難

    泌尿生殖系統:無解尿不適、無尿道分泌物、無血尿

    、無腫塊

    中樞神經系統:無智能障礙、有癲癇、無發展遲緩、無

    肌肉無力、無感覺障礙、無畸形小頭、亦無巨頭

    、無學習障礙、無頭痛、無行為異常、有發燒

    內分泌:沒有性早熟、無生長遲緩、無肥胖亦無消瘦

    、無多尿症、無多吃症

    皮膚:無色素褪化、無黃疸、無出血傾向、無色素沈著

    、皮膚溫暖

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  • 5 years ago

    到下面的網址看看吧

    ▶▶http://qaz331.pixnet.net/blog

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