asked in 健康其他:保健 · 10 years ago

Admission Note 的翻譯

Chief Complaint

deteriorated renal function found incidentally in the ER.

Present Illness

This 86 y/o male had underlying disease of

1.Hepatic tumor,the nature to be determined

2.Abdominal aorta aneurysm

3.Chronic renal failure

4.Type II diabetes mellitus

5.Hypertension,and hypertensive cardiovascular disease

6.Congestive heart failure,vulvalar heart disease

7.Chronic superficial gastritis (2007/07/04 EGD proved)

8.Hyperlipidemia

He had clear consciousness without Foley/NG dependent in the usual time.

He had medication taken from our hospital including:aranesp,allegra,syntrend,diovan,rasitol,starlix,vistaril,andCaCO3.This time, he is admitted via ER due to deteriotated kindney function noted incidentally in the ER.He is found to be comatous in the evening.No fever and chillness was noted prior to this event.He had no producnititve cough.No abdominal pain nor chest pain was mentioned.Few unine output without further decrease was mentioned.He had oral hypoglycemic medication taken without decreased of food ate. For such reason,he was then sent to our ER.

On arrival,finger sugar was checked and revealed hypoglycemia.However,hyperkalemia as well metabolic acidosis was also noted on serum panel.Now,fur further management of eletrolyteimbalance,he is admitted to our ward for further evaluation and management

請專業人士幫我翻譯 謝謝!!!!!

很緊急~ 星期一就要交作業了~~

Update:

那請問

提姆

the nature to be determined是什麼意思?

還有

vulvalar heart disease

謝謝您了!!!

2 Answers

Rating
  • 提姆
    Lv 7
    10 years ago
    Favorite Answer

    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,syntrend,diovan,rasitol,starlix,vistaril及碳酸鈣。這次經急診住院,是因為在急診意外被發現腎功能惡化。在傍晚發生意識昏迷,在此之前沒有發燒及寒顫。沒有帶痰咳嗽。沒有腹痛也沒有胸痛。尿量少,但沒注意到是否進一步減少。他有口服降血糖藥,而進食並未減少。因此被送到本院急診。在到達時,指尖採血測的血糖呈現低血糖。不過,也發現有高血鉀症及代謝性酸血症。目前為了解決電解質不平衡的問題,住進病房以做進一步評估及處置。

    2010-01-30 06:41:12 補充:

    the nature to be determined是什麼意思?

    診斷有待進一步確認 (意思就是說是肝腫瘤,但是肝細胞癌,還是其他種腫瘤,不清楚)

    還有 vulvalar heart disease

    心臟瓣膜疾病

    2010-01-30 06:44:45 補充:

    (2007/07/04 EGD proved)

    (經 2007年7月4日 食道-胃-十二指腸內視鏡檢查證實)

    Source(s): 自行翻譯
  • 首要怨言惡化的腎臟作用在ER發現了偶然發生。當前病症這86 y/o男性有部下的疾病 1.Hepatic腫瘤,將確定的自然 2.Abdominal主動脈動脈瘤 3.Chronic肾衰竭 4.Type II糖尿病 5.Hypertension和高血壓心血管疾病 6.Congestive心力衰竭, vulvalar心脏病 7.Chronic表面胃炎(被證明的2007/07/04 EGD) 8.Hyperlipidemia 他有清楚的知覺,不用Foley/NG受撫養者在通常时间。他安排療程被採取從我們的醫院包括:aranesp, allegra, syntrend, diovan, rasitol, starlix, vistaril, andCaCO3.This时间,他通过ER被录取由于在ER.He注意的偶然發生deteriotated kindney作用被发现昏迷的在晚上。熱病和chillness未在這個事件之前被注意。他沒有producnititve咳嗽。胃腸痛苦亦不胸口痛未被提及。沒有进一步減退的少量unine產品被提及了。他安排口頭血糖過低的療程被採取無被減少食物吃了。 對于這樣原因,他然後派遣了到我們的ER。在到來,手指糖被檢查了和顯露的低血糖症。然而,血鉀過多新陳代謝的酸中毒也被注意了关于血清盤區。现在, eletrolyteimbalance的毛皮进一步管理,他被录取我們的进一步評估和管理的病區

    Source(s): yahoo翻譯
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