Sammy asked in 社會與文化語言 · 8 years ago

醫學診斷翻譯!!!點數給給給 謝謝嚕!!!!!!!

CXR showed no pneumonia patch,under the impression of recurrent biliary tract infection,he was admitted for further evaluation and management.

sclera: icteric,decreased

conjunctiva:not pale

abdominal:soft

distension(mild)

tendernss(no)

bowel movement,no clay color stool

EXT:no pitting edema

1.fever favor urinary tract infection related=urine culture:pending

plan:leep antibiotic

2.suspect biliary tract infection

plan:continue antibiotic

3.obstructive jaundice S/P ERBD and stent implantation

plan:follow up liver function data regularly

4.hypokalemia

plan:slow-k support

follow up electrolyte data

suspect distal CBD infiltrative tumor

plan:consider arrhage kidney Echo for renal function evaluation

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  • 8 years ago
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    CXR showed no pneumonia patch,

    under the impression of recurrent biliary tract infection,

    he was admitted for further evaluation and management.

    胸部X光檢查顯示沒有肺炎之處,

    根據復發膽道感染的印象,

    他要住院以進一步的評估和處理。

    sclera: icteric,decreased

    鞏膜:黃疸,降低

    conjunctiva:not pale

    結膜:不淡

    abdominal:soft

    腹部:軟

    distension(mild)

    腹脹(輕度)

    tendernss(no)

    (tendernss → tenderness)

    觸壓痛(無)

    bowel movement,no clay color stool

    腸排便,無陶土色大便

    EXT:no pitting edema

    下肢:無凹陷性水腫

    1.fever favor urinary tract infection related=urine culture:pending

    發燒似因相關尿路感染,尿液培養:待驗

    plan:leep antibiotic

    計畫:leep 抗生素

    2.suspect biliary tract infection

    懷疑膽道感染

    plan:continue antibiotic

    計畫:繼續抗生素

    3.obstructive jaundice S/P ERBD and stent implantation

    梗塞性黃疸 施行過 內視鏡逆行性膽道引流術

    及內置管支架植入術

    plan:follow up liver function data regularly

    計畫:定期追縱肝功能數據

    4.hypokalemia

    低鉀血症

    plan:slow-k support

    計畫:緩釋鉀糖衣錠 藥物治療

    follow up electrolyte data

    追縱電解質數據

    suspect distal CBD infiltrative tumor

    疑末端總膽管浸潤性腫瘤

    plan:consider arrhage kidney Echo for renal function evaluation

    (arrhage → arrange)

    計畫:考慮安排腎臟超音波,腎功能評估

    2013-05-25 13:15:04 補充:

    leep antibiotic

    → keep antibiotic

    繼續投以抗生素

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