病生病例讨论 英文版

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1、CIRRHOSIS硬化，肝硬化PATIENTCASEPatient’sChiefComplaints患者主诉Providedbywife:“Myhusband’sveryconfusedandhehasbeenactingstrangely.Thismorning,hecouldn’tanswermyquestionsandseemednottorecognizeme.Ithinkthathisstomachhasbeenswellingup膨胀again,too.Hestoppeddrinkingfouryearsago,buthisc

2、irrhosis肝硬化seemstobegettingworse.”HPI(Historyofpresentillness)S.G.isa46yowhitemalewithahistoryofchronic慢性的alcoholism酗酒andalcoholiccirrhosis.酒精性肝硬变Hewasadmittedtothehospitalfromtheoutpatient门诊病人clinic诊所withabdominal腹部的swelling肿胀andconfusion.Hehasunintentionally无意间gained15l

3、bs磅duringthepastfourweeks.Accordingtohiswife,thepatienthasnotbeensleepingwellforseveralweeks,hasbeenfeelingverylethargic（昏睡）forthepastthreedays,can’tseemtorememberappointments约会lately,and,uncharacteristically,不典型地haslosthistemperwithherseveraltimesinthelastmonth.S.G.’sbos

4、satworkhadalsotelephonedherlastweekconcernedabouthis“unusualandviolentbehavioronthejob.”PMH(Pastmedicalhistory)lPneumonia肺炎9yearsagothatresolved解决withantimicrobial11抗菌的therapy治疗lCirrhosis肝硬化secondaryto继发heavyalcoholuse大量饮酒diagnosed诊断4yearsagowithultrasound超声波andliverbiops

5、y活组织检查(micronodular小结的cirrhosis)lH/Ouncontrolledascites腹水andperipheral外围的edema浮肿，水肿(H/O:historyof)lH/Otwoupper上部的，较高的GI升糖指数hemorrhages出血上消化道出血？fromesophageal食管的varices静脉曲张lH/Oanemia贫血lH/OE.coli-induced大肠杆菌引起的bacterialperitonitis细菌性腹膜炎4yearsagolH/Oacute急性的pancreatitis胰腺炎se

6、condarytoalcoholabuse饮酒过度lNohistorytosuggestcardiac心脏的orgallbladder胆囊disease翻译：没有心脏或者胆囊的疾病史lNopreviousdiagnosis诊断ofviral病毒的orautoimmune自身免疫的hepatitis肝炎翻译：先前没有病毒性或者自身免疫性肝炎的诊断SURG外科lS/Pappendectomy阑尾切除术requiringbloodtransfusions输血30yearsagolS/Popen-reduction开放复位internal内部的f

7、ixation定影ofright11femur大腿骨secondaryto继发MVA摩托车车祸5yearsago(SP:statuspost病后状态;MVA:motorvehicleaccident)FH(Familyhistory)lFatherdiedatage52fromliverdiseaseofunknownetiology病因翻译：父亲由于不明原因的肝脏疾病在52岁时去世lMotherhadrheumatoidarthritis风湿性关节炎andulcerativecolitis溃疡性结肠炎,diedfrommassivest

8、roke严重中风atage66lMaternalaunt姨母,age71,withGravesdiseaseGraves病lPatienthasnosiblings兄弟姐妹翻译：病人没有兄弟姐