妇产科英文模板

《妇产科英文模板》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、CASEMedicalNumber:756943GeneralinformationName:YueJun-rongAge:Forty-twoyearsoldSex:FemaleRace:HanOccupation:UnemploymentNationality:ChinaMaritalstatus:MarriedAddress:XiaochangcountyofXiaogancityinHubei.Tel:4835963Dateofadmission:Feb.27th,2003Dateofrecord:3pm,

2、Feb.27th,2003Complainerofhistory:thepatientherselfReliability:ReliableChiefcomplaint:Thepatientwasfound“myomaofuterus”overtwoyearsagoandmenometrorrhagiafor5months.Presentillness:In1999,thepatientwasfound“myomaofuterus”inaphysicalexamination.Butshehadnothingun

3、comfortableandhercatameniawasnormal.SheusedsomeChinesetraditionalmedicine.About5monthsago,shefoundthecycleofhercatameniawasshortenfrom30daysto20daysandtheperiodlastedfrom2daysto4days.Shefeltnopainandthequantitywasnormal.Shewasacceptedinourhospitalandherdiagno

4、siswas“subserousmyomaofuterus”.Sinceonset,herappetitewasgood,andbothherspiritednessandphysicalenergyarenormal.Defecationandurinationarenormal,too.PasthistoryOperativehistory:Neverundergoinganyoperation.Infectioushistory:Nohistoryofsevereinfectiousdisease.Alle

5、rgichistory:Shewasnotallergictopenicillinorsulfamide.Respiratorysystem:Nohistoryofrespiratorydisease.Circulatorysystem:Nohistoryofprecordialpain.Alimentarysystem:Nohistoryofregurgitation.Genitourinarysystem:Nohistoryofgenitourinarydisease.Hematopoieticsystem:

6、Nohistoryofanemiaandmucocutaneousbleeding.Endocrinesystem:Noacromegaly.Noexcessivesweats.Kineticsystem:Nohistoryofconfinementoflimbs.Neuralsystem:Nohistoryofheadacheordizziness.PersonalhistoryShewasborninHubeionJuly16th,1956andalmostalwayslivedinWuhan.Shegrad

7、uatedfromseniorhighschool.Herlivingconditionsweregood.Nobadpersonalhabitsandcustoms.Menstrualhistory:Thefirsttimewhenshewas14.Lasting2dayseverytimesanditscycleisabout30days.Obstetricalhistory:Pregnacy3times,oncenatureproduction,inducedabortiontwice.Contracept

8、ivehistory:Notclear.Familyhistory:Hisparentsarebothalive.PhysicalexaminationT36.8℃,P80/min,R20/min,BP120/80mmHg.Sheiswelldevelopedandmoderatelynourished.Activeposition.Theskinwasnotstaine