《医院交班记录(英文版).docx》由会员分享,可在线阅读,更多相关《医院交班记录(英文版).docx(4页珍藏版)》请在三一文库上搜索。
1、。xx male 52yPrimary diagnosis: type 2 diabetes mellitusChief complaint: detection of glucose high of more than 10 years, polydipsia andpolyuria, lack of power for more than half yearAuxiliary examination:a normal electrocardiogram. Glycatedlaikeithemoglobin,hi?m? l ?b?n: 9%. routine urinalysis 15mmo
2、l/L.FBG(fastingblood-glucose): glucose+ ( plus sign) . Ketone bodies and urine protein arenegative ( August 25th)Treatment:1 control diet, adequate exercise, monitoring of blood glucose2 to improve the relevant examination in the assessment of pancreatic endocrine function and complications of diabe
3、tes3 according to thelevels ofblood glucoseand checkresults ofadjustment nextplan.xxx, female, 75 y.Primary diagnosis : severe osteoporosis.Chief complaint: Body pain for more than one year, aggravated for two months.Hypertension 2 (medium risk group), chronic nephritis.Auxiliary examination: NoTrea
4、tment:Improve therelevantchecks; addedcalcium,vitaminDandbisphosphonates,;calcitoninapplications,;symptomaticand supportivetreatment,;hygiene education。xxx , male, 24-year-oldPrimary diagnosis: Low gonadotropingonadal dysgenesis低促性腺激素性性腺发育不良Chief complaint : short penis and scrotum empty for 20 year
5、sAuxiliary examination: No cracking, no beard, pubic hair, armpit hairTreatment: Improve the relevant checks,; hormone replacement therapy; hygieneeducation。xxx female , 50 years oldPrimary diagnosis : 1. Goiter, 2. Rheumatoid arthritis, 3.cerebral vasospasmChief complaint : Shoulders back pain pers
6、ists more than 3 monthAuxiliary examination: NoTreatment: 1 Routine medical care,2 pay attention to rest, detects vital signs; 3review the blood routine, thyroid function, liver function; 3. Strengthen supporttreatment; 4. Improve the related auxiliary examinationxxx female55 y.Primary diagnosis : D
7、iabetes with peripheral neuropathyChief complaint: Thirsty,polydipsia,diuresisfor8 years.Withfeetnumbness for1 year and muscle weakness for 8 months; Aggravate for 3 months。Auxiliary examination: no。1。Treatment:Afteradmissiondobloodroutine、urearoutine,whatsmoredoelectrolyteinspectiontoEliminateketosisand thepossibilityofhighpermeability .。2。欢迎您的下载,资料仅供参考!致力为企业和个人提供合同协议,策划案计划书, 学习资料等等打造全网一站式需求。3