匿名使用者
匿名使用者 發問時間: 社會與文化語言 · 1 0 年前

誰能幫我翻譯這段醫學病症(20點)急急急!!!!!

旅遊史;Denied recent travelling history

主訴:(chief Complaint)

Pigastralgia since 05/05 night

This 50 y/o G2P2 female with underlying benign ovary tumor post op

eration 15 years ago. suffered from acute onest of intermittent

epigastric dullness pain since 5/5 night. Lower abdominal

distention was also noted.

She went to LMP on 6/6 and received symptomatic treatment

however in vain. She was sent to our ER where pyuria was noted.

Abdominal CT was arranged revealing IUD in position,left renal cyst.

Surgeon was consulted and suggested treating UTI first. She was

admitted for further management.

There were also difficult on urination.

No fever nor chills,no productive cough.

no chest pain nor dyspnea, no dysuria nor flank pain,

no skin rashes, no arthralgia were noted.

She denied recent open wound, recent travelling history nor

pet raising.

這是臨床診斷

1.Epigastralgia and lower abdominal distention.

Suspect UTI ,suspect pelvic inflmmatory disease.

2. Hyperglycemia,suspect glucose intolerance

3.Ovary tumor s/p operation 15 years ago.

謝謝!!!!

2 個解答

評分
  • 1 0 年前
    最佳解答

    旅遊史:Denied recent travelling history無近期旅遊史

    主訴:(chief Complaint):Epigastralgia since 05/05 night 5/5夜晚上腹痛

    This 50 y/o G2P2 female with underlying benign ovary tumor post operation 15 years ago suffered from acute onest of intermittent epigastric dullness pain since 5/5 night. 此懷孕2次活產2胎、15年前曾因良性卵巢瘤而手術過之50歲婦女於5/5夜晚有間歇性急性上腹鈍痛發作

    Lower abdominal distention was also noted.同時也有下腹脹感

    She went to LMP on 6/6 and received symptomatic treatment however in vain. 6/6赴診所接受症狀治療無效

    She was sent to our ER where pyuria was noted.被送往本院急診並發現有膿尿情形

    Abdominal CT was arranged revealing IUD in position,left renal cyst.予安排腹部電腦斷層並發現子宮內避孕器未移位、有左腎囊腫

    Surgeon was consulted and suggested treating UTI first. 照會外科後建議先行治療泌尿道感染

    She was admitted for further management.予住院以行進一步處置

    There were also difficult on urination.有解尿困難情形

    No fever nor chills,no productive cough.無發燒、寒顫或帶痰性咳嗽情形

    no chest pain nor dyspnea, 無胸痛或呼吸困難

    no dysuria nor flank pain,無尿痛或腹側痛(譯註:dysuria翻做排尿困難與前文不符,因此前面difficult on urination應指有想尿卻尿不出來的感覺,此處no dysuria則應指尿時不會有疼痛感)

    no skin rashes, no arthralgia were noted.無皮膚出疹或關節痛

    She denied recent open wound, recent travelling history nor pet raising.否認最近有開放性傷口、近期旅遊史或飼養寵物等情形

    1.Epigastralgia and lower abdominal distention. Suspect UTI ,suspect pelvic inflmmatory disease.上腹痛及下腹脹.疑似泌尿道感染,疑似骨盆發炎疾患

    2. Hyperglycemia,suspect glucose intolerance高血糖,疑似葡萄糖耐受不良

    3.Ovary tumor s/p operation 15 years ago.卵巢瘤已於15年前進行手術

    參考資料: 醫護背景
  • John
    Lv 6
    1 0 年前

    否認最近有旅遊史

    主要病訴

    從5月5日起上腹疼痛。(pigastralgia =修正epigastralgia)

    此50歲停經(G2P2)女性,在15年前手術後,下腹有良性卵巢瘤。

    從5月5日晚上起,因為間歇上腹部悶痛的急性襲擊而感到痛苦。

    下腹部膨脹也被注意到。

    6月6日她前往LMP(??醫院) 接受根據症狀的治療。

    然而確是徒勞無功,她被送到我們急診室,也注意到她有膿尿的情形。

    安排腹部電腦斷層掃描,顯現出內避孕器所在位置,處於腎臟囊腫狀態。

    外科醫生會商並建議首先治療婦女泌尿道感染,她允許更進一步的治療。

    在排尿上也有困難。

    沒發燒也不畏寒,無有痰之咳嗽。

    無胸部疼痛也沒呼吸困難,無排尿困難也無腹側疼痛

    皮膚無起疹,注意到沒有關節痛

    她否認最近有開放性創傷,沒有最近旅遊史也沒有飼養寵物。

    這是臨床診斷

    下腹與上腹膨脹

    疑似婦女泌尿道感染、疑似骨盆腔發炎症

    高血糖,疑似糖尿病(葡萄糖耐受不良)

    15年前卵巢瘤手術

    參考資料: myself
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