匿名使用者
匿名使用者 發問時間: 健康其他:保健 · 1 0 年前

可以幫我翻譯下面這段醫學英文嘛

主訴:Progressive left wrist swelling sine last night

病史:The 76 y/o man had underlying CAD s/p CAG 5-6 years ago at chung

show hospital﹐hypertension﹐and BPH Under regular medical follow up

at out OPD . He had history of cellulites﹐GI bleeding before.

This time﹐he experienced progressive local heat﹐pain﹐erythematous

change﹐and swelling of left wrist joint since last night .

He denied to have trauma,wrist sprain, insect bite, open wound, or

Skinitching.

He also complained of audible wheezing since 1-2 weeks ago.

Due to this condition,he was sent to our ER where vital signs showed

BP:166/86, HR:83, RR:18, Temp:37.5℃.

He received blood exam and showed no leukocytosis .

Elevated CRP:40, creatinine (1.8)were noted .Under the impression of

Cellulites of left wrist, he was admitted to our ward for farther

Evaluation and management.

Past history

1.Hypertension under medical control for 5-6 years

2.CAD s/p CAG 5-6 years ago

3.cataract s/p op,OU

Personal history

1.smoking 0.2 PPD for 4-5 years

2.Alcohol drinking:1-2 glass of whisky QD for 4-5 years

3.NO betel nut chewing

體檢發現

cons:clear, Vital signs:stable Temp:37.5℃, HEENT:no anemic conjunctivae,mild stridor, chest:clear dreath sounds, no wheezing Heart:RHB, no murmur

Abdomen:flet, normoactive bowel sounds ,no tenderness.

Extremty:no pitting edema, no tophi.

Local erythema, heat,swelling, and tenderness of left wrist.

住院診斷

1.cellulites of left wrist

2.hypertension

3.history of coronary artery disease s/p coronary angiography 5-6 years age

4.chronic renal failure, stage 4

主要計畫

1.Antidiotic with oxacillin 2g

2.check uric acid level

1 個解答

評分
  • 最佳解答

    主訴:昨晚開始手腕開始腫脹不適

    病史:76 y / O的男子在背後5-6年前在XX醫院有心臟病開過刀,置放管子,高血壓和前列腺肥大有定期在門診接受治療。他之前有過蜂窩組織炎、消化道出血病史。這一次在昨天晚上開始,他遭受了局部的地方(指手腕)熱,痛,紅腫不適。 而他表示沒有遭受創傷,手腕扭傷,昆蟲咬傷,開放傷口,或皮膚挫傷等等問題。他還抱怨自1到2日星期前有聽得見的喘鳴聲出現。

    由於這樣的情況,他就到了我們急診求助,來時BP:166/86, HR:83, RR:18, Temp:37.5℃.(這你應該知道ㄅ!!)他有接受血液檢驗,不過沒有白血球增多的問題。不過發炎指數和肌酸肝有上升。

    臆斷部分,左手手腕蜂窩組織炎,並到病房做後續治療。

    Past history 過去病史

    1.高血壓規則服藥5-6年

    2.心臟開過刀

    3.雙眼白內障手術過

    Personal history

    過去曾經持續每天抽煙0.2包,喝酒1-2杯。沒有嚼檳榔。

    體檢發現

    意識清楚,生命徵像穩定,沒有貧血黃疸問題,有輕微的喘鳴。

    清楚的心音,無心雜音。腹部柔軟,腸音正常,沒有壓痛。四肢無水腫,無痛風。只有手腕有腫脹、紅、壓痛情形。

    住院診斷

    1. 左手腕蜂窩組織炎。

    2.高血壓

    3.5-6年前冠狀動脈心臟病做過心導管手術。

    4.慢性腎衰竭,第4分期

    主要計畫

    1.抗生素打

    2.監測尿酸濃度。

還有問題?馬上發問,尋求解答。