誰可以幫我翻譯下列醫學病史!! (急........)

現在病史

The patient had been diagnosed since 1991 with Diabetes Mellitus,with DM foot,S/P AKA on JUNE 15 ,2009;known>20years with Hypertensive Cardiovascular Disease,Atrial Fibrillation,Congestive Heart Failure; started on 2007 with Continous Ambulatory Peritoneal Dialysis for End Stage Renal Disease;diagnosed with Iron Deficiency Anemia; Peptic Ulcer Disease:Gastric Ulcer with bleeding history;on recent OPD follow up and medications from our hospital. The present condition started around 1:oo hours early this morning,as sudden chest pain,shortness of breath.Fever noted She was apparently doing well during the day,no recent cough and colds,no fever,no chest discomfort. Good oral intake of food, no abdominal discomfort,no nausea and vomiting,no change in bowel movement.She was immediately brough to our ER for consultation. At ER,the patient was seen very weak on bed,complaining of anterior chest pain,SOB.O2 inhalation given. Blood examinations showed leukocytosis;anemia;in creased CRP level ;hyperglycemia ;increase renal function tests ;hyponatremia;cardiac enzymes were within normal limits;urinalysis showed protienuria and glucosuria,no pyuria noted. CXR showed cardiomegaly with increased bilateral pulmonary infiltrations,prominent pulmonary trunks,suspect congestion VS pneumonia.EKG showed PACS. Blood and urine culture collected. Consulted our Nephrology department.Empirical IV antibiotics with Tazocin and Cravit to be started after collection of CAPD dialysate culture. Admitb to our ICU for close monitoring.

2 個解答

評分
  • 1 0 年前
    最佳解答

    患者自1991年以來被診斷了與糖尿病,與DM腳,在2009年6月15日的S/P AKA; known> 20years以高血壓心血管疾病,心房纤颤,充血性心力衰竭; 開始在2007年與末端階段肾脏病的連續的能走腹膜透析; 診斷與缺铁性贫血; 消化性溃疡疾病:與出血歷史的胃溃疡; 在最近從我們的醫院的OPD繼續採取的行動和療程。 當前情况開始了大约1 :oo小時早期的今晨,比如突然的胸口痛,呼吸浅短。熱病注意了她日間很好顯然地做着,沒有最近咳嗽和寒冷,沒有熱病,沒有胸口難受。 好口頭入口食物、沒有胃腸難受,沒有噁心和嘔吐,在排便上的沒有变化。她立刻是brough對我們的咨詢的ER。 在ER,患者是被看見的非常微弱的在床,诉说上先前胸口痛, SOB.O2指定的吸入。 血液考試顯示了白血球增多; 貧血症; 在被弄皺的CRP水平; 高血糖症; 增加腎臟功能考验; hyponatremia; 心臟病酵素在正常極限内; 尿分析顯示了protienuria和glucosuria,沒有著名的pyuria。 CXR顯示了與增加的雙邊肺濾滲,突出的肺动脉干,嫌疑的壅塞的心肥大對pneumonia.EKG顯示的PACS。 血液和收集的尿文化。 咨詢我們的腎臟病學部門。在CAPD透析液文化以後的彙集與Tazocin和Cravit的經驗主義的IV抗生素將開始的。 對我們的ICU的Admitb接近的監視的。 >>>>就這樣

    參考資料: 我是英文老師
  • 小寶
    Lv 6
    1 0 年前

    假的英文老師...

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