匿名使用者
匿名使用者 發問時間: 社會與文化語言 · 6 年前

麻煩專業人士幫個忙~急需!!謝謝~

Seven abdominal pain in the RUQ and epigastric region for a few days.Nausea and general weakness for about 3 weeks.

This 42 year old male was a case of a renal stone on the right side.He suffered from severe abdominal pain in the RUQ and epigastric region for the past few days.Besidesthis,he also complained of general weakness and nausea for about 3 weeks and so he was sen to our ER for help today.With the impression of R/O GB stones with acute cholecystitis;he was admitted to our ward for evaluation and further treatment.

Renal stone,R’t

Abdomen : mild distention,tenderness(++), Murphy’s sign(+),bowel sound normal-active, liver/spleen impalpable.

1.CBC/DC & PT,APTT & U/A & S/A

2.Blood chemistry

3.Abdominal sonogram

4.CT scan,upper abdomen

5.Panendoscopy

1.R/O G/B stones with acute cholecystitis

2.R/O peptic ulcer disease

3.Renal stone,R’t

3 個解答

評分
  • 6 年前
    最佳解答

    Seven abdominal pain in the RUQ and epigastric region for a few days.Nausea and general weakness for about 3 weeks.

    數天來在右上部和上腹區出現7次疼痛,噁心全身無力約3週。

    This 42 year old male was a case of a renal stone on the right side.He suffered from severe abdominal pain in the RUQ and epigastric region for the past few days. Besides this,he also complained of general weakness and nausea for about 3 weeks and so he was sent to our ER for help today.With the impression of R/O GB stones with acute cholecystitis;he was admitted to our ward for evaluation and further treatment.

    42歲男子右側出現有腎結石,過去數天來右上部和上腹區出現嚴重的腹痛。此外,也抱怨全身無力和噁心約3週,今天送到本急診室來。因為R/O急性膽囊炎的膽囊結石現象,住院進行評估並接受進一步的治療。

    Renal stone,R’t

    腎結石

    Abdomen : mild distention,tenderness(++), Murphy’s sign(+),bowel sound normal-active, liver/spleen impalpable.

    腹部:輕度腹脹、壓痛(++)、墨菲氏病徵(+)、腸鳴音正常活動、肝/脾摸不著。

    1.CBC/DC & PT,APTT & U/A & S/A

    2.血液化學檢驗

    3.腹部聲像

    4.上腹部CT掃描

    5.Panendoscopy /上消化道內視鏡檢查

    1.R/O G/B stones with acute cholecystitis / R/O急性膽囊炎的膽囊結石現象

    2.R/O peptic ulcer disease / R/O消化性潰瘍

    3.Renal stone,R’t /腎結石

  • Chris
    Lv 7
    6 年前

    Dear Bj

    當然是severe 可以從下面he suffered from severe abd pain 看得出來

    R/O 若是外國醫生寫的就是"排除" 臺灣醫生寫的就是"疑似"

    S/A 是stool analysis 糞便分析檢查

    CBC/DC 全血計數/白血球分類檢查

    PT prothrombin time 前凝血脢凝固時間檢查

    APTT activated partial thromboplastin time 活化部分凝血脢凝固時間檢查

    這兩項可以看出肝膽疾病

    參攷一下吧

    2015-01-08 01:39:40 補充:

    打太快了 PT是前凝血脢原時間檢查 (也就是肝臟產生凝血脢的時間)

    2015-01-08 01:53:34 補充:

    呵呵呵 跟U/A排在一起 怎沒想到stool

  • 6 年前

    還是忍不住

    第一個字最好再確認一下

    到底是 Severe 還是 Seven

    難以想像哪個病人會數得這麼清楚

    而且跟地震一樣

    哪個是前震?哪個是主震?哪個是餘震?

    痛都來不及了

    還能分那麼清楚~

    至於

    R't -> right

    R/O -> rule out

    U/A -> urinalysis

    S/A 根據同一行其他項目

    猜測應該是 生化

    不過這種縮寫沒見過

    2015-01-08 01:45:38 補充:

    受教了!

    虧我在那裡查

    http://www.medilexicon.com/

    竟然忘了 Stool

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