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大病例中英文對照(存儲版)

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【正文】 lood Vessel):Peripheral vessel sign: Negative腹部(Abdomen): Refer to speciality 外生殖器(Genitourinary system):not examined直腸、肛門(Rectum、Anus): Not examined四肢、脊柱(Extremities、Spine):No abnormality 神經(jīng)系統(tǒng)(Neural System):Muscle strength: Grade 5 Muscle tension: Normal Kneejerk reflex: Normal Babinski’s sign。 GI: No hematemesis, swallowing difficulty, abdominal pain or distention, diarrhea, occult blood, constipation, jaundice, rash or itching.住院病歷(一)(Medical Records for Admission) 入 院 記 錄(General Information for Hospital Record)姓 名(Name): 郵 編(Post Code): 性 別(Sex):MALE 單位或現(xiàn)住址(Address): 年 齡(Age):56 years old 身份證號碼(Identification No.):婚 姻(Marital Status):Married 戶口地址(Registered Residence Address): 民 族(Race):漢族 聯(lián)系電話(Contact Number): 出生地(Place of Birth): FUDING 入院日期(Date of Admission):20130805 13:04:22職 業(yè)(Occupation): 病史陳述者(Complainer of History): 主訴(Chief Complaint): headache and fever for 10 days.現(xiàn)病史(History of the Present Illness):10 days ago, the patient had headache for no obvious reasons. There was persistent pain on the external parietal part of the head. The pain was not related to postural changes. The trigger was unclear but was acpanied by fever with body temperature fluctuations between 176。 Cardiovascular: No increase in blood pressure, palpitation, shortness of breath, cyanosis, precardial pain, orthopnea, dizziness, lower limb edema. all healthy家族史(Family History):Father deceased Condition: unknown mother deceased Condition: unknown Siblings: HealthyHereditary disease(s): Negative
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