大病例中英文對照(完整版)
【正文】 Diabetes mellitus: Absent Kidney disease: AbsentHistory of infectious diseases:Tuberculosis: Absent Hepatitis: AbsentOthers: 29 years ago, he had a renal history of tuberculosis.History of preventive inoculation: Inoculation plan pleted.Allergic History: History of blood transfusion: Negative: Negative History of scars/wounds: Negative: Negative History of surgical operations: Negative : NegativeHistory of longterm drug use: NegativeHistory of drug abuse: Negative系統(tǒng)回顧(Review of Systems)： Musculoskeletal: No dysarthria, joint abnormality, spine abnormality, muscle atrophy or weakness in limbs. Mental state: no hallucination, delusional, disorientation, mood disorder個人史(Personal history)：Place of birth: Residence: Epidemic area: None Travel history: Negative Drinking history: Yes 500ml/day for 30years and stopped 2 years agoSmoking history: Yes 20cigarettes/day for 30 years and stopped for 2 monthsToxin, dust, radioactive or industrial exposure: Negative婚姻、月經(jīng)及生育史(Marital、Menstrual and Childbearing history):Marital status: Married Age of wedding: 25 years old spouse heath: normalchildren: 2 sons and 1 daughter 。 Respiratory : no chronic cough, sputum, expectorant, chest pain, asthma, dyspnea.C to 176。 Genitourinary system: No urinary frequency, urgency, dysuria, hematuria, pyuria, nocturia or frothy urine. left:negative, right: negative Others: kernig (+)其他體征(Other Physical Signs)：Normal住院病歷（四）(Medical Records for Admission) ?？魄闆r(Specific Appearance) ：General condition: Dulled cons
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鄂ICP備17016276號-1