英文病例汇报幻灯资料.ppt

1、The Meaning of Jason,A case report by Robert J. White M.D.,General information,Name: Jason Age: two years and nine months Sex: male Race: white Occupation: no Nationality: USA Marital status: unmarried Address: NO.38, Hangkong Road, Jiefang Rvenue, Hankou, Hubei. Tel: 82422500 Date of admission: 29

2、days ago Date of record: Complainer of history: his mother and grandmother Reliability: Reliable,Chief complaint,severe headache for about one month vomit,Present illness,One month earlier, he began complaining of severe headaches. After that, he had begun to fall a lot ,and to vomit. Then a pediatr

3、ician had admitted him to another hospital for a spinal tap that had yielded negative results. A brain tumor is suspected. Then he came to our hospital for an operation.,Present illness,Since onset, her appetite was bad, and he was quiet ,pale, withdrawn. Defecation and urination are normal.,Past hi

4、story,Operative history: Never undergoing any operation. Infectious history: No history of severe infectious disease. Allergic history: She was not allergic to penicillin or sulfamide. Respiratory system: No history of respiratory disease. Circulatory system: No history of precordial pain. Alimentar

5、y system: No history of regurgitation. Genitourinary system: No history of genitourinary disease. Hematopoietic system: No history of anemia and mucocutaneous bleeding. Endocrine system: No acromegaly. No excessive sweats. Kinetic system: No history of confinement of limbs. Neural system: No history

6、 of headache or dizziness.,Personal history,born in almost always lived in living conditions were good No bad personal habits and customs.,Family history,His parents have both alive.,Investigation,An ophthalmoscope: swollen the optic nerves CAT scan: an enormous tumor blocked the ventricles,Professi

7、onal Examination,When I asked him to touch his nose with his index finger, he missed.,impression,A tumor in the cerebellum,Treatment,Medicine: a steroid to reduce the swelling of the brain around the tumor Drain the liquid of the ventricle Operation: excise the tumor,Complication,Develop pneumonia A lung abscess Cardiac arrest In the end, the littl