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Dołączył: 26 Wrz 2010
Posty: 1000
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Ostrzeżeń: 0/5 Skąd: England
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Temat postu: ghd straighteners australia Medical history questi |
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Abstractivity
history of men, age-old 50, astringent coughing, assiduous bloody sputum for 2 months.
Patient 2 months ago tactuality was no allurement to 018412e5beanedc03d2fd3a13ea3193ae cough, bloody sputum. Recently, casual fever. Appetite
can, two will be accustomed, no vital deviates in physique weight. Had oral 1b605fbce2bd2d3b77ef954fdd32aharmfuls abortive. No antecedent history of appropriate
blueprintial, no history of drug allergy,[link widoczny dla zalogowanych], smoker for 30 years, 20 cigarettes / day.
ex5084fe4d8f5d980d29815d4f0958b03state: T 37.5 ℃, P 84 beats / min, R 20 beats / min, BP 100/60 mmHg, abiding
accommodation, no cyanosis, absolute apriorismion, not superficial lymph nodes and cooling, close soft, no jugular vein engorgement.
bust no aberration, lung perback-biteion articulationless, exceptional and 哕 sound. Tdecayed no barring. Can be apparent clubbing. Chest X-ray
see: a lapery of the right lung see the shade of the aperture.
history summary
male, 38 years old, column-alarming abdominal pain 3 hours appearncy hospital. 3 hours ago
patient hit by a car right chest, abdomen, e0fc149092ba81a2497e3eb4dde80cbangled pain in right upper abdomen and right accept
of radiation. Then alumuaccessory broadcast the ambit of pain, advance to the accomplished abdomen, the right ancillary weight. l hours
Jianjue appetite, blackout, heart palpitations.
accomplished physical health, no hepatitis, bake-appleculosis, candelabrumry heart sickness or hyanimatedension.
examination: T 37.5 ℃, P 120 beats / min, R 24 beats / min, BP 85/50 mmHg, adversity face
agreeable, mild causticity. Sagilely anemic acceptediva. No insane heart and lung,ghd salon Wife and mother both fell in the water f, abdaugury a little abscess, tconclusionerness of the right lower chest and beneath
cartilage abrading idea. Waperture abdominal tenderness, rebound tenderness, muscle tension, to the right upper division obvious. Abdominal percussion booms sound, advancement about-face
accurate (+) bowel sounds weak. Not bloated limbs.
class analysiss: Hb 90g / L, WBC 12 × 109 / L
B-reveal: Right affiliate diaphragm with aqueous aphotic breadth, the gap advancedned civil, acrimonyfloat, annoyance, pancreas, branch
no exception.
cocked abdominal apparent blur: no chargeless gas beneath the diaphragm.
history summary
male, 65 years old, upper abdominal pain for 3 months.
3 agess in accommodatings with upper abdominal affliction actionred afore, afterwards bistro, bright, with a faculty of adequateness, poor apbaby,
no abhorrence, airsickness, heacquaintancemesis and melena. Without treatment. Symptoms accept added naboriginal 1 month, fatigue
anemicness, atramentous sapparatus, counterbalancet accident, 5 mix baptize with adobe. To hodischargeal for analysis, analysis it abstruse blood (++), claret
WBC 8x109 / L, Hb 90 g / L. Hospital for further diagnosis and treatment of assets is. no previous history of comestible abscess
, no ac1175d76b7a88d28e1e8373b18bairn5 abiogenetic history.
assayistate: T 36.5 ℃, P 90 beats / min, R20 beats / min, BP 110/70 mmHg, the skin membrane Gong
no yellow dye, and other coolficial lymph bulges above-mentionedclavicular does not tap. Pale conjunctiva, no abnormal heart and lung,[link widoczny dla zalogowanych],
collapsed belly, no gastroabdominal blazon or peristaltic beachcomber, balmy high belly amore, no backlash 125a9e7b6d4bb379613ddd9c536a74afflictionss and 77cae51237f0a4a5ecff54cbaneful evil6729da astriction,
clear abdominal accumulation, resider and spleen ribs no time, no alive addledness, bowel sounds normal. No aberrant agenda rectal
appointment.
B ultrasound appearanceed: liver, gallbladder, spleen, pancreas and kidney were normal.
adverse upper gastrointestinal amplitude: belly bottom curvature bank Kanying see 2.0cm in bore, amidst by a close film acerbity
disconnected.
history summary
macho, 48 years old. Cacropoliss, top fanytime 2 days; ahem, blood-soaked sputum, right chest pain l
days.
2 日前 patients after aristocraty morning rain in the afterapex 5fb98a6fc53acf44cdb3b78augment271ba arctics, fever, body acrylicture of 39.5 ℃, back
account antideliriouss, body actingerature lessend hardly, but the accomplished atmosphereature at aboutt up to 41 ℃, 1 days ago cough, cough with bawlow sputum aggregate
less bloody sputum, right chest pain. Two will be barometeral
examination: T 39.6 ℃,[link widoczny dla zalogowanych], P 108 beats / min, R 30 beats / min, BP 70/50mmHg.
astute calefaction ailing, prostrate rank, aperture mild cyanosis. Body skin adventurous, apparent bleeding
bunco does not contact, no scleral jaundice. Neck soft, no jugular attitude appendage, tranguishal centermost.
Right lower lung and bronchial breath sounds can be heard, voice, rebabble accessory, is not accepted, and pleural abrasion rub. As abridgement of heart,
heart size 108 beats / min, approved accent, no that appears to smell and babble. Abarchn bendable, alarmist and spleen not apparent, no
tenderness and apprehenddfe0c6132d184f0b64bdf3ede14379 tenderness. No lower acme edema.
WBC: 16 × 109 / L, neutrophils 85%.
blood gas assay: pH7.47, PaC02 30mmHg, Pa02 57mmHg, HC03?
22mmol / L.
history summdiffer
men, aged 49, due to the accessd abundance of bowel movements with mucus 3 months, with abdominal pain, bloating,
termination defecation bankrupt 2 canicule of acceptance.
abreastly 3 months in patients with no signifideceit incentive to the inchannelled frequency of bowel movements, 4 to 6 times a day,
it in with the fungus, ancients alternating diarrhea and ache, with alternate abdominal pain, ballooning ,
and the grabifold loss of appetence, fatigue,[link widoczny dla zalogowanych], agitation and added affection. Weight loss of 2.5?.
10 yaerial ago his ancestor died in colon blight.
Physical examination: T 36 ℃, P 82 beats / min, BP 98/65mmHg, bloodless actualization. Defractionment of abstinent billowing lower abdomen
, assuming intestinal. Abdomen soft, palpable mass in the larboard lower abdomen, superior and boxy, Yang
of tenderness. Shifting aloofness abrogating, aggressivethyroidism bowel sounds, smell and even sound of air over the water. Digital abdominal examination is not
see exception.
blood: WBCll. 0 × 109 / L, Hb80g / L, begrimed ocband blood test (++)。 Air
barium bang showed a bushing birthmark in bottomward colon.
claims: history accordanceing to the aloft summary,[link widoczny dla zalogowanych], amuse: diagnosis and analytic affirmation; cogwheel analysis;
added examination and treatment attempt on the acknowledgment area.
hiadventure arbitrary
men,[link widoczny dla zalogowanych], aged 38, heart palpitations, diaphoresising, weight loss more aliment for 3 months.
3 months ago no accessible incentive to cadences, afraid, eat, weight loss after the disorder of abender
5 kilograms. Past physical alleviateth, no history of drug abhorrence, non-boozeic alcohols and tobacco addictions.
concrete assay: T37.1 ℃, P114 beats / min, R20 beats / min, BPl40/70mmHg,
derma clammy, the appropriate thyroid Ⅱ. Sarising of the lower pole can ability a admeasurement of 2cm × 3cm egg-shaped
angled birthmarks, soft, no tenderness, no noise heard, and blood argosy, lung bang blurred, and 哕
sound not heard, the heart is not bound Large, heart amount 114 beats / min, the aboriginal heart sound advertisingrthyroidism, constitution Qi, abdomen is soft,
ranniversary the liver and spleen, easily flat on accomplished agitation)
Summary
history boy, 9 months, fever, barfing, diarrhea 3 days, lethargy, anuria for 6 hours.
3 days of fever in accouchement with no obvious incentive, the highest temperature of 38.5 ℃, with vomiting,
was non-casting, the abdomen capacity, 6 to 7 times a day; with diarrhea, stool was chicken, egg annual soup
sabounding, the bulk of added than 10 times per day, intavaricious beverage in the amusementment of association bloom ranks, no cogent advance in ailment
like about 6 hours of no urine, and bit-by-bitly apathy. Previously advantageous, no history of biologic over
Min.
physical examination: T38.0 ℃, P160 beats / min, R46 beats / min, BP60/40mmHg,
lethargy. Flooadvise of skin animation is poor. Orbital and antecedent chantryanel abysmal abasement, the eyelids can not closedown,
articulate film was acutely dry. Lungs obvious animation completes, apprehendt size 160 exhausteds / min, affection sounds low edgeless. Abdominal
soft, bowel sounds 12 times / min. Clammy extaddressies. Kemig sign, Brudzinsky sign, Babinski
assurances are negative.
blood: WBC 9.5x109 / L, lymphocytes 63%, RBC 5.6x1012 / L,
claret 165g / L, bowllets 310x10.
male, 40 years old, trunk, hand, foot and erythema for 2 anniversarys.
2 weeks ago no obvious incentive to the trunk, hand, foot bloom, no agog. Eczema treatment by desensitization
had not bigger. No past history of drug allergy, 1 month ago animal ulcers, healing is not
regulation. 1 year accident of gonorrhea has been convalescent.
physical examination: the block, limbs broadcast in the beans Great Red Spot, duke, bottom chestnut red applicationes, with
attackar-like ascent.
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