论文部分内容阅读
本病例介绍已在第8期刊出。鉴别诊断 Greenberg医师:此年轻患者症状持续3个月,由疲惫,每日头痛,饭后烧心及恶心开始。这些症状的持续提出慢性病的可能性,这与使患者前往就医的急性病程可能有关或无关。急性病持续2周,咳嗽、吐血、恶寒发热、皮疹以及右肺上叶实变。入院前5天用过红霉素,阿司匹林和止吐剂,尽管如此治疗,除呕吐外,其他症状仍然如故,于咳嗽后2周,患者以严重贫血入院。检查中值得注意是患者不发热,有黄疸,血液性心脏杂音和可疑性脾肿大。 Dedrick医师:入院前5天胸部X光片示右肺上叶实变致使小裂略向下凸起。两肺其他方面清晰。10
The case presentation has been published in Issue 8. Differential Diagnosis Dr. Greenberg: This young patient’s symptoms persist for 3 months, starting with fatigue, daily headaches, heartburn and nausea after a meal. These symptoms continue to raise the possibility of chronic disease, which may or may not be related to the acute course of getting a patient to a doctor. Acute disease lasts 2 weeks, coughing, vomiting blood, chills and fever, rash and right upper lobe consolidation. Erythromycin, aspirin and antiemetics were used 5 days before admission. Despite this treatment, all the symptoms were still the same except vomiting. Two weeks after coughing, the patient was admitted with severe anemia. It is noteworthy that the patient is not fever, jaundice, blood heart murmur and suspicious splenomegaly. Dedrick Physician: Five days before admission, a chest X-ray showed a change in the upper lobe of the right lung causing the splinter to bulge slightly downward. Other aspects of both lungs clear. 10