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1、医学英文论文写作例句、词汇入院beadmittedtothehospital住院behospitalizedinthehospital1病员,女,25岁,因发烧,咳嗽3天,于1980年7月11日收入院.A25-year-oldladywasadmittedtothishospitalonJuly11th,1980becauseoffeverandcoughingfor3days.2病员,女,75岁,因咳嗽伴铁锈色痰,于1980年3月26日入院治疗.A75-year-oldwomanwashospitalizedinthishospitalonMarch26th,1980,becauseofha
2、vingcoughedwithrustysputum.3病人,男,38岁,因右上腹疼痛17小时,于1980年7月1日急诊入院.A38-year-oldmanwasadmittedtoourEmergencyonJuly1st,1980,becauseof17hours'rightepigastricpain.4病人,女,81岁,因感冒后严重全身不适,于3月8日-3月26日接受入院治疗.An81-year-oldladywashospitalizedinthehospitalduringMarch8thto26th,1980,becauseofseriousgeneralmalaisef
3、ollowingacold.5病人,女,71岁,入院前因突然发作急性心肌梗塞,伴心源性休克,心力衰竭,心律不齐和频发期外收缩,现场抢救8小时后,于1980年8月14日晚10:30由救护车转送我院继续诊治A71-year-oldladyhad8hours'first-aidtreatmentatthisspotpriortosuddenattackacutemyocardialinfarction,complicatedwithcardiogenicshock,heatfailure,arrhythmiaandfrequentauricularextrasystole,andthenwa
4、stransferredinambulancetoourhospitalforfurthertreatmentonAugust14th,10:30p.m.,1980.6咽痛,高热.Throatacheandhighfeverfor2days.7两月以来,持续性头痛伴恶心,呕吐.Continuingheadachecomplicatedwithnauseaandvomitingfor2months.8发热,右胸痛,咳嗽1周.Feverandrightchestpainandcoughingforaweek.9昨晚开始寒战.Chillsbeganlastnight.10气短,咳嗽伴黄痰3-4天。S
5、hortnessofbreathandcoughingcomplicatedwithyellowsputumfor3or4days.onset(date,mode方式),durationbeforepresententry,excitingcause诱因andenvironmentalinfluen*,prodroma(symptoms)前马区症状,generalsymptoms,courseorprogress(location,duration,severity,continuity,intermission间隙性,radiation,treatment),aggravatingandal
6、leviatingfactors减轻因素,lossofweight,appetiteandstrength,sleep,bowelmovement,frequencyofurination,menstruation月经,etc.无临床症状withoutanyclinicalsymptomsfreeofsymptomsasymptomaticremainsymptom-free症状消失symptomsdisappear症状无缓解。Symptomsdidn'tabate/decrease.Symptomswerenotrelieved.Symptomscontinuedunabated.症
7、状缓解。Symptomsimproved.Symptomstookafavorableturn.恶化beaggravatedbeexacerbatedtookabadturn明显恶化noticeablyworse症状明显。Symptomsbecameincreasinglyapparent.开始频繁出现。Attacksbecameincreasinglyfrequent.因而加重beaggravated/intensifiedby症状因而减轻bealleviatedby无恶化。Therewasnochangein.continuedwithoutanychangeremainedthesame
8、unchanged约1周前,患者感乏力,食欲不振。两天前,开始寒战,发热,咳嗽,T骤升到39C;同时感右下胸有疼痛,随呼吸,咳嗽而加重,以后胸痛变为持续性,且剧烈。痰呈铁锈色活动后呼吸困难.两天来,肌注青霉素80万单位两次,但症状无缓解。Thepatienthadlackofstrengthandpoorappetiteabout1weekago.Twodaysago,chills,feverandcoughingbeganandthetemperaturerosesuddenlyto39C.Atthesametime,therewasalightpaininthelowerrightches
9、taggravatingalongwithbreathingandcoughing.Laterthechestpainbecamepersistentandintense.Thesputumwasrusty.Respirationbecamedifficultafterphysicalexercise.Inthese2days,thepatienthasreceived0.8million-unitPenicillinmuscularinjectiontwiceaday,butsymptomsstillwerenotrelieved.iiiPastHistory:1 Formerpla*ofr
10、esidence,previousstateofhealth(robust健康的,delicate虚弱的),experiencewithsimilardisease,immunitytoinfectiousdiseases.2 Previousillness:measles麻疹,mumps腮腺炎,chicken-pox水豆,pertussis百日咳,influenza,scarletfever猩红热,diphtheria白喉,typhoidfever伤寒,bronchitis,pneumonia,encephalitis月百炎,meningitis月百膜炎,tetanus破伤风,poliomy
11、elitis脊髓灰质炎,dysentery痢疾,cholera霍乱,pleurisy胸膜炎,smallpox天花,tonsillitis扁桃体炎,rheumatism风湿,asthma哮喘,malaria疟疾,tuberculosis,jaundice,allergy,etc.3 Venerealdisease性病:specificsymptoms特异性症状,signs,thediseasebyname性病特别的名称,treatment.4 Accidents(date,anydisability残疾,sequelae后遗症):operationandhospitalization(date,
12、procedure程序,nameofhospital,physician,complications,bleedingtendency).平素健康bealwayssoundandrobustbebarelyeversickbeperfectlyhealthymostofhislifehadneverbeenillbefore一直健康hadbeenthoroughlysoundhadbeenentirelywelluntilhadenjoyedgoodhealthuntil身体弱易患病beconstitutionallyweakandpronetoillnessbedelicateandsusc
13、eptibletoillness易患感冒beapttocatchcold否认有结核病史deniedanyhistoryoftuberculosis无创伤史及手术史norelatedhistoryoftraumaofoperation无传染病史norelatedhistoryofcontactingwithanyinfectiousdiseases无病史nohistoryofwasobtainable曾患hadsufferedfrom已出现了好几年.hadbeenpresentforyears过去史提示症状.Pasthistoryreviewedanepisodeof除夕卜,无严重病史.Exce
14、ptfor.hehadnomoreseriousdiseases.未接受过任何药物治疗didnotreceiveanydrugtherapy在5年前曾住院washospitalized5yearsagofortreatmentof任何治疗无效.Thepatientdidn'trespondtoanytherapy.Thepatientwastreatedwithoutanyrelief.无并发症,后遗症withoutcomplicationandsequelae无青霉素过敏史nohistoryofpenicillinsensitivity无食物,药物过敏史nohistoryofalle
15、rgytofoodordrugs无过敏体质hadnoallergicdiathesis1自幼体弱多病,多年来患"慢性支气管炎",平时易感冒。4岁时做“阑尾手术"无任何后遗症、并发症。3年前因"肺炎”住院。否认有肝炎、结核病史。Thepatientwasconstitutionallyweakandpronetoillnesssincechildhood.Chronicbronchitishadbeenpresentforyears.Hewasapttocatchcold.Therewasrelatedhistoryof"appendectomy
16、"withoutcomplicationandsequelaeat4yearsofage.Threeyearsago,hewashospitalizedfortreatmentof"pneumonia".Hedeniedanyhistoryoftuberculosisandhepatitis.2患者一直体健,至1年前出现用力呼吸困难,心前区钝痛,该疼痛可由运动诱发,休息后可迅速缓解。入院前2天,胸痛呈持续性,伴轻度出汗,但无恶心。入院当天,疼痛向下、沿右臂放射,为时短暂,在家曾服用“消化痛”数次,但疼痛未缓解。Thepatienthadbeenalwayssoun
17、dandrobust.Oneyearago,hebegantoexperienceexertionaldyspneaandadullpainintheanteriorchest,whichwasprovokedbyexerciseandwaspromptly,alleviatedbyrest.Twodaysagobeforeadmission,thechestpainremainedpersistentaccompaniedbymildsweating,butwithoutnausea.Onthedayofentry,thepainradiateddowntotherightarmforash
18、orttime.Hehadtaken"Isosorbidedinitrate"orallyseveraltimesathome,butthepaindidn'tabate./therewasnorelief.3王xx,男,19岁,未婚,学生,因间断发热3月,鼻出血,牙龈出血4天,于1986年4月21日入院。病人3月前因不明原因出现头晕,乏力,间断发热(其T不详)。但仍能参加体育劳动,未诊治。4天前突发鼻出血,进而出现牙龈出血。全身皮肤有散在出血点。左眼球结膜出血。病人自觉心悸,手足发热。发病以来,无明显头痛,无恶心呕吐,食欲尚可,大小便如常。有时胸骨痛,睡眠不佳.于
19、当时用中药治疗无效,而来我院门诊就医。自述发病前未服用药物,或接触任何有毒物质。Wang,male,aged19,single,student,wasadmittedonApril21st,1986withachiefcomplaintofintermittentfeverfor3months,epistaxisandgingivalhemorrhagefor4days.Threemonthsago,hebegantosufferfromdizzy,weakandintermittentfever(temperatureunknown).Howeverhestillcouldperformph
20、ysicalworksanddidn'treceiveanytherapy.Fourdaysago,hesuddenlyhadepistaxis,andfurthermoregingivalhemorrhage.TherewerescatteredpetechiaeovertheskinandhemorrhageconjunctivaeO.S.Thepatientstatedthathehadpalpitationandfeltfeverishonhandandfeet.Therewasneitherheadachenornauseaandvomitingsinceonsetofthe
21、disease.Hisappetitewasperfect.Hehadanormalbowelmovementandurination.Sometimeshehadpainofsternumandsufferedfromsleeplessness.BeforehisvisittoOutpatientDepartmentofourhospital,hewastreatedofT.C.M.,butwithoutanyrelief.Hesaidhedidnotreceiveanydrugtherapytreatmentandhadnoexposuretoanytoxicsubstan*beforeo
22、nsetofthedisease.ivFamilyHistory:familytendency家庭遗传倾向,presenceofhereditarydisorders存在遗传性疾病,tuberculosis,mentaldisorderandnervousaffection,rheumatism风湿,diabetes糖尿病,hypertension高血压,hypotension低血压,myocardialinfra,nephritis肾炎,cerebralvascularaccident月百血管意夕卜,hemophilia血友病,syphilis梅毒,tumor,epilepsy癫痫,canc
23、er,malignanttumor/carcinoma/sarcoma恶性肿瘤,allergy,etc.primary/essential原发,secondary继发,contactwithdiseasedindividual,relationshipofpatient'schildhoodandadultlife,age,healthcondition,andcauseofdeathofparents,grandparents,spouse配偶,siblings兄弟姐妹orrelatives.无结核肝炎密切接触史Noclosecontacthistoryoftuberculosiso
24、rhepatitis.家族史未提示有Familyhistorydidnotreview/show/indicate/disclose/Suggest家族史为阴性。Familyhistorywasnegative/notremarkable.父母身体健康。Parentsarewellwithoutevidenceofillness.家族中有的高发倾向。Thefamily.父母死因不详。Parentsdiedwithoutanydefinitecause.1患者为独生子,父健在;数年前,母死于子宫癌。母家族中有癌症倾向,外祖母死于胃癌。无结核、
25、肝炎密切接触史.Themanwastheonlyson.Hisfatherwaswellliving.Severalyearsago,hismotherdiedwithuteruscancer.Motherfamilyhadcancertendency.Grandmotherdiedofgastriccarcinoma.Noclosecontacthistoryoftuberculosisorhepatitis.2患者父母双亡,原因不详.无糖尿病,高血压病史.3个兄弟姐妹均健在.Bothofparentsofthepatientdiedofunknowncause.Nodiabetesorhy
26、pertensionorcancerhistory.Threesiblingswerewellwithoutevidenceillness.3既往健康,1年前轻度鼻出血,量不多.原因不明,未经治疗自行停止.本人无烟酒嗜好其父患肝炎多年,至今未愈.同胞兄弟6人均健在.本家族成员无任何血液病史.Thepatientwasbarelyeversick.Oneyearago,hesufferedfromamildepistaxiswithsmallamountandwithoutanycause,whichstoppedspontaneouslywithoutanytherapy.Hehadnohab
27、itsoftobaccoanddrankalcoholicbeverages.Fatherhadsufferedfromhepatitisformanyyears,whichisstillnotcured.Sixsiblingswerelivingandwell.Therewasnotendencytowardanyblooddyscrasia.vPersonalHistory:1 Socialhistory:fears,mentalstatus,education,financialcondition,numberofdependents受赡养者的数目,familyharmony和睦orfr
28、iction纠纷,hygienicconditionathome卫生状况.2 Maritalhistory:durationofmarriage,1stor2ndmarriage,ageandhealthofspouseandchildren,(ifdied)causeandageattimeofdeath,numberofchildren,numberofpregnancies怀孕,miscarriages自然流产,abortion人工流产,stillbirths死产.3 Occupationalhistory:durationofemployment,pastwork,exactnatur
29、eofwork工作的准确性质,exposuretooccupationalhazards对职业危险因素的接触,whetherworkissatisfactoryornot.4 Habits:alcohol,tobacco,coffee,tea,narcotic麻醉品,foodhabits,appetite,regularityofmeals,rapidityofeating,bowelmovement,sleep,exercise,interests,mentalstatus,hygiene,etc.病人有很长的吸烟史.Thepatienthasalonghistoryofsmoking.病人
30、平均每天抽2包烟.Thepatientsmokedanaverageof2packsaday.病人过量饮酒.Thepatientdrankex*s/ex*sively/hard.患者少量饮酒.Thepatientdrankonlyoccasionally.因病不能工作beincapacitatedbyillness体弱不能做家务活benotphysicallystrongenoughtodohousework120多年从事化学工程师,曾有多种毒性物质接触史。83年以来,体弱多病不能从事工作。不嗜烟酒。Thepatienthadbeenworkingasachemistformorethan20
31、years.Hehadclosecontacthistoryofpoisonousmaterial.Since1983,hehasbeennotphysicallystrongenoughforordinarywork.Neverdrankandsmokedtoex*s.2重度吸烟者,15年来每日2包,偶尔饮酒。近3年来因病不能工作。Thepatientwasachainsmokerwithanaverageof2packsadayfor15years.Drankonlyoccasionally.Since3yearsago,hehasincapacitatedbyillness.1 Gene
32、ral:nutrition,fever,nightsweats,tremor震颤,weightgainorloss,weakness,allergy.2 Skin:hives尊麻疹,rash,eczema湿疹,etc.3 head:trauma,headache,lossofhair,etc.4 Eyes:vision视野,pain,glasses,diplopia复视,etc.5 Ears:pain,discharge,deafness,tinnitus耳鸣,etc.6 Nose:obstruction鼻塞,discharge,epistaxis鼻血,rhinitis鼻炎,etc.7 Mou
33、th:teeth,lips,gums牙昔艮,tongue,disturbanceintaste味觉障碍,etc.8 Throat:sorethroat咽喉疼痛,tonsillitis,quinsy扁桃体周围脓肿,dysphagia吞咽困难,etc.9 Neck:adenitis淋巴节炎,goitre/goiter甲状腺,rigidity颈项强直,etc.10 Cardiovascularandrespiratory:palpitation心悸,tachycardia心动过速,bradycardia心动过缓,bloodpressure,chestpain,dyspnea,cough,hemopt
34、ysis咯血,seasonalcolds,expectoration咳痰,etc.11 Gastro-intestinal:appetite,nausea,vomiting,distress不适(beforeoraftermeals),melena黑大便,colic腹绞痛,jaundice,fullness,hernia疝,hemorrhoid痔,constipation便秘,diarrhea,frequencyofbowelmovements,heartburn胃灼热,idiosyncrasies特异性反应,relationofsymptomstoeating,typeandquantity
35、offood,etc.12 Genito-urinary:dysuria,urinaryfrequency,dribbling,hematuria,pyuria脓尿,nocturia夜尿andvolume,enuresis遗尿,incontinence小便失禁,soresaboutexternalgenitalia夕卜生殖器溃疡,symptomssuggestiveofsyphilis提示梅毒的症状(rash,mucouspatches粘膜斑,fallinghair),urethraldischarge尿道分泌物,exposuretovenerealinfection(e.g.gonorrhe
36、a淋病),obstetrichistory生产史,catamenia月经(ageofonset初潮年龄,dateoflastperiod,cycleandamount,periodicity周期性,dysmenorrhea痛经,menopause绝经期),leucorrhea白带,associatedheadache,etc.13 Neuromuscular:nervousness神经质,emotionalstress情绪紧张,weakness,myodynia肌痛,jointpain,convulsion惊厥,numbness麻木,neuralgia神经痛,anesthesia感觉缺失,mu
37、scularatrophies肌肉萎缩ordystrophy营养不良,deformities畸形,etc.出PhysicalExamination:1 Generalappearance:全身状况佳generalconditionsappearedgood全身状况尚可generalconditionsappearedfare全身状况正常generalconditionsappearednormal全身状况不良generalconditionsappearedpoorStature体态:posture姿势,gait步态自动体位activeposition被动体位passiveposition强迫
38、体位compulsiveposition仰卧位supine/dorsalposition俯比卜位proneposition卜位lateralposition左卜位rightlateralposition右侧卧位leftlateralposition双侧卧位bilateralpositionPhysicaldevelopment:physique体格,musculature肌肉系统,skeleton骨骼.nutritionalstate营养状况营养好wellnourished营养中等moderatelynourished营养不良poorly/under/mildnourished瘦弱thinan
39、dfragile/frail虚弱weakconstitution营养一般beofaveragebuildandnutritionallevel/state生长growthSeverityandacutenessofillness.急性病容lookedacuteill重症病容appearedseverely/criticallyill无急性病innoacutedistressMentalstate:degreeofconsciousness,orientation定位,memory,attention,intelligence,emotionalstateinreactiontoillness.
40、神清合作alertandcooperative2 Physicaldata:temperature(oral口,axillary腋下,rectal直肠),pulse(apical心尖,adial挠骨),respiration,bloodpressure(sitting,lying),weight,height,etc.3 Skin:Color:pallor苍白,flush潮红,cyanosis紫绡,jaundice.pigmentation色素沉着(pigmented力口深,degmented丧失,discolored褪色).Texture质地:elastic弹性,moist潮湿,smooth
41、,harshorrough粗糙,tough坚韧,wrinkling起皱,atrophic萎缩,scaly鳞状,shiny光泽,glossy光滑,dry,clammy冷湿.Edema水肿,turger充盈,dehydration脱水.Eruptions疹子:hives,urticaria风疹,athlete'sfoot足癣,prurigo痒疹,drugeruption,vasculareczema水泡性湿疹,otherlesions皮损:papules丘疹,vesicles水?包,pustules脓疱,ulcers溃疡,nodules结痂,warts疣,birthmarks胎记,pete
42、chiae瘀点,ecchymosis瘀斑.Hair:axillary腋下,tanugo胎毛,whiskers胡须,moustache(上),beard(下).texture:coarse粗糙,fine细/J、,brittle碎,dry,lusterless无光泽.sparse/scant稀少,ex*sivehairiness/hypertrichosis.alopecia脱毛,distribution分布.4 Lymphnodes:size,location,sensibility,mobility活动度,consistency密度.5 Head(skull头颅andscale头皮):conf
43、iguration夕卜形,scars疤痕,hair,tenderness柔软性.6 Face:expression,symmetry对称,asymmetrical,tenderness,color.面色苍白pallor/pale/pallid二尖瓣面容mitralface满月脸moonface表情淡漠dullappearance表情激动agitatedappearance7 Eyes:Eyelid眼睑:edema,discharge,photophobia畏光,ptosis上睑下垂,lagophthalmos兔眼,blepharospasm眼睑痉挛,lacrimation流泪,widthofp
44、alpebralfissures眼睑缝隙.Sclera巩膜:jaundice,hemorrhage流血.Conjunctivae结膜:pallor,injection充血,petechiae,congestion,granulations肉芽颗粒性增生/trachoma沙眼.Cornea角膜:outline夕卜观,transparency透明,curvature弧度,sensibility,scars瘢痕,ulceration,arcussenilis老年环.Pupils瞳孑L:size,shape,regularity,equality,reactionstoLightandA.andcon
45、vergence汇聚度,accommodation适应todistance.Eyeball:nystagmus眼球,palsy麻痹,strabismus斜视,enophthalmos眼球凹陷,exophthalmos凸出.Vision:visualfieldsbyconfrontation正面视野,diplopia,visualdisturbance视觉障碍,myodesopsia飞蝇幻视.Ophthalmoscopic眼球镜检:lens,opticdisc视神经盘,reflex,hemorrhage眼底物出血,exudate渗出物.8 Ears:ExternalMiddleInternal:
46、otoscopicexamination耳镜检查,appearanceofcanalsanddrums鼓膜,perforation穿孑L,otorrhea耳漏,earwax/cerumen町聆.Auditoryacuity:watch,voice,tuningforks,andaudiometer.9 Nose:Shape,septum鼻中格:deviation偏移,perforation穿孔,turbinates鼻甲,congestion,rhinorrhea流鼻涕,rhinitis,obstruction,10 Mouth:Lips:symmetry,color,moisture,cyan
47、osis,herpes疱疹.Mucosa粘膜:color,pigmentation,ulceration溃疡.Gums:pyorrhea脓液,bleeding,gingivitis牙龈炎,swellingofgums牙龈肿胀.Tongue:color,papillary/papilla/papillatedatrophy味蕾萎缩,ulceration,deviation舌偏移,movement,coating舌苔.Teeth:edentulous无牙,numberpresent,hygienepoororgood,rootspulpitis牙髓炎,falseteeth,caries龈齿,mis
48、singteeth,dentalrepair:crowns牙冠,bridgework彳矍牙,inlay嵌贝占,filling填充.Halitosis/fetor/oris,foulorbadbreath口臭.11 Throat:Pharynx咽:palatalreflex腭反射,gagreflex张口反射,swallowing,tonsils:size,crypts隐窝,exudate渗出物.Larynx喉:characterofvoice,laryngoscopicexamination喉镜检查.12Neck:Bloodvessels:venousengorgement颈静脉怒张,abnor
49、malpulsations异常搏动,scars.Thyroid甲状腺:enlarged,bruit猫喘,thrills.Trachea气管:position,midlineordeviated偏斜,tracheotomy.Rigidity颈项强直,torticollis斜颈/wryneck歪.Cervicallymphnodes颈淋巴节:swelling肿胀,tumor.13Chestandlungs:Inspection:contour夕卜形特征:flat,bulging隆凸,depressed下陷orretracted回缩,rickets佝痿病.symmetry,degreeofexpan
50、sion,typeofrespiration:thoracic,abdominal,thoraco-abdominal;rate,depth,breast*:lactation泌孚L,nipples*,areola孚L晕,masses,scars.Percussion叩诊:kronig'sisthmus肺间叩响区峡(comparesymmetricalareas);resonance.Palpation扪诊:tactilefremitus触觉震颤Auscultation听诊:characterandintensity密度ofbreathsounds:absent消失,diminishe
51、d减弱ordepressed压抑,exaggerated,relativedurationofinspiration吸andexpiration呼,rales罗音:dry,sibilant,sonorous洪亮ormusical,moist湿罗音orbubbling水泡音,frictionrub摩擦音.Diaphragm膈:determinelevelandexcursion移动度14Heart:Inspection:P.M.I.(pointofmaximalimpulse)心尖搏动点,abnormalpulsationofretraction回缩.Palpation:locationofP.
52、M.I.,thrills震颤,pulserate,rhythm,vesselwall,etc.Percussion:rightandleftbordersofheart.Auscultation(heartsounds):intensity,loud,accentuated力口重,exaggerated过大,soft,faint微弱,diminished/decreased,absent,disappeared;M1,A2,P2,characterofcardiacrhythm,murmur杂音,time:pre-(mid-,post-)systolic收缩期,pre-(mid-,post-)
53、diastolic舒张期;location,pitch顶点,character:blowing,loud,soft,roughorharsh,clubbing杵状指,scratching擦刮声,pouring倒水声,rustling沙沙声,whistling哨声,lapping舔食声.15 Abdomen:Inspection(Naked):contour夕卜形,scars,dilatedveins静脉怒张,visibleperistalsis肠蠕动,striatecharacterofwall腹纹,abnormalpigmentation.Palpation:distension膨胀度,gu
54、rgling气过水声,eboundtenderness反弹性,tendernessincostovertebralareas肋脊角,tendernessoverMcBurney'spoint;masses:size,shape,consistency,fixedormovable;location:epigastric上月复,hypogastric下腹,hypochondriac右季肋部,oriliacregion骼部;shapeandconsistency致密度ofliver,kidney,orotherpalpableorgans:elastic,hard,dull,sharp.P
55、ercussion:shiftingdullness移动性浊音,ascites腹水,fluidwave液波,meteorism鼓胀,tympani气力,liver,spleen脾,otherdullness.16 Genitalia:Male:pubichair阴毛,developmentofexternalgenitalia,urethraldischarge,prepuce包皮,scrotum阴囊,testes/testicle睾丸,penilelesions*损伤orscars,hydrocele阴囊积液,testicularatrophyormasses,spermaticcords精
56、索,absenceorpresenceofsecondary*characteristics.Female:pelvic盆月空examination:inspectionofexternalgenitalia,vagina*,hymen处女膜intact完整ornot,introitus入口,discharge,rectocele直肠凸出,cystocele膀胱凸出.inspectionperineum会阴,cervix宫颈:color,position,lacerations撕裂伤,erosions糜烂,eversions夕卜翻.bimanualexamination双合诊ofuterus子
57、宫andadnexa附件.17 Back:curvatures,symmetry,mobility,tendernessoverspine脊柱,pelvis,andkidney.18 Extremities四肢:wasting消瘦,muscletone肌张力,masses,wounds,Upper:hands,colorandmoistureofpalms,clubbedfingers,cyanosis紫绡ofnails,jointswellingordeformity,shoulder,elbow,upperarm,forearm.Lower:mobilityordeformityofjoi
58、nts,colorandtemperatureoffeet,edema,varicoseveins下肢静脉曲张,leglength,thigh大腿,thighcircumference(upper1/3,mid1/3,lower1/3);knee,calf小腿肚子,foot(ankle,instep足弓ordorsum足背,sole足底,heel足跟).19 Neuropsychiatricexamination:Cranialnerves颅神经.Motorfunctions:weakness,palsy麻痹,hemiplegia偏瘫,paraplegia截瘫,mono-plegia单瘫,spasticity强直,flaccidity松弛,Incoordination共济失调,gaitandstation.Deeptendonreflex深腱反射:biceps,triceps,patellar,Achilles跟腱反射,Babinski,Kernig,degreeofactivity(+to+),comparerightandleft.Sensoryfunctions
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