消化英文交班

1、a femalewasabdominalpainfor6months，aggravated withfeverfor3a femalewasabdominalpainfor6months，aggravated withfeverfor3Historyofpresent6 months ago, the d middle and upper abdominal withoutanobviouscause.Thepainwasparoxysmal,绞痛andradiatedtheback，withnauseaandvomiting。Shevomitedgastriccontents。hadnofe

2、ver,nochills,no colorchangeinurineandeyes，nochestno dyspnea, no acid ion, no belching, no diarrhea, no melenaThe patient went to local hospital when thepain wasnt ved after4-hoursThe abdominal ultrasound showe“choledocholith（repor was seen。She was given antibiotics and fluid support, and the pain ve

3、d5 months ago，the pain appeared again，similar to ved after same treatment in local hospital。3 days ago，the againwithurineskin eyes，and wasnt ved after same treatment in local hospital。highest temperature was 39.5 centigrade。For further diagnosis treatmentthe patient went to our hospitalThe abdominal

4、 ultrasound showed “lower is，cholecystitis，胆壁多发结晶，fatty liver”。The patient was hospitalized and with PastBileiongastritisfor2yearsReceivingovidduct阻断术15yearsago. No. Noheartdisease.Nodiabetes. Nodrugfood al history and family history have no .PhysicalVitalBileiongastritisfor2yearsReceivingovidduct阻断

5、术15yearsago. No. Noheartdisease.Nodiabetes. Nodrugfood al history and family history have no .PhysicalVital signs: Temperature centigrade; 77 beats per Respirations 18 breaths minute; Blood re 127/64 General: Alert, mild skin sclera icterus, cyanosis, no lymphadenopathy, no jugular venous , no palpa

6、ble llymphadenopathy.noerangiomaora.gsareclear,norales.Heartrhythmisregular,noAbdomen: Whole abdomen mild 膨隆, with mild hepatomegaly . there is an operation scar on lower abdomenMurphyssignwasnegative.Theshiftdullnesswasis，cholecystitis，胆囊壁多发结晶fatty liver”A 61y old female suffered from recurrent upp

7、er abdominal pain for monthsAndthepainA 61y old female suffered from recurrent upper abdominal pain for monthsAndthepainaggravatedwithfeverfor3daysPhysicalrevealedmildtendernessonupperabdomen，noreboundtendernessMurphys sign was Abdominal ultrasound showed choledocholithiasis, liver，胆壁多发结晶”:fattyovid duct阻断术Treatment 1.Furtherexaminatio