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Wysłany: Nie 1:42, 20 Mar 2011 Temat postu: GHD glätteisen 1 case of epidemic hemorrhagic feve |
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Misdiagnosis of 1 case of epidemic hemorrhagic fever
Fever, body temperature was measured as 39 ℃. Limbs with severe headache and joint pain catch, scoop Dan who underwent EEG examination showed Glass JCP reduce pain, but the whole body appears swollen commitments. Feces less, 24 less than the amount of 300 ml of feces, blood pressure 26/14kPa, vomit frequently, the stomach contents Park, Qing Ke. Malaria with bloodshot eyes, Lu conventional laboratory: protein (++), red blood cells spread fHP. Target cells 2 ~ 3fHP, feces nitrogen curtain l2. O8mmol / L. Muscle unitary F497.2mol / L, 3 in the future of Past physical health, a history and family history of the flag is no special record. Physical examination: f # Temperature 36. S Results ball swollen waist ball, g blood. Sa bleeding points scattered over the palate, the neck is, to see abnormal heart and lung, abdominal swelling to take, bearing in mind the liver and spleen Wo touch, mobility, sobbing sound positive. No call-tooth pain kidney area. Edema of both lower extremities that concave, left Pakistan Torr stoneware of suspicious symptoms. Blood: hemoglobin 130g / L, since the cells 160 × l0. / L, neutrophils 0.84, lymphocytes 0.16, blood 0, plate 173 ~ 10. JL, summarized the blood on the Q 3, the bleeding with 1. Urine: protein (+++), RBC distribution / HP. WBC 1-3/HP, feces dagger weight 1.00g, the original screen chlorine l8.42mmol / L, 1 ji anhydride 550.1mol / L,[link widoczny dla zalogowanych], potassium 5.1mmo1, L, sodium 134mmo1 / L, Cl 105mmo1] L, total protein 51.3g / L, A hanging from 31.2g / L. Arterial blood gas analysis: PH735, PCO232.4mmHg, PO85.2mmFlg, HCO ~ 175mmolfL, normal ECG prince Yu, B Kun Fun show, especially with diffuse renal changes in growth, the hospital diagnosis: acute renal no barrier of unknown origin. RA hospital epidemic hemorrhagic fever first blood cell antibodies 3,[link widoczny dla zalogowanych],10 investigation, the results do not ship to l: 40 (weakly positive). 1:160 (strong positive). Diagnosis of epidemic hemorrhagic fever. Disease reported, according to instructions from soil characteristics | symptomatic treatment accounted for 1.5 to adjoin October. Step through the feces of patients on the safety barrier,[link widoczny dla zalogowanych], more feces of, discussion of epidemic hemorrhagic fever discharged draining right foot by hemorrhagic fever virus-induced foci of self-heating rate of sexually transmitted diseases, rodents are the main source of infection, Chang common sense class. Multi-satellite side of sporadic disease,[link widoczny dla zalogowanych], may also have local outbreaks, amidine seasonal epidemics, but may be distributed throughout the year. The typical course of five phases: febrile period of hypotension Link, oliguria, multi-ball stage, recovery in some patients the body without the blood pressure and direct progress grams of cut of the disease clinical manifestations of complex. Particularly the early onset of symptoms is not typical, if lack of knowledge of the lame. Misdiagnosis grind, death was mistakenly inverted once slander as viral encephalitis. Analysis of error saying: 1, lack of vigilance of this disease; shoot see the disease, patient characteristics of the emergency is not obvious in the dissemination of the epidemic fell ill and difficult to think of the disease. Especially in the early onset. Yu will be classified as a common disease of the disease, and lack of police on the epidemic hemorrhagic fever have sex, resulting in misdiagnosis 2, the lack of understanding of the clinical characteristics of disease rates, narrow thinking: experience fever cases have severe pain when you were thinking who Fu said that the edge of EEG state alone, to rush to slander as viral encephalitis, even if there is inconsistent with the diagnosis of edema, short-tailed bird eggs Lu 『(++). step rhino Failed to pay attention to it, NI does not recognize the emergence of renal barrier, without disyllables its due. If the clinical experience,[link widoczny dla zalogowanych], patients have sufficient knowledge of cars, Wei will be thinking youth of the limbs, joints tick, hemoptysis, drunken appearance, sticky back bleeding, edema, and fever were the most comprehensive audio and associated pain, Dan analysis. Hit song alert may think of the disease exist, send tied by the blood of antibodies that can be done once the heat of the diagnosis. Therefore, the Pro bundles in any case where there is fever, headache, disability associated with eye pain, low back pain (pain in India c). Patients with limb joint fine, if combined with a drunk on the skin membrane bleeding straw to be a high police presence collapse of epidemic hemorrhagic fever.
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