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1、整理有關英文病例的寫作，提供大家查考：一、主要調查項目：1.主訴chiefcomplaint：weakness,malaise,chills,fever,sleep,pain,headache,appetite,weight,stomachandbowels,nauseaandvomiting,diarrhea,urine,genitalia,neuropsychiatricdisorders,respiration,shortnessofbreath,bleedingordischarge,etc.2.現(xiàn)癥歷presentillness：onset(date,mode),dura
2、tionbeforepresententry,excitingcauseandenvironmentalinfluences,prodromalsymptoms,generalsymptoms,courseorprogress(location,duration,severity,continuity,intermission,radiation,treatment),aggravatingandalleviatingfactors,lossofweight,appetiteandstrength,sleep,bowelmovement,frequencyofurination,m
3、enstruation,etc.3.既往歷pasthistory：1)formerplacesofresidence,previousstageofhealth(健壯的robust，纖弱的delicate),experiencewithsimilardisease,immunitytoinfectiousdisease2)previousillness：麻疹measles,腮腺炎mumps,水痘chicken-pox,百日咳pertussis,流行性感冒influenza,猩紅熱scarletfever,白喉diphtheria，傷寒typhoidfever,支氣管炎bronchi
4、tis,肺炎pneumonia，腦炎encephalitis,腦膜炎meningitis，破傷風tetanus,小兒麻痹poliomyelitis,赤痢dysentery，霍亂cholera,胸膜炎pleurisy,天花small-pox，瘧疾malaria,結核病tuberculosis，黃疸病jaundice，過敏性反應allergy,etc3)venerealdisease：specificsymptoms,signs,andthediseasebyname,treatment.4)Accidents(date,anydisability,sequelae),operatio
5、nandhospitalization(date,procedure,nameofhospital,physician,complications,bleedingtendency)4.家族歷familyhistory：familytendency,presenceofhereditarydisorders,cancer,tuberculosis,mentaldisorderandnervousaffection,rheumatism,diabetes,hypertension,cerebralvascularaccident,hemophilia,syphilis,tumor,e
6、pilespsy,allergy,contactwithdiseasedindividuals,relationshipofpatient'schildhoodandadultlife,age,healthcondition,andcauseofdeathofparents,grandparents,self,spouse,siblings,orrelatives.5.個人歷personalhistory：1)Socialhistory：fears,metalstatus,education,financialcondition,numberofdependents,familyh
7、armonyorfractious,hygienicconditionathome2)Maritalhistory：durationofmarriage,1stor2ndmarriage,ageanddeathofspouseandchildren,causeandageattimeofdeath,numberofchildren,pregnancies,流產次數miscarriages,死產數stillbirths3)occupationalhistory：dura
