2. 題號 性別、年齡 主 述 診 斷 CASE有圖片,請
打勾(V)
是本人照顧,請打勾(V)
CASE 1. 41 y/o male; Dyspnea in 2 days. (V) ( )
Acute myopericarditis
CASE 2. 44 y/o Male ; Suddenly onset abdominal pain (V) (V)
Acute pancreatitis with acute respiratory failure
CASE 3. 44 y/o male ; Progress shortness of breath for 1 week (V) (V)
1. Pulmonary tuberculosis with cavitation
2. Acute respiratory distress syndrome
CASE 4. 66 y/o female ; general weakness for 5 days (V) (V)
Hyponatremia
CASE 5. 56 y/o female ; Fever up to 40’C with chills for 1 day (V) ( )
Infective endocarditis of mitral valve, Staphylococcus aureus(MRSA)
CASE 6. The 57-year-old female ; consciousness disturbance and fever for 1 day (V) ( )
Type II diabetes mellitus with hyperglycemic hyperosmolar state
3. Case 2
44 y/o Male with Suddenly onset abdominal pain
4. CASE 2. 病例摘要
主訴:
Suddenly onset abdominal pain
簡單病史:
This 44-year-old man had a past history of acute appendicitis s/p appendectomy. He was suddenly onset abdominal pain
since 2017/05/04. After medical treatment, the symptom was not subsided. Thus, he was brought to our ER for help on
2017/05/11 where increased lipase, leukocytosis, hypocalcemia and tachycardia was noted. he denied nausea/vomiting,
fever, and body weight loss. NPO, IV hydration, antibiotic treatment with flumarin were given. Abdominal echo related
fatty liver, moderate, ascites and pleural effusion on 05/12. As the diagnosis of acute pancreatitis, he was admitted for
further evaluation and treatment.
5. Chief Complaint
Sudden onset abdominal pain since 2017/05/04
Diened nausea/vomiting, No body weight loss
Past history
Drinking (+) Sorghum, social
Acute appendicitis s/p appendectomy
5
Patient