英文大病例写作示例
医学病例报告英语作文
医学病例报告英语作文Title: Medical Case Report: Management of Chronic Hypertension in a Middle-aged Female Patient。
Abstract:This case report discusses the presentation, diagnosis, and management of chronic hypertension in a middle-aged female patient. The patient, Mrs. X, presented with a history of hypertension and was experiencing persistent elevated blood pressure despite lifestyle modifications and medication adherence. Through a comprehensive assessment, including medical history, physical examination, and diagnostic tests, the patient was diagnosed with chronic hypertension. The management approach involved pharmacological intervention, lifestyle modifications, and regular monitoring. This case highlights the importance of tailored treatment strategies and multidisciplinary care in managing chronic hypertension effectively.Introduction:Chronic hypertension, characterized by persistently elevated blood pressure levels, is a significant public health concern globally. It predisposes individuals to various cardiovascular complications, including stroke, heart failure, and renal dysfunction. This case report focuses on the management of chronic hypertension in a middle-aged female patient, emphasizing the importance of individualized treatment plans to achieve optimal blood pressure control and reduce the risk of associated complications.Case Presentation:Mrs. X, a 55-year-old female, presented to the clinic with a chief complaint of persistently elevated blood pressure readings despite adherence to antihypertensive medication. She reported a history of hypertension for the past ten years and a family history of cardiovascular diseases. On physical examination, her blood pressure was consistently elevated, averaging around 160/100 mmHgdespite being on a combination therapy of angiotensin-converting enzyme (ACE) inhibitor and diuretic.Diagnostic Assessment:Given the patient's history and physical examination findings, further diagnostic workup was pursued to assess the extent of target organ damage and potential secondary causes of hypertension. Laboratory investigations,including renal function tests, lipid profile, and electrolyte levels, were within normal limits. An electrocardiogram (ECG) revealed left ventricular hypertrophy, indicative of long-standing hypertension. Additionally, a renal ultrasound ruled out renal artery stenosis as a secondary cause of hypertension.Diagnosis:Based on the clinical presentation, diagnostic findings, and exclusion of secondary causes, Mrs. X was diagnosedwith chronic primary hypertension. The diagnosis was supported by her longstanding history of hypertension,family history of cardiovascular diseases, and evidence of target organ damage on ECG.Management:The management approach for Mrs. X's chronic hypertension involved a combination of pharmacological therapy and lifestyle modifications. Considering her persistent elevation in blood pressure despite the current medication regimen, the treatment plan was adjusted. A calcium channel blocker (amlodipine) was added to her existing therapy to achieve better blood pressure control. Furthermore, Mrs. X was counseled on dietary modifications, including a low-sodium diet and increased consumption of fruits and vegetables. She was also encouraged to engage in regular physical activity and weight management.Follow-up and Monitoring:Mrs. X was scheduled for regular follow-up visits to monitor her blood pressure response to the adjusted treatment regimen and assess for any adverse effects ofmedication. Additionally, she was advised to monitor her blood pressure at home using a digital blood pressure monitor and maintain a record for review during follow-up visits. Laboratory investigations, including renal function tests and electrolyte levels, were scheduled periodically to monitor for potential medication-related complications.Outcome:With the adjusted treatment regimen and adherence to lifestyle modifications, Mrs. X demonstrated significant improvement in blood pressure control. Subsequent follow-up visits showed a gradual reduction in her blood pressure readings, with values consistently below 140/90 mmHg. Repeat ECG performed six months later showed regression of left ventricular hypertrophy, indicating improvement in cardiac function. Mrs. X reported improved quality of life and compliance with the treatment plan.Discussion:This case illustrates the challenges encountered inmanaging chronic hypertension, particularly in patientswith resistant hypertension despite medication adherence.It underscores the importance of a comprehensive diagnostic approach to identify underlying causes and assess target organ damage. Individualized treatment strategies,including pharmacological therapy tailored to the patient's needs and preferences, are essential in achieving optimal blood pressure control. Furthermore, lifestylemodifications play a crucial role in hypertension management and should be integrated into the treatment plan. Multidisciplinary collaboration involving physicians, nurses, pharmacists, and allied healthcare professionals is vital in providing holistic care to patients with chronic hypertension.Conclusion:Effective management of chronic hypertension requires a multidimensional approach involving pharmacological therapy, lifestyle modifications, and regular monitoring. This case report highlights the successful management of chronic hypertension in a middle-aged female patient throughtailored treatment strategies and collaborative care. By addressing individual patient needs and optimizing blood pressure control, healthcare providers can mitigate the risk of cardiovascular complications and improve patient outcomes in individuals with chronic hypertension.。
病历汇报英文演讲稿范文
Good morning. Today, I am honored to present a case report on a patient who recently visited our medical facility. This case highlights a complex medical condition that required a multidisciplinary approach for diagnosis and treatment. I will discuss the patient's history, physical examination findings, laboratory and imaging results, and the subsequent management plan.Patient Information:- Name: John Smith- Age: 45 years- Gender: Male- Date of admission: March 15, 2023- Date of discharge: March 30, 2023Medical History:John Smith presented to our emergency department with a chief complaint of progressive shortness of breath and fatigue over the past two weeks. He reported a history of hypertension and type 2 diabetes mellitus,which were well-controlled on medication. He denied any recent illnesses, fever, cough, or weight loss.Physical Examination:On admission, Mr. Smith was found to have a blood pressure of 160/95 mmHg, heart rate of 110 bpm, respiratory rate of 22 breaths per minute, and tempera ture of 37.2°C. His general appearance was anxious, and he had significant edema in both lower extremities. Cardiovascular examination revealed a grade II/VI systolic ejection murmur at the left sternal border, and pulmonary examination was notable for bilateral wheezing and rales.Laboratory and Imaging Results:- Complete blood count (CBC): Mild anemia with hemoglobin of 10.2 g/dL, white blood cell count of 12,000/µL, and platelet count of 150,000/µL.- Electrolytes, renal function tests, and liver function tests were within normal limits.- Serologic tests for HIV, hepatitis B, and hepatitis C were negative.- Chest X-ray: Bilateral pulmonary edema and cardiomegaly.- Echocardiogram: Severe left ventricular dysfunction with an ejection fraction of 25%.- CT scan of the chest: Pulmonary embolism involving the left main pulmonary artery.Diagnosis:Based on the clinical presentation, laboratory findings, and imaging results, the patient was diagnosed with acute pulmonary embolism (PE) with secondary pulmonary hypertension and left ventricular dysfunction.Management Plan:- Anticoagulation therapy with heparin and apixaban was initiated to prevent further thromboembolic events.- Mechanical ventilation was required due to severe respiratory distress.- Inotropic support was provided to manage hypotension and improve cardiac output.- Treatment for secondary pulmonary hypertension included diuretics, nitrates, and inhaled bronchodilators.- Antibiotics were prescribed for a suspected lower respiratory tract infection.- The patient was also started on a low-sodium diet and received education on fluid management.Outcome:After a week of intensive care, Mr. Smith's clinical status improved significantly. His respiratory distress resolved, and he was able to beweaned off mechanical ventilation. His blood pressure stabilized, and the inotropic support was discontinued. By the time of discharge, his ejection fraction had improved to 30%, and he was discharged on apixaban and hydrochlorothiazide to manage his hypertension and diabetes.Conclusion:This case report illustrates the importance of early diagnosis and treatment of pulmonary embolism, which can be a life-threatening condition. The multidisciplinary approach, including emergency medicine, cardiology, pulmonology, and critical care, was crucial in managing this complex case. Mr. Smith's recovery demonstrates the potential for successful outcomes with appropriate medical intervention.Thank you for your attention, and I would be happy to answer any questions you may have.。
病例报告英文范文医护英语
病例报告英文范文医护英语English:The patient, a 45-year-old male, presented to the emergency department complaining of severe chest pain radiating to his left arm and shortness of breath. On examination, his blood pressure was 180/110 mmHg, heart rate 110 bpm, and oxygen saturation 92% on room air. ECG revealed ST-segment elevation in leads II, III, and aVF, consistent with an inferior myocardial infarction. He was promptly started on aspirin, clopidogrel, and sublingual nitroglycerin. Intravenous morphine was administered for pain relief. He was transferred to the coronary care unit for further management, where he underwent emergent coronary angiography showing complete occlusion of the right coronary artery. Percutaneous coronary intervention (PCI) was performed, resulting in successful revascularization. The patient's symptoms improved, and he was discharged home with instructions for cardiac rehabilitation and secondary prevention measures, including dual antiplatelet therapy, statin, beta-blocker, and angiotensin-converting enzyme inhibitor therapy.Translated content:患者为45岁男性，就诊于急诊科，主诉严重胸痛放射至左臂，呼吸急促。
英文病例汇报实用句型
英文病例汇报实用句型1. 一般情况（完全套话）Mr./Ms. **(family name), a **(age) year-old **(profession), was admitted on**(admission date).2. 病史He complains that...He complains of one-month history of palpitation and short of breathness after exertion.He complained about epigastric pain which has lasted for 3 months.He noticed a hardened lump on the left neck 3 months ago.Pancytopenia was found a month ago.He presented with dyspnea since 10 days ago.His chief complaint was ...既往诊疗~~~~~~~~He was confirmed as / definitely diagnosed as ...(确诊为)To make a definite diagnosis, bone marrow aspiration was performed.He was suspected as...(疑似)The discomfort tended to worsening, which urged him to seek for medical care.He has been given 3 cycles of DA regimen for chemotherapy and complete remission was achieved only after the first cycle.He was given the thyroidectomy of the left lobe in local hospital.He was treated with antibiotics (details unknown), which didn't take effect as expected.The general condition is good at present.He was pain free now and hemodynamically stable.3. 查体Nothing noteworthy was found in the physical examination.There was nothing remarkable in the physical examination except for…The physical examination was otherwise normal except that…（上点小菜~~~血液科常见体征）皮肤粘膜generalized pallor，scattered petechiae，oral mucosal hematoma淋巴结enlarged lymph nodes头部yellow eyes (yellow-stained sclera)胸部tenderness in sternum，coarse breath sound, cardiac murmur, arrhythmia腹部enlargement of liver，splenomegaly4．辅助检查The laboratory findings suggested/indicated/demonstrated/showed that…Bone marrow film was performed, which confirmed the diagnosis of ALL.The results of blood routine showed that WBC count was 4,000 /cm3, while NEU count 2,500/cm3, hemoglobin 100 g/L, PLT count 100,000 /cm3.(/cm3 is pronounced as per cubic millimeter)Chest CT scan supported the diagnosis of NHL.Welcome To Download !!!欢迎您的下载，资料仅供参考！。
英文病例写作范文阅读带翻译
英文病例写作范文阅读带翻译病例写作是医生日常的工作，英文的病例该如何写呢，接下来店铺为大家整理英文病例写作范文，希望对你有帮助哦!英文病例写作范文篇一Name: Joe Bloggs (姓名：乔。
伯劳格斯)Date: 1st January 2000(日期：2000年1月1日)Time: 0720(时间：7时20分)Place: A&E(地点：事故与急诊登记处)Age: 47 years(年龄：47岁)Sex: male(性别：男)Occupation: HGV(heavy goods vehicle ) driver(职业：大型货运卡车司机)PC(presenting complaint)(主诉)4-hour crushing retrosternal chest pain(胸骨后压榨性疼痛4小时)HPC(history of presenting complaint)(现病史)Onset: 4 hours of “crushing tight” retrosternal chest pain, radiating to neck and both arms, gradual onset over 5-10 minutes.(起病特征：胸骨后压榨性疼痛4小时，向颈与双臂放射，5-10分钟内渐起病)Duration: persistent since onset(间期：发病起持续至今)Severe: “worst pain ever had”(严重性：“从未痛得如此厉害过)Relieving/exacerbating factors缓解与恶化因素GTN(glyceryl trinitrate) provided no relief although normally relieves pain in minutes, no other relieving/exacerbating factors.(硝酸甘油平时能在数分钟内缓解疼痛，但本次无效，无其它缓解和恶化因素。
英文病例范文
英文病例范文(中英文版)English Sample Medical Case:John Doe, a 35-year-old male, presented to the emergency department with a chief complaint of severe abdominal pain. The pain started suddenly two hours prior to his arrival and was described as sharp and radiating to his back. Upon examination, his vital signs were stable, but he appeared pale and diaphoretic. The abdomen was tender to palpation, particularly in the upper right quadrant. Laboratory investigations revealed an elevated white blood cell count and increased liver function tests. A diagnosis of acute cholecystitis was suspected, and an ultrasound was ordered to confirm the presence of gallstones.张三，35岁男性，因剧烈腹痛到急诊科就诊。
疼痛在就诊前两小时突然开始，表现为尖锐并向背部放射。
检查时，他的生命体征稳定，但面色苍白且出汗。
腹部触诊时，尤其右上象限区域明显疼痛。
实验室检查显示白细胞计数升高和肝功能测试异常。
英语作文一段病人报告
As an English teacher,I would like to provide you with a detailed example of a patient report written in English.Here is a sample paragraph that you can use as a reference:Upon my visit to the clinic today,I was greeted by the receptionist who promptly attended to my registration.After a brief wait,I was called into the consultation room where I met with Dr.Smith.I began by explaining my symptoms,which included a persistent cough,mild fever,and general fatigue over the past week.Dr.Smith attentively listened to my description and proceeded to conduct a thorough physical examination.He used a stethoscope to listen to my chest and checked my blood pressure,which was slightly elevated at140/90mmHg.Following the examination,Dr.Smith suggested that I undergo a chest Xray and a complete blood count CBC to rule out any potential respiratory infections or other underlying conditions.He also recommended a course of antibiotics and advised me to stay hydrated and get plenty of rest.I was provided with a prescription for the medication and was scheduled for a followup appointment in a weeks time to monitor my progress and discuss the results of the tests.Throughout the consultation,Dr.Smith was professional,empathetic,and informative, ensuring that I understood the possible causes of my symptoms and the importance of adhering to the prescribed treatment plan.I left the clinic feeling reassured and confident in the care I received.This paragraph provides a comprehensive account of a patients visit to a clinic,including the symptoms experienced,the examination process,the tests recommended,and the treatment plan provided by the doctor.It also highlights the patients feelings and the doctors approach to the consultation.。
英文病例模版
discharges were found invetibulum nasi. Septum nasi was in midline. No
nares flaring. No tenderness in nasal sinuses.
Superficial lymph nodes：Superficial lymph nodes were not found enlarged.
Head:Cranium:Hair was black and white, well distributed.No deformities. No scars.No pain when we press on. No masses.No tenderness.
Kinetic system:No history of joint pain, numbness,red and swollen,
metallaxis,myalgia or myophagism.
Neural system:No history of long-term headache,dizziness and vertigo,
atage 46.
Marital history：She’s marriedat 28,her husband is heslth,and the relationship
between them were concord.
Childbearing history：G4P2,induced abortion twice,natural labourtwice,and they are heathy.
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英文大病例写作示例
撰写大病例是实习医师与住院医师的日常工作，也是上级医师作进一步诊断治疗的原始依据，国外的英文大病例并无统一格式，但是基本内容大致相仿，本节介绍的许多医疗记录的词汇值得借鉴。
Details个人资料
Name: Joe Bloggs（姓名：乔。
伯劳格斯）
Date: 1st January 2000（日期：2000年1月1日）
Time: 0720（时间：7时20分）
Place: A&E（地点：事故与急诊登记处）
Age: 47 years（年龄：47岁）
Sex: male（性别：男）
Occupation: HGV（heavy goods vehicle ）driver（职业：大型货运卡车司机）
PC（presenting complaint）（主诉）
4-hour crushing retrosternal chest pain（胸骨后压榨性疼痛４小时）HPC（history of presenting complaint）（现病史）
Onset: 4 hours of “crushing tight” retrostern al chest pain，radiating to neck and both arms，gradual onset over 5-10 minutes.（起病特征：胸骨后压榨性疼痛４小时，向颈与双臂放，
5-10分钟内渐起病）
Duration: persistent since onset（间期：发病起持续至今）
Severe: “worst pain ever had”（严重性：“从未痛得如此厉害过）
Relieving/exacerbating factors缓解与恶化因素
GTN（glyceryl trinitrate）provided no relief although normally relieves pain in minutes，no other relieving/exacerbating factors.（硝酸甘油平时能在数分钟内缓解疼痛，但本次无效，无其它缓解和恶化因素。
）Associated symptoms相关症状
Nausea，vomiting×2，sweating，dizzy（恶心、呕吐2次、出汗、眩晕）
1997:external chest tightness and dyspnea initially controlled atenolol.
1997年：出现胸外疼痛与呼吸困难，最终经服atenolol控制。
4/12 symptoms worse，exercise tolerance 200 yards on flat，limited by chest pain
4月12日，症状加重，受胸痛限制，仅耐受平地行走200码
No rest pain，no orthopnoea，no PND
无静息时疼痛，无端坐呼吸、无阵发性夜间呼吸困难
Risk factors危险因素
Hypertension-no高血压：无
Smoking-20 cigarettes per day for 16 years吸烟：16年来每天20支
Diabetes-no糖尿病：无
Cholesterol-never checked胆固醇：未查
Ischemic heart disease-angina，previous MI缺血性心脏病：心绞痛、有心肌梗死病史
PMH（past medical history）过去史
1963: appendectomy1963年：阑尾切除手术
1972: duodenal ulcer，no symptoms since1972年：十二指肠溃疡，之后无症状
1986: myocardial infarction，full recovery / No subsequent investigation1986年：
心肌梗死，完全恢复，无随访
1989: gout quiescent on treatment1989年：痛风治疗期间症状静止No diabetes，hypertension，rheumatic heart disease，tuberculosis，epilepsy，asthma，jaundice，cerebrovascular disease.无糖尿病、高血压、风湿性心脏病、结核病、癫痫、哮喘、黄疸、脑血管疾病S/E（systems inquiry）系统回顾
General 一般情况
Fatigue lately，appetite unchanged，weight stable，no sweats or pruritus，sleeping well
最近有疲劳感，食欲无改变，体重稳定，无出汗或骚痒，睡眠佳。
RS呼吸系统
Dyspnea on exertion，particularly uphill，but not limiting；no cough sputum/wheeze
劳累时呼吸困难，上坡尤其如此，但无呼吸限制，无咳嗽咳痰、哮喘。
GIT gastrointestinal tract胃肠道
No current indigestion现无消化不良。
No symptoms lile previous duodenal ulcer过去无十二指肠溃疡症状。
No vomiting/dysphagia/abdominal pain无呕吐、吞咽困难、腹部疼痛。
GUS genitourinary system生殖泌尿道
No urinary systems无泌尿道症状。
NS神经系统
No headache/syncope无头痛、晕厥。
No dizziness/limb weakness/sensory loss无眩晕、肢体麻木、感觉丧失。
No disturberd bision/hearing/smell/speech无视觉、听力、味觉、嗅觉、语言障碍。
MS运动系统
No painful gout for 5 years无痛性痛风5年。
No joint pain/stiffness/swelling无关节痛、僵硬、肿胀。
No disability无伤残。
Skin皮肤
No rash/pruritus/bruising无皮疹、瘙痒、青肿。
Drug history药物史
Atenolol 100 mg once daily（Atenolol100mg每天1次）
GTN as required需要服用硝酸甘油。
Not taking aspirin无服用过阿斯匹林。
Allergies: penicillin-skin rash过敏反应：青霉素――皮疹。
FH（family history）家族史
Father died of “heart attack” at age 53.
父亲53岁死于“心脏病”。
Mother died of old age at 76.
母亲于76岁去世。
SH（social history）社会史
Lives with wife who fit and well.妻子健在，与其共同生活。
Own house私宅。
Completely independent生活全部自理。
Smoking 20 cigs/day for many years多年每天抽烟20支。
Alcohol: 24 units per week饮酒：每周24个单位。
Sexual history: not appropriate性生活：未评价。
Overseas travel: not appropriate海外旅游：未评价。
Pets: not appropriate宠物：未评价。
Occupation: heavy goods vehicle driver职业：大型货车卡车司机。
O/E（on examination）体检结果
General 一般情况
Unwell，sweaty，clammy，no cyanosis/jaundice
一般情况不佳，出汗、皮肤湿冷，无青紫、黄疸。
temperature: 37.5℃
体温37.5℃。
cigarette-stained fingers
烟熏手指。
no arcus / xanthomas / xanthelasma
无老人弓环、黄瘤、黄斑瘤。
CVS心血管系统
Pluse 104 bpm regular，normal character
脉搏每分钟104次，规则，心音正常。
BP110/70 mmHg （right），112/74 mmHg （left）
血压110/70 mmHg右，112/74 mmHg左。
JVP（jugular venous pulse）normal
颈静脉博动正常。
No precordial scars /chest deformities
无心前区疤痕、胸廓畸形。
Apex beat displaced to anterior axillary’s line 6th intercostals space
心尖博动向腋前线第6肋间移位。
No parasternal heave /thrills
无胸骨旁隆起、震颤。
Auscultation: heart sounds normal，but soft pan systolic murmur at apex radiating to axilla。