英文病例分析-Abdominal-Pain

AbdominalPain—ACaseReportGeneralInformationAge:48-year-oldSex:MaleOccupation:StuffmemberRecurrentabdominalpainforeightmonthsFirsttime2015.04.11PresentIllnessAlcoholAbdominalpian+Fever+NauseaPhysicalExaminationPressingpainandpercussionpaininmiddle-upperabdomen.Past&personal&familyhistorieswerenospiecal.Firsttime2015.04.11WBC12*109/LNEUT%84%hs-CRP90.4mg/LAlb41.2g/LStoolroutineandOB,electrolytesandsoon:negativeLaboratoryFindingsFirsttime2015.04.11Diagnosis&Treatment&OutcomeGastritisGastricandcolorectalpolypsPPICefmetazoleAPCAbdominalpainreliefRefuseSecondtime2015.05.18PhysicalExaminationPressingpaininmiddle-upperabdomen.WBC11.8*109/LNEUT%86.1%hs-CRP28.8mg/LBariumradiography:negativeChiefcomplaintUpperandmiddleabdominalpainforfourdays.Thirdtime2015.07.12ChiefcomplaintAbdominalpainforfourmonths,relapsedfortwodays.PhysicalExaminationT36.8-38.4℃Pressingpainaroundthenavel,noreboundtenderness,nomusculartension.Thirdtime2015.07.12WBC14.8*109/LNEUT%87.1%hs-CRP63.8mg/LESR15mm/HAlb37.9g/LTumormarker,PPD,chestradiography,gastroscope,colonoscopy,stoolroutineandOB:negativeLaboratoryFindingssupportopposeAbdominalpainFeverWeightlossIntestinalulcersEnlargedlymphnodesHistoryofTBChestradiographyESRPPDsupportopposeAlongdiseasecourseOnsethiddenAbdominalpainFeverWeightlossIntestinalulcersEnlargedlymphnodesNodiarrheaStoolroutine(-)Bariummeal(-)Colonoscopy(-)Incompleteintestinalobstruction,leukocyteandCRPForthtime2015.09.17ChiefcomplaintRecurrentabdominalpainforsixmonths,relapsedforthreedays.PhysicalExaminationPressingpaininmiddle-upperbelly,noreboundtenderness,nomusculartension.Fouthtime2015.09.17WBC13.8*109/LNEUT%84.5%hs-CRP54.1mg/LESR15mm/HAlb43.4g/LRadiography,stoolroutineandOB,tumormarker:negativeLaboratoryFindingsMesalazine1g,fourtimesperdayOutpatientfollow-up2015.11.12SymptomThepatientdidnotcomplaintaboutabdominalpain.SignAbdominalphysicalexaminationfoundnopositivesigns.LabtestsHemogramandCRPreturnedtonormal.AbdominalCTRequiredtodotwomonthslater.2015.032015.11Similarity:Abdominalpainfever(lowtomiddlelevel),weightloss(2.5kg)AbdominalCT(enlargedlymphnodesbowelwallthickening)Capsuleendoscope(smallintestinalulcers)WBCNEUT%hs-CRPSummaryTuberclusis?Corhn'sdisease?GastritisPolypsGastritisCorhn'sdisease??2015.032015.11SummaryTuberclusis?Corhn'sdisease?GastritisPolypsGastritisCorhn'sdisease??Lack…MesalazineeffectSymptomreliefInflammatoryindicatorsreduce√RemissionevidenceofCTandendoscopyPathologyImmunityantibodytest