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xxmale52yPrimarydiagnosis：type2diabetesmellitusChiefcomplaint:detectionofglucosehighofmorethan10years,polydipsiaandpolyuria,lackofpowerformorethanhalfyearAuxiliaryexamination:anormalelectrocardiogram.Glycated['ɡlaikeit]hemoglobin[,hiːməʊ'ɡləʊbɪn]:9%.routineurinalysis15mmol/L.FBG(fastingblood-glucose)：glucose+++（plussign）.Ketonebodiesandurineproteinarenegative(August25th)Treatment:1controldiet,adequateexercise,monitoringofbloodglucose2toimprovetherelevantexaminationintheassessmentofpancreaticendocrinefunctionandcomplicationsofdiabetes3accordingtothelevelsofbloodglucoseandcheckresultsofadjustmentnextplan.xxx,female,75y.Primarydiagnosis：severeosteoporosis.Chiefcomplaint：Bodypainformorethanoneyear,aggravatedfortwomonths.Hypertension2(mediumriskgroup),chronicnephritis.Auxiliaryexamination：NoTreatment:Improvetherelevantchecks；addedcalcium,vitaminDandbisphosphonates,；calcitoninapplications,；symptomaticandsupportivetreatment,；hygieneeducation。xxx，male，24-year-oldPrimarydiagnosis：Lowgonadotropingonadaldysgenesis低促性腺激素性性腺发育不良Chiefcomplaint：shortpenisandscrotumemptyfor20yearsAuxiliaryexamination：Nocracking,nobeard,pubichair,armpithairTreatment:Improvetherelevantchecks,；hormonereplacementtherapy；hygieneeducation。xxxfemale，50yearsoldPrimarydiagnosis：1.Goiter,2.Rheumatoidarthritis,3.cerebralvasospasmChiefcomplaint：Shouldersbackpainpersistsmorethan3monthAuxiliaryexamination：NoTreatment:1Routinemedicalcare,2payattentiontorest,detectsvitalsigns;3reviewthebloodroutine,thyroidfunction,liverfunction;3.Strengthensupporttreatment;4.Improvetherelatedauxiliaryexaminationxxxfemale55y.Primarydiagnosis：DiabeteswithperipheralneuropathyChiefcomplaint：Thirsty,polydipsia,diuresisfor8years.Withfeetnumbnessfor1yearandmuscleweaknessfor8months;Aggravatefor3months。Auxiliaryexamination:noTreatment:Afteradmissiondobloodroutine、urearoutine,what'smoredoelectrolyteinspectiontoEliminateketosisandthepossibilityofhighpermeability.