医学英文摘要及病例.docx

CASE HISTORY （1）Patient CPR，a salesman of 35，married， was admitted on September 25，1998，complaining of anorexia and pain in RUQ for 5 days，and yellowish discoloration for 3 days. He started with a “flu-like illness” in the afternoon of September 18, 1998, during which he fell chilly, dizzy, and lack of strength, then, he was confined to bed, In the evening, his temperature was 38.6℃. He vomitted once with food previously ingested.On Sept, 19, he did’nt take his breakfast because he had a persistent nausea. He rejected all sorts of greasy food and could only eat a few table- spoonfuls of porridge with some presevered vegetable and ginger.On Sept, 20, he had no sooner vomitted out whatever he took. Meantime, he noticeed abdominal dull aching in RUQ with gaseous distension and flatus, Bowel was moved every 2～3 days with dark brown formed stools.Urine was scanty and highly colored. He was told by his wife that his eyes and skin were yellowish tinged. On Sept, 23, but since then. his appetite improved, nausea and vomiting disappeared and abdominal pain and distension alleviated.No previous history of jaundice, anorexia or general malaise. Never received blood transfusion or percutancous injection. None of the family members intimate friends, or colleagues was known to have Liver disease.Physical Examination T 37℃. P 72/min, R 20/min, BP 15/10Kpa, W.D ﹠W.N. Mentality clear and cooperative. Skin and sclerae moderately jaundiced,A suggestive spider angiome is seen in the left postauricular region. Tongue coated. No general glandular enlargement. Lungs clear. Heart normal.. Liver is palpable about 2cm below costal margin and tender, Spleen is just palpable. No shifting dullness was found. Spine and extremities are normal. Knee jerks are present.Questions: 1.What is the most possible diagnosis?2.How to treat this case?CASE HISTORY （2）Patient CJW， a farmer of 25 years old， unmarried， was admitted on November 13 2001, Complainning of persistent high fever for 20 day and mental