残暴 发表于 2025-3-23 12:25:14
Hemoptysis, Cough, and Weight Lossick contacts. However, he notes a 20-pound weight loss in the last 3 months and feeling more fatigued. He has a 40-pack-year smoking history. He previously worked as a welder in a shipyard for 30 years before retiring 5 years ago. His past medical history only includes hypertension. Breath sounds ar种族被根除 发表于 2025-3-23 15:03:39
http://reply.papertrans.cn/89/8825/882407/882407_12.png凹处 发表于 2025-3-23 20:45:25
Fatigue, Constipation, and Depressed Moodpine. Further testing reveals a serum calcium level of 11 mg/dL (normal 8.5–10.5 mg/dL), phosphate level of 1.7 mg/dL (2.5–4.8 mg/dL), intact parathyroid hormone level of 83 pg/mL (15–75 pg/mL), and elevated urinary calcium levels. She denies any previous fractures. She reports fatigue and has more左右连贯 发表于 2025-3-23 23:39:36
Abnormal Screening Mammogramoutine health maintenance screening, which she agrees to do. A week later, she gets a call from her doctor to inform her that the mammogram is abnormal (BI-RADS 4). Her left breast was found to have multiple clusters of fine linear microcalcifications, with the largest cluster measuring 2 mm in diameter.CHAR 发表于 2025-3-24 02:28:42
http://reply.papertrans.cn/89/8825/882407/882407_15.png不确定 发表于 2025-3-24 09:02:34
http://reply.papertrans.cn/89/8825/882407/882407_16.png开头 发表于 2025-3-24 14:19:19
Right Leg Pain, Swelling, and Erythema for Two Days are significant for a BUN of 40 mg/dL (normal 7–20 mg/dL), serum glucose of 200 mg/dL (70–100 mg/dL), creatinine of 1.6 mg/dL (0.8–1.4 mg/dL), white blood cell (WBC) count of 24 × 10./μL (4.1–10.9 × 10./μL), hemoglobin of 9.5 g/dL (13.8–17.2 g/dL), and a serum sodium of 128 mEq/L (136–144 mEq/L).难解 发表于 2025-3-24 17:14:43
Chest Pain, Diaphoresis, and Nauseain, and a respiration rate of 28/min. Breath sounds are equal without crackles. Cardiac examination reveals a regular rate without murmurs and an S4. An ECG was obtained which shows sinus rhythm with ST segment elevation in V2, V3, and V4. A stat troponin is ordered and returns above normal range. Chest X-ray is normal.Painstaking 发表于 2025-3-24 21:31:11
http://reply.papertrans.cn/89/8825/882407/882407_19.pngdragon 发表于 2025-3-25 01:49:47
Fatigue, Constipation, and Depressed Moodhoolteacher who is physically active and enjoys traveling. On review of systems, the patient reports constipation and occasional depressed mood. Physical examination demonstrates a healthy adult female; her neck is supple without masses or adenopathy.