Titlebook: Surgery; A Case Based Clinica Christian de Virgilio,Paul N. Frank,Areg Grigorian Book 20151st edition Springer Science+Business Media New Y

渐强

Abdominal Pain, Nausea, and Vomitingpisodes of green, bilious emesis without blood. She has had no passage of stool or flatus per rectum since yesterday morning and has not eaten in 24 hours due to the vomiting and abdominal pain. She denies a history of similar symptoms and has no other medical problems. Past surgical history is sign

交响乐

伪证

AWE

Chest Pain, Diaphoresis, and Nauseaheavy pressure over the entire chest and is 9/10 in intensity. He is mildly short of breath and states that the pain is radiating to his neck. He denies any back pain at this time. He has noted reduced exercise tolerance over the past few months, however, only being able to walk for ½ block before h

jaunty

Chest Pain and Syncopes like heavy pressure over the left side of his chest and rates it a 6 out of 10. He feels short of breath and dizzy upon minimal exertion. He denies any back pain. However, he does note over the past 2 months when he rides a stationary bicycle at the gym he feels some chest pressure, and one time f

使显得不重要

言行自由

Incidentally Discovered Adrenal Mass on CT Scanr any injury. However, a 1.7-cm right adrenal nodule was incidentally noted. The patient complains of difficulty losing weight but denies any recent weight gain, abnormal hair growth, or muscle weakness. She has a long-standing history of diabetes and hypertension. She denies headache, palpitations,

Inexorable

Fatigue, Constipation, and Depressed Moodpine. Further testing reveals a serum calcium level of 11 mg/dl (normal 8.5–10.5), phosphate level of 1.7 mg/dL (2.5–4.8), intact parathyroid hormone level of 83 pg/mL (15–75), and elevated urinary calcium levels. She denies any previous fractures. Her husband reports that she appears more fatigued

Amenable

Comprise

Neck Mass that Moves with Swallowing just right of the midline. She complains of a sensation of neck tightness, especially when lying supine. She denies any voice changes, difficulty swallowing, or pain. She denies exposure to ionizing radiation. She takes no medications and has no known drug allergies. Her social history is negative