医院交班记录(英文版)

xx male 52y

Primary diagnosis：type 2 diabetes mellitus

Chief complaint: detection of glucose high of more than 10 years, polydipsia and polyuria, lack of power for more than half year

Auxiliary examination:a normal electrocardiogram. Glycated['ɡlaikeit]

hemoglobin[,hiːm əʊ' ɡləʊb ɪn]: 9%. routine urinalysis 15mmol/L.FBG(fasting

blood-glucose) ：glucose+++（plus sign）. Ketone bodies and urine protein are negative ( August 25th)

Treatment:

1 control diet, adequate exercise, monitoring of blood glucose

2 to improve the relevant examination in the assessment of pancreatic endocrine function and complications of diabetes

3 according to the levels of blood glucose and check results of adjustment next plan.

xxx, female, 75 y.

Primary diagnosis：severe osteoporosis. Chief complaint：Body pain for more than one year, aggravated for two months. Hypertension 2 (medium risk group), chronic nephritis.

Auxiliary examination：No

Treatment: Improve the relevant checks ；added calcium, vitamin D and bisphosphonates, ；calcitonin applications,；symptomatic and supportive treatment,；hygiene education。 xxx ，male ，24-year-old

Primary diagnosis：Low gonadotropin gonadal dysgenesis低促性腺激素性性腺发育不良 Chief complaint：short penis and scrotum empty for 20 years

Auxiliary examination：No cracking, no beard, pubic hair, armpit hair

Treatment: Improve the relevant checks,；hormone replacement therapy；hygiene education。 xxx female，50 years old

Primary diagnosis：1. Goiter, 2. Rheumatoid arthritis, 3.cerebral vasospasm

Chief complaint：Shoulders back pain persists more than 3 month

Auxiliary examination：No

Treatment: 1 Routine medical care,2 pay attention to rest, detects vital signs; 3 review the blood routine, thyroid function, liver function; 3. Strengthen support treatment; 4. Improve the related auxiliary examination

xxx female 55 y.

Primary diagnosis：Diabetes with peripheral neuropathy

Chief complaint：Thirsty, polydipsia, diuresis for 8 years. With feet numbness for 1 year and muscle weakness for 8 months; Aggravate for 3 months。

Auxiliary examination: no

Treatment: After admission do blood routine、 urea routine, what's more do electrolyte inspection to Eliminate ketosis and the possibility of high permeability .