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Patient woman, 13,, unreasonablelimb drawing accompaniedyear, weighted 1 Tengu January 4 hospitalization.
patients: January 3, theout suddenly,limb , fallen land,will.
firstdouble--top-shaped, upper extremity flexion fist, lower extremity straight -shaped, -body -throatedaccompanied throat voice and mouth discharge white, 2 minutesdraw
myselfacid pain, forgettinghave.
havefor a .
, , Arisa- first , and the final local clinic .
pre- British 0.05tid, work inefix or in addition (Luminal 0.15bid,month 1st to 2nd .
before hospitalization, going out to the hospitalthings, today's outing traditional extremity drawing loss,workperiod intention disastreverity perspiration.
first plant, foot moon , artificial breast milk , and child- preference.
of jaundice , .
table a history of 5-year-old -limb and a history of chronic disease loss.
.
: T39 degrees C, P100th/min, R32th/min,BP15/8kPa.
normal, middle.
of skin, difference, mucosal point of and , yellowing.
whole body Asaote is .
, in the middle of the tube, thyroid gland is not large.
, , , respiratory urge, bipulmonary , sputum.
normal, heart rate 100 order / min, , membrane and pathological .
abdominal , liver, spleen and large.
spine, limb , , , , .
:Intentional Arsenic, A painful expression and .
is diameter of 4.5 mm, iso-large, etc.
light reflection normal.
fund : milk color Seisa, film .
is the of the and is .
is always the power skin limbs.
pain self extremity deep reflection normal, abdominal wall reflex weakness, pathological march undewing, membrane stimulation march (-).
: sick eye , binocular , extremities nao one -sex drawing, shrewd drawing, lip blue purple, Two .
two-eyed 5 mm, light reflection loss.
room : protein 156 g / L, vesicles 4.50 x 1012 / L, white vesicles 12.5 x 109 / L.
minute : 0.8 medium, 0.2, platelets 160 x 109/L.
urine : urine specific weight 1.067, protein (-), urine sugar (-), bile (-), body (-), tube type (-).
innation: blood156mmol/L, blood 5.0 mmol/L, blood sugar 6.0mmol/L118mmol/L,2.5mmol/L,urea 7.8mmol/L. rapid speed (116th/min)", CT density shadow.
( ): normal, degrees 3-6Hz 250 to 280V , Arinami Kazuyoshi- waves.
A: This case disease special point: (1) women, 13; (2 anti artificial limb drawing associative intention year loss, weighted 1 heaven; 3 a family-like historically ill person (4) body : T39 degrees C, respiratory prompting, shallow stout, , limb , Feeling deep shallow reflection , pathology march unederation; (5) : disease present typical extremities straight of ;(6 High Wave Width Arrogance , Arisun Waves.
, the history of the -tone was fruit and possible .
main possible disease history, like -man ability eye possible.
demand attention this critical measures , however, unreleasoned factor.
cause normal people in the group yes 20% possible the same 20% diseased .
is a type that can be if is out? Koreharas ? it a predisposition to the ? The former advantages to provide to , , and of etiology.
B Patient Workability Extremities Direct- Drawing Associative Loss, Ability Rebellion, .
: , this example .
is a work that the overall of demand and policy.
-case (12), history pre- symptoms, typical systemic - In , , high wave width arrogance , CT .
the late , original (-- work).
C: on the floor There is a trivial disease major table how we are ? Teaching : a trivial disease, disease, hypoemia, etc. major .
, history , Two .
patients with yoridational limb extraction , however all present Japanese passion stimulation, limb skin meat , pupil, corneal reflex re loss, Wa University incontinence, crying.
re-,-limb drawing ,Tajima--form presentation model "shi",- , physiological reflex normal, pathological march (-), multi-caused low disease history, like fat dysentery or thyroid hand history, blood constant support group
medical student D this case holding extremity direct- drawing loss, , accompanied , perspiration,
Teaching : Consent Dosographic Analysis.
stop , infection etc.
, there is also a Yoto .
is of - - , high dehydrating, , .
E: In this case medical period , first use anti Britishwa compared to , what is good work? Teaching : the
non-uniform side effects, .
of the head and the for the ( exception for more than one year).
need for
, side effects, sources, , small toxicity, , .
of this , .
taking , safety , and sick people.
method , principle of action and side effects and , amount of blood phase amount yuyu safety large, disease added .
amount of blood amount of , Blood rapid , the , , poisoning.
E: old , this , what non-Two to ? Teaching : In the immediate , the lord the of of states.
cause interaction important 80% to 85%
is of , or -type .
example the above-mentioned analytical unwarrianted outside, blood.
. the of and differences.
blood blood the of the , and the blood degree.
F: Teaching : good value.
is a of the usual use of the .
is , .
C: This case sick person once work , lot of demand ? Teaching : , pre- exhibition, , 2 to 5 years of complete refrain, typical fainting and more than 6 months .
amount the before stop.
over the of diseases, over-, , and over- demand.
as as possible to stop stop.
is of three months, which is so small that is in place.
is demand amount, sub- , almighty complete refrain system, multi-demand period .
medical student F
demand , same , fast waiting system work, life desk ability, anti-Japanese abstaining disease , .
: necessary .
admissible , retention respiratory path , ( tube tube tube cutting ), physical -high dehydrating, attention anti-japanese anti-japanese infection.
Note a of water 20% sweet dew dehydration.
the , british80 to 100 mg / d, minute ternal in-skin injection, seisasei-don reformed clothes .