甲亢
D: Hello, how can I helo you.
P: em….
D: What bothers you?
P: Mr.XXX, 我最近总是睡不着觉,体重也减轻了3KG了,您能帮我看看吗
Recently, I can’t sleep well. It’s been a long time. Also, I lost over 3KG weight. I need your help.
D:When did the symptom begin?
P:上个月就有感觉了。我一直以为是我实验室比较忙,后来发现怎么休息也不行,而且我最近很容易跟人争吵,为了一点点小事就跟舍友吵了起来。
It seems that this happened last month. I thought I just had a busy week and need more rest. However, things became worse. Gradually I became grumpy easily. My roommate and I often had a little fight just because of some nonsense.
D:OK, how about your appetite?
P:还行吧,容易肚子饿,我经常吃肉的。
So so. I get hungry easily in spite of having a lot of meat.
D:那你出汗量多吗?小便情况怎么样?? How about sweat and urine? Do you sweat a lot?
P:对的,我一直比较怕热,这段时间又是夏天,更难受了。小便还好。Yes. I sweat a lot.
I hate summer, especially the heat. I feel worse in summer. My urine is just fine.
D:All right. Let me check for you. Would you take off your shirt?
30s later。。。
D:我测得你的心率108次/分,你刚刚不是跑到我的诊室的吧?Your heart rate is 108 per minute. Did you run to my clinic?
P:不是,我在外面排队等了一段时间的。No, I’ve been waiting in queue for a short time.
D:你坐在这,我检查下您的颈部。(ok, please sit here ,I will check your neck)
30s later。。。
P:我脖子有什么问
题
快递公司问题件快递公司问题件货款处理关于圆的周长面积重点题型关于解方程组的题及答案关于南海问题
吗?(what’s wrong with my neck?)
D:我刚刚触诊了下,您的甲状腺附件有些肿大,但是没摸到结节和肿块。我初步判断您可能得了甲状腺功能亢进症,但根据您的症状
表
关于同志近三年现实表现材料材料类招标技术评分表图表与交易pdf视力表打印pdf用图表说话 pdf
现,也可能有糖尿病的可能,I think you need some examinations first,我看看一些激素和血糖指标有没有异常。
I think you get a goiter, but there isn’t any nodule and lump jet. The initial diagnose is Hyperthyroidism. According the date of your lab result, you might also get diabetic. Let me see if there’s abnormal index in your Blood sugar and hormone.
P: 好的,谢谢您,Doctor XXX。假如我得了甲亢,是不是要手术啊??? Thank you, doc, If I get this, must I have surgery?
D:呃,这个病是这样的。关于甲亢有抗甲状腺药物治疗,放射碘治疗和手术治疗。其中药物治疗适合甲亢孕妇、儿童、甲状腺轻度肿大的患者,药物治疗有一些副作用,
停药后复发率高;放射碘适合甲状腺中度肿大或甲亢复发的患者;手术治疗适合那些
甲状腺肿大显著,或高度怀疑甲状腺恶性肿瘤。(em, the Hyperthyroidism’s treatment is including 3 ways , Antithyroid drug therapy、Radioiodine therapy and Surgical treatment. Antithyroid drug therapy adapt to a wide range of both adults and children, male or female, mild or severe hyperthyroidism, the first onset or recurrence of hyperthyroidism, pregnant or lactating women with hyperthyroidism can be treated with drugs; Hyperthyroid patients with moderate to severe or recurrent hyperthyroidism can adopt Radioiodine therapy;But if particularly serious, to surgical indications, we should take surgery
)
P:哦,我最怕做手术了,还有什么要注意的吗?
Oh, I’m afraid of surgery so much, how should I take care of myself?
D:不要担心,等你拿到
报告
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单确诊了我会告诉您需要注意的事项,假若不是甲亢或者糖尿病不是更好吗?我现在开好单给你,你出门找护士抽血就行了,下午应该能拿到报告的。(Don’t worry , Things are not necessarily as serious as we imagine,
treatment options should be determined according to test results.I will tell you the details after you get the reports. Now I give checklists to you ,you should looking for the nurse to blood first ,I think you can finish it before afternoon
)
P:好的,Doctor XXX,您下午还在这吗?(are you still here this afternoon?)
D:是的,你拿着报告来这里找我就行了。Yes, U can come here to meet me with your report.
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