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????92?SARS????

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Title: ????92?SARS????


1
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  • 96?7?28?

2
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  • ????92?SARS????
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  • 92?7??????????????????SARS???????????
  • ????????????????????????????????,?????????????

3
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    ????,????????????,??????????,?????????????????

4
PGY1????????
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5
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?? ?????????? ?????????? ?????????? ?????????? ?????
? ? ? ? 1?? 1?? 1?? 3?? 6??
? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?
6
????(?????)?????(??????)
7
? X X ? ?? 960508 ??????
?? 27/03/17 BH 159.5 BW 58.4 BP 99 / 80
mmHg S Pain over both Shoulders off and on for
1 week. O NO LIMITED ROM. NO FOCAL
N.D. A 715.09 OSTEOARTHROSIS, GENERALIZED, MUL-
TIPLE SITES P Naproxan Tab 250 mg 1
tab. PO BID x 7 days Chlorzoxazone Tab
250 mg 1 tab. PO BID x 7 days
8
? X X ? ???? ?? 960521
S LT ANT CHEST oppressive discomfort for 2
weeks. LUQ ABD PAIN WITH LOCAL TENDER NESS
() SMOKING HX() 0.5 PPD FOR 30 YEARS
Cessation is suggested. LOSS OF APPETITE()
BW LOSS () (57) IN PAST 2 WEEKS. HBV CARRIER
was noted O Palpable ENLARGED SPLEEN () ,
MURPHY SIGN (-) F.U. HBV, AFP, UPPER ABD
SONO. S/R, CXR, Hypoactive BOWEL
SOUNDS. A 573.1 HEPATITIS IN VIRAL DISEASE
CLASSFIED ELSEWHERE P Vioment Tab. 1 Tab. PO
TIDCC x 3 days GOT, GPT, ALP, STOOL ROUTINE,
SONO. UPPER ABD. CBC GLU, ANTI-HCV Ab,
HBsAg, CHEST PA, LAT (LT)
9
? X X ? CBC ???? 96/05/21 12 00
CBC ???? 96/05/21
12 55
CBC WBC 168.40 K/ul RBC
2.76 M/ul HGB 6.5
g/dl HCT 22.7
MCV 82.2 fl MCHC 28.6
g/dl RDW-SD 54.8 fl
RDW-CV 18.7 Platelet 30 K/ul
10
? X X ? ??? ?? 960528
S Refer from RT OPD for HBV and weakness
Chronic Hepatitis B and Alcohol abuse Hx
SUGAR 133 HBsAg HCV O Check AFP
Markers, HbA1C, PT SONO ? Control
SUGAR Arrange PES for R/O GERD or ULCER A
571.40 CHRONIC HEPATITIS UNSPECIFIED
250.00 DIABETES MELLITUS without mention of
Complication, TYPE II ( NIDDM
TYPE) 533.10 PEPTIC ULCER , SITE
UNSPECIFIED. P Uformin Tab. 500 mg 1 Tab. PO
BIDCC x 7 days Domperidone Tab. 10 mg 1 Tab.
PO TIDAC x 7 days Aluzaine Tab. 1 Tab.
PO TIDAC x 7 days.
11
The Patient was admitted to CICU on
960602 due to Subarachnoid
Hemorrhage.
12
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13
?????????????????, ????Total hip replacement???
???????? ???????,??? ???????????????? ?????????,?
?????????
14
?????????????
  • ?????????
  • ?Systemic Disease e.g. D.M. Renal Failure
    etc.
  • C.C. ??????????? Headache, General soreness,
    fatigue, weakness, anemia, conscious disturbance
    etc.
  • ????? F.U.O, Body weight loss etc.

15
??PGY1???????????
  • 1. Oliguria
  • 2. Shock
  • 3. Conscious Disturbance
  • 4. Cerebral Vascular Disease
  • 5. EKG reading.

16
95?????????
  • ???????????????,????????????????
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17
95?????????(?)
  • ???????????????????,????????????
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18
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  • ????(High Quality Service)
  • ????(Ambitious Innovation)
  • ????(Glorifying Life)
  • ????(Goal is Love)

19
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