肺炎病例討論英文版課件

Pneumonia

CaseDiscussionXuChangqingAddress:HangzhouCity,WenzhouRoadNo.16Email：2022/12/211TheconditionofthepatientYangFengchi,male,66yearsold,becauseof"cough,expectoration20days,withtherightchestpain,fever3days"inhospital.2022/12/212Theconditionofthepatient1,Male,66yearsold.2,Complaints:"cough,expectoration20days,withtherightchestpain,feverfor3days".2022/12/213Theconditionofthepatient4,3daysago,thepatienthadonsetofright-sidedchestpain,feverwithchills,around18:00intheafternoon,lastedabout20minutesthenwasrelieved.Chestpainandbreathingisirrelevant,nonausea,novomiting,noabdominalpain,nodiarrhea.Selfmedicated"oralcephalosporin,"poorefficacy.OurhospitalexaminationofchestCT:bronchiallesionswithtwolunginfection,admittedtorespiratoryward.2022/12/215TheconditionofthepatientT36.8°P88/minR20/minBP115/65mmHgTheweakspirit,nojugularveinengorgement,doublelungbreathesphonicrough,rightlungbreathingrateislow,thelungshaveasmallamountofrales,heartrate88beats/min,thelawisneat,heartsoundsisstrong,areaofeachvalveauscultationwithoutnoise,theabdomenissoft,notendernessandreboundtenderness,belowliverlienalcostalregioncannotfeel,lowerextremitiesedema,neurologicalexaminationhadnopositivesign.2022/12/216TheconditionofthepatientChestCT(2014-03-19affiliatedHangzhouNormalUniversity):Bronchiallesionsandlesionsintwolungs.2022/12/217ClinicalmanifestationCough,sputum,fever,malaise2022/12/218Thereare4possibilities1,Thediagnosisisnotclear2,Thetreatmenttimeistooshort3,Theformationoforganizingpneumonia4,Theother,forexample,fungalinfection,tumor,tuberculosis……2022/12/2110Differentialdiagnosis2,Lungcancer:Theirritatingcoughisthefirstsymptom,coughingwithblood,weightloss,accompaniedbythetransferitcanbeametastaticlesion,symptomssuchaschesttightness,shortnessofbreath,chestpain,andsoon.Duringlaterperiodscanalsoappearcachectic.Auxiliaryexaminations:ChestCTswillallowustoseelesionswhichhaveincreasedinnumberrelatedtotumors.Thelesionbiopsyisthedefinitivemeansofdiagnosingcancer.Thepatientisamiddle-agedman.Stillinneedforfurtherexamination.2022/12/2112Apatienttreatment

effectisverygoodThepreliminarydiagnosis:CommunityacquiredpneumoniaTreatmentplan：Penicillinandlevofloxacin2014-03-20lu2014-03-28lu2022/12/2114BetterCurativeEffectThepreliminarydiagnosis:CommunityacquiredpneumoniaTreatmentplan：Penicillinandlevofloxacin2013-06-15huang2013-07-17huangWHY?2022/12/2115Thereare3possibilities1,Acleardiagnosis2,Youngerage3,Normalimmunefunction2022/12/2116PoorEffectThepreliminarydiagnosis:CommunityacquiredpneumoniaTreatmentplan：Penicillinandlevofloxacin2012-12-03fan2013-04-04fanWHY?2022/12/2117Thereare4possibilities1,Thediagnosisisnotclear2,Thetreatmenttimeis