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1、整理有关英文病例的写作，提供大家查考：一、主要调查项目：1.主诉chiefcomplaint：weakness,malaise,chills,fever,sleep,pain,headache,appetite,weight,stomachandbowels,nauseaandvomiting,diarrhea,urine,genitalia,neuropsychiatricdisorders,respiration,shortnessofbreath,bleedingordischarge,etc.2.现症历presentillness：onset(date,mode),dura
2、tionbeforepresententry,excitingcauseandenvironmentalinfluences,prodromalsymptoms,generalsymptoms,courseorprogress(location,duration,severity,continuity,intermission,radiation,treatment),aggravatingandalleviatingfactors,lossofweight,appetiteandstrength,sleep,bowelmovement,frequencyofurination,m
3、enstruation,etc.3.既往历pasthistory：1)formerplacesofresidence,previousstageofhealth(健壮的robust，纤弱的delicate),experiencewithsimilardisease,immunitytoinfectiousdisease2)previousillness：麻疹measles,腮腺炎mumps,水痘chicken-pox,百日咳pertussis,流行性感冒influenza,猩红热scarletfever,白喉diphtheria，伤寒typhoidfever,支气管炎bronchi
4、tis,肺炎pneumonia，脑炎encephalitis,脑膜炎meningitis，破伤风tetanus,小儿麻痹poliomyelitis,赤痢dysentery，霍乱cholera,胸膜炎pleurisy,天花small-pox，疟疾malaria,结核病tuberculosis，黄疸病jaundice，过敏性反应allergy,etc3)venerealdisease：specificsymptoms,signs,andthediseasebyname,treatment.4)Accidents(date,anydisability,sequelae),operatio
5、nandhospitalization(date,procedure,nameofhospital,physician,complications,bleedingtendency)4.家族历familyhistory：familytendency,presenceofhereditarydisorders,cancer,tuberculosis,mentaldisorderandnervousaffection,rheumatism,diabetes,hypertension,cerebralvascularaccident,hemophilia,syphilis,tumor,e
6、pilespsy,allergy,contactwithdiseasedindividuals,relationshipofpatient'schildhoodandadultlife,age,healthcondition,andcauseofdeathofparents,grandparents,self,spouse,siblings,orrelatives.5.个人历personalhistory：1)Socialhistory：fears,metalstatus,education,financialcondition,numberofdependents,familyh
7、armonyorfractious,hygienicconditionathome2)Maritalhistory：durationofmarriage,1stor2ndmarriage,ageanddeathofspouseandchildren,causeandageattimeofdeath,numberofchildren,pregnancies,流产次数miscarriages,死产数stillbirths3)occupationalhistory：dura
