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1、WeeklyENGLISHmorningcasereportPediatricdepartmentofthesecondxiangyahospitalXinruiTanPhDGeneralinformationX,afour-year-oldgirl,admittedtoourwardonJuly31,2016.ChiefcomplaintFeverandcoughfor10dayswithlegpain.Pharyngalgiaandfeverfor4days.[færɪn'gældʒɪə]Coughand
2、dyspneafor2days.[dɪs'pni:ə]Presentillness10daysago,thegirlstartedtohavefeverwithcoughfornoobviousreasonandthehighesttemperaturewas40℃.Shealsocomplainedlegpainevenduringresttime.Herparentstookhertoalocalhospitalwhereshewasdiagnosedasupperrespiratorytractinfe
3、ctionandgivensomeanti-infectiontreatment.Althoughthefeverwasrelieved,herlegpaingotworse.Therefore,shewasbroughttoourout-patientdepartmentandbloodroutineshowedthattheWBCwas50*10^9/L,PLTwas32*10^9/L,Hbwas50g/L.Shewassuspectedas“AcuteLeukemia?”andadmittedtoour
4、ward.Shedidnotsleepwellsinceonsetandherappetitewasnotgood.Defecationandurinationwerenormal.TheWBCwas50*10^9/L,PLTwas32*10^9/L,Hbwas50g/LThewhitebloodcellcountwasfiftytimestentotheninthperliter,Plateletwasthirty-twotimestentotheninthperliter,Hemoglobinwasfif
5、tygramperliterPasthistoryThepatientwashealthybefore.Nohistoryofsurgery.NohistoryofbloodtransfusionorcontactwithTBorHBVorotherinfectivediseases.Noallergyrecordoffoodordrug.TB=tuberculosis[tju:ˌbɜ:kjuˈləʊsɪs]HBV=HepatitisBVirus[ˌhepəˈtaɪtɪs]PersonalhistoryShe
6、isafirst-bornandfull-termchildwithbirthweightat2.7Kg.Shewasonlyfedwithbreastmilkbefore6monthsold.Thenthesupplementaryfoodswereaddedontime.Shewasweanedatthe14thmonth.Thestateofherdevelopmentwasnormal.Vaccinationiscarriedoutasplanned.supplementaryfoods[ˌsʌplɪ
7、ˈmentri]vaccination[ˌvæksɪ'neɪʃn]PhysicalexaminationT39.5℃,P140/min,R38/min,BP80/50mmHg.SheisnormaldevelopedandmoderatelynourishedT39.5℃,P140/min,R38/min,BP80/50mmHgTemperaturewasthirty-ninepointfivecentigrade,Heartratewasonehundredandfortybeatsperminute,Re
8、spiratoryratewasthirty-eighttimesperminute,BloodpressurewaseightyoverfiftymillimeterofmercuryNojaundice,nocyanosis,nopigmentation,noskineruptionwasseen.Severalenlargedsuperficiallymphnodeswerefoundinhe
