Någon läkare som kan översätta en medicinsk journal?
Complaints: She has got cough, wheezy, fever, rinorrhea, difficult and rapidly breathing. She has lack of appetite also.
Psysical examination: 39.1 c. HR:128/min, BLOOD PRESSURE: 100/60. OROPHARYNX AND TONSILLS WERW HYPEREMIC: EAR TYMPANIC MEMBRANES WERE NORMAL..CARDIAC RHYTM WAS NORMAL..THERE WAS SYBILIAN AND SONOR RONCHI IN LUNG OSCULTATION. EXPERIUM WAS LONGED. INTERCOSTAL AND SUBCOSTAL RETRACTIONS WERE SEEN. THERE WAS NO ORGANOMEGALY. OTHER SYSTEMS FINDINGS NORMAL.
LABORATORY. HB:12 G/DL, WBC:9800/MM3, CRP 12 MG/L, PERYPHERAL BLOOD SMEAR:%78 PNL,% 22 LYMPHOCYTE( KAN TILL LÄGGA ATT VI STÅPP PÅ ANTIBIOTIKA 3 DAGAR INNAN).
THERAPY: We starded infusion therapy and nebuliser salbutamol and budesonide therapy with oxygen. We gave iv ceftriaxone, iv dexamethhasone, oral aceltylcystein sirop and ketotifen sirop. We gave ibubrufen for fever and intermittant vapor therapy for cough. Lung oscultation findings were much better one day after, no tachipnea, no dispnea only longed experium. We discharged the patient with oral sultamiccine, ketotifen sirop, salbutamol and budesonide inhaler.
Ett dygn efter. Patient admitted to our hospital again with high fever and cough, there was crepitan ralls on basale lung area. We starded iv antibiotherapy and nebuliser salbuamol and budesonide therapy. Lung grahie, brochovasculer arborisation+ (pheumonia?)
TRÅDSTARTARENS TILLÄGGSKOMMENTAR 2009-06-25 09:51
Kan tillägga att det är ett 4-årigt barn.
