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TheMeaningofJasonAcasereportbyRobertJ.WhiteM.D.TheMeaningofJasonAcaserepGeneralinformationName:JasonAge:twoyearsandninemonthsSex:maleRace:whiteOccupation:noNationality:USAMaritalstatus:unmarriedAddress:NO.38,HangkongRoad,JiefangRvenue,Hankou,Hubei.Tel:82422500Dateofadmission:29daysagoDateofrecord:Complainerofhistory:hismotherandgrandmotherReliability:ReliableGeneralinformationChiefcomplaint

severeheadacheforaboutonemonthvomitChiefcomplaintsevereheadachPresentillness

Onemonthearlier,hebegancomplainingofsevereheadaches.Afterthat,hehadbeguntofallalot,andtovomit.Thenapediatricianhadadmittedhimtoanotherhospitalforaspinaltapthathadyieldednegativeresults.Abraintumorissuspected.Thenhecametoourhospitalforanoperation.PresentillnessOnemonthearlPresentillnessSinceonset,herappetitewasbad,andhewasquiet,pale,withdrawn.Defecationandurinationarenormal.PresentillnessSinceonset,hePasthistory

Operativehistory:Neverundergoinganyoperation.Infectioushistory:Nohistoryofsevereinfectiousdisease.Allergichistory:Shewasnotallergictopenicillinorsulfamide.Respiratorysystem:Nohistoryofrespiratorydisease.Circulatorysystem:Nohistoryofprecordialpain.Alimentarysystem:Nohistoryofregurgitation.Genitourinarysystem:Nohistoryofgenitourinarydisease.Hematopoieticsystem:Nohistoryofanemiaandmucocutaneousbleeding.Endocrinesystem:Noacromegaly.Noexcessivesweats.

Kineticsystem:Nohistoryofconfinementoflimbs.Neuralsystem:Nohistoryofheadacheordizziness.PasthistoryOperativehistoryPersonalhistoryborninalmostalwayslivedinlivingconditionsweregoodNobadpersonalhabitsandcustoms.PersonalhistoryborninFamilyhistoryHisparentshavebothalive.FamilyhistoryHisparentshaveInvestigationAnophthalmoscope:swollentheopticnervesCATscan:anenormoustumorblockedtheventriclesInvestigationAnophthalmoscopProfessionalExamination

WhenIaskedhimtotouchhisnosewithhisindexfinger,hemissed.ProfessionalExaminationWhenimpressionAtumorinthecerebellumimpressionAtumorinthecerebTreatmentMedicine:asteroidtoreducetheswellingofthebrainaroundthetumorDraintheliquidoftheventricleOperation:excisethetumorTreatmentMedicine:asteroidComplicationDeveloppneumoniaAlungabscessCardiacarrestIntheend,thelittleboyisgone.ComplicationDeveloppneumoniaLessonAphysicianlearnsearlyinhiscareerthathemustleavehiscasesinthehospital.But…….LessonAphysicianlearnsearl知識回顧KnowledgeReview祝您成功!知識回顧KnowledgeReview祝您成功!TheMeaningofJasonAcasereportbyRobertJ.WhiteM.D.TheMeaningofJasonAcaserepGeneralinformationName:JasonAge:twoyearsandninemonthsSex:maleRace:whiteOccupation:noNationality:USAMaritalstatus:unmarriedAddress:NO.38,HangkongRoad,JiefangRvenue,Hankou,Hubei.Tel:82422500Dateofadmission:29daysagoDateofrecord:Complainerofhistory:hismotherandgrandmotherReliability:ReliableGeneralinformationChiefcomplaint

severeheadacheforaboutonemonthvomitChiefcomplaintsevereheadachPresentillness

Onemonthearlier,hebegancomplainingofsevereheadaches.Afterthat,hehadbeguntofallalot,andtovomit.Thenapediatricianhadadmittedhimtoanotherhospitalforaspinaltapthathadyieldednegativeresults.Abraintumorissuspected.Thenhecametoourhospitalforanoperation.PresentillnessOnemonthearlPresentillnessSinceonset,herappetitewasbad,andhewasquiet,pale,withdrawn.Defecationandurinationarenormal.PresentillnessSinceonset,hePasthistory

Operativehistory:Neverundergoinganyoperation.Infectioushistory:Nohistoryofsevereinfectiousdisease.Allergichistory:Shewasnotallergictopenicillinorsulfamide.Respiratorysystem:Nohistoryofrespiratorydisease.Circulatorysystem:Nohistoryofprecordialpain.Alimentarysystem:Nohistoryofregurgitation.Genitourinarysystem:Nohistoryofgenitourinarydisease.Hematopoieticsystem:Nohistoryofanemiaandmucocutaneousbleeding.Endocrinesystem:Noacromegaly.Noexcessivesweats.

Kineticsystem:Nohistoryofconfinementoflimbs.Neuralsystem:Nohistoryofheadacheordizziness.PasthistoryOperativehistoryPersonalhistoryborninalmostalwayslivedinlivingconditionsweregoodNobadpersonalhabitsandcustoms.PersonalhistoryborninFamilyhistoryHisparentshavebothalive.FamilyhistoryHisparentshaveInvestigationAnophthalmoscope:swollentheopticnervesCATscan:anenormoustumorblockedtheventriclesInvestigationAnophthalmoscopProfessionalExamination

WhenIaskedhimtotouchhisnosewithhisindexfinger,hemissed.ProfessionalExaminationWhenimpressionAtumorinthecerebellumimpressionAtumorinthecerebTreatmentMedicine:asteroidtoreducetheswellingofthebrainaroundthetumorDraintheliquidoftheventricleOperation:excisethetumorTreatmentMedicine:asteroidComplicationDeveloppneumoniaAl

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