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There are 3 possibilities
1, A clear diagnosis 2, Younger age 3, Normal immune function
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Poor Effect
The preliminary diagnosis: Community acquired pneumonia Treatment plan： Penicillin and levofloxacin 2012-12-03 fan 2013-04-04 fan WHY?
Aspergillus Operation treatment
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Thank you
2
The condition of the patient
4, 3 days ago, the patient had onset of right-sided chest pain, fever with chills, around 18:00 in the afternoon, lasted about 20 minutes then was relieved. Chest pain and breathing is irrelevant, no nausea, no vomiting, no abdominal pain, no diarrhea. Self medicated "oral cephalosporin," poor efficacy. Our hospital examination of chest CT: bronchial lesions with two lung infection, admitted to respiratory ward.
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A patient treatment effect is very good
The preliminary diagnosis: Community acquired pneumonia
Treatment plan： Penicillin and levofloxacin
2014-03-20 lu
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There are 4 possibilities
1, The diagnosis is not clear 2, The treatment time is too short 3, The formation of organizing pneumonia 4, The other, for example, fungal infection, tumor, tuberculosis……
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6
The condition of the patient
Chest CT (2014-03-19 affiliated Hangzhou Normal University): Bronchial lesions and lesions in two lungs.
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Train of thought
Treatment plans: 1, To actively improve the related auxiliary examination, monitoring the temperature change. 2, To give 6.0g 2 times / day of amoxicillin and sulbactam combined with levofloxacin intravenous infusion of 0.5g 1 time / day
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Differential diagnosis
2, Lung cancer: The irritating cough is the first
symptom, coughing with blood, weight loss, accompanied by the transfer it can be a metastatic lesion, symptoms such as chest tightness, shortness of breath, chest pain, and so on. During later periods can also appear cachectic. Auxiliary examinations: Chest CTs will allow us to see lesions which have increased in number related to tumors. The lesion biopsy is the definitive means of diagnosing cancer. The patient is a middle-aged man. Still in need for further examination.
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3
The condition of the patient
3, 20 days ago after catching a cold. Expectoration, white phlegm was easy to cough up, no fever, sweating during the night, no chest tightness, chest pain, palpitations, shortness of breath, the patient himself was taking cough medicine but cannot relieve symptoms.
7
Clinical manifestation
Cough, sputum, fever, malaise
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Chest CT scan of the patient
CT scan showed the lesion only partial absorption WHY？
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There are 4 possibilities
1, The diagnosis is not clear 2, The treatment time is too short 3, The formation of organizing pneumonia 4, The other, for example, fungal infection, tumor, tuberculosis……
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Differential diagnosis
1, TB
Symptoms: a cough, sputum, bloody sputum, fever, night sweats, fatigue, anorexia and other symptoms. Physical examination: The lungs have dry and wet rales, acid fast bacilli can assist the examination of the sputum, positive PPD test, tuberculosis antibody, chest X-ray or chest CT showed tuberculous cavity, this case remains to be further examined.
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2
The condition of the patient
1, Male, 66 years old. 2, Complaints: "cough, expectoration 20 days, with the right chest pain, fever for 3 days".
2014-03-28 lu
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Better Curative Effect
The preliminary diagnosis: Community acquired pneumonia Treatment plan： Penicillin and levofloxacin 2013-06-15 huang 2013-07-17 huang WHY?
Pneumonia Case Discussion
Xu Changqing Address: Hangzhou City, Wenzhou Road No. 16 Email：cute1998@
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1
The condition of the patient
Yang Fengchi, male, 66 years old, because of "cough, expectoration 20 days, with the right chest pain, fever 3 days" in hospital.
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5
The condition of the patient
T 36.8 °P 88 / min R 20 / min BP 115/65mmHg The weak spirit, no jugular vein engorgement, double lung breathes phonic rough, right lung breathing rate is low, the lungs have a small amount of rales, heart rate 88 beats / min, the law is neat, heart sounds is strong, area of each valve auscultation without noise, the abdomen is soft, no tenderness and rebound tenderness, below liver lienal costal region cannot feel, lower extremities edema, neurological examination had no positive sign.