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传染病学案例分析(Case study of infectious diseases)
传染病学案例分析(Case study of infectious diseases) Case study of infectious diseases 1. of the women, 16 years old, had been hospitalized on March 15, 1989 for 7 days with fever and four days of skin and sclera. Patients in March 4th cold fever, a temperature of 39 degrees Celsius, accompanied by headache, sore throat, body pain, fatigue, anorexia, nausea, abdominal pain and right upper abdominal pain, was diagnosed as stomach flu and. Give Yinqiao Tablets and gastropin treatment, after 4 days of fever. Spiritual appetite is slightly improved, but others found that the yellowing of the skin, after stool, no mucus, no obvious tenesmus. Two days ago the stool was yellow white, now yellow. After the disease, urine is yellow, and gradually changed into a strong tea sample. The amount is moderate, and there is no skin itching, cough, spitting and other symptoms, no bleeding tendency. In the past, the body was healthy and the mother HBsAg (+) did not have a long history of taking medicine. Have not been to the Lake District, there are similar cases of students. Physical examination: temperature: 37? C: 70 / min, pulse, respiration: 20 / min, blood pressure 100/70mmHg, the development of nutrition, skin and sclera was stained yellow skin, no bleeding, liver palms and spider nevus, systemic superficial lymph nodes is small, the neck is soft, the heart and lung was normal, the abdomen is soft, liver in the ribs 1.5cm soft, tender, smooth surface, and the spleen 0.5cm, soft, no tenderness, tenderness of the gallbladder area, no buckle pain kidney area, knee reflex, pathological syndrome (-). Laboratory examination: blood hemoglobin: 124g/L, 5.8X109/L of white blood cells, neutrophils, lymphocytes 0.62, 0.3; urine: urine protein (-), microscopic examination of normal bilirubin, urobilinogen (+), (+); normal stool Question: (1) the most likely diagnosis and diagnosis of this patient? (2) how are further examinations made to confirm the diagnosis? (3) please give correct treatment advi
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