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頭暈2天 - Coggle Diagram
頭暈2天
Taking history
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ABC:A 20年,種類未問及;B 20年, 偶爾; 20年, 1包/天
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Physical examination
Neck
palpation throat(-), thyroid(-)
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Head
pale conjunctiva(-), sclera: icteric(-)
Chest
symmetric expansion, breathing sound clear accessory muscle retraction (-)
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Genera
體溫35.3C ;119/77mmHg;脈搏 90(次/min);呼吸:18(次/min),
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身高163.7cm , 體重 63.5kg, BMI 23.6
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Abdomen
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abdominal aortic: pulsation(-),
soft, tenderness(-) ,rebounding pain (-), Liver not palpable, Spleen not palpable
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