4/29明天下午七八節要家醫PBL 在PBL16教室 要準備一、二幕... 沒有拿到教案的話.. 請參考以下 第一幕... Part 1 ◆History A 54 year-old man came to our hospital for general health examination. He denied any systemic disease, including diabetes mellitus, hypertension, and cardiovascular disease in the past. He received a general health examination two years ago and no significant abnormality was noted at that time. However, anemia was found in the present health examination. ◆ Laboratory data 項 目 名 稱 單位 報告值 備 註 Blood routine WBC (4000-11000) /mm3 5190 Seg: 69.4%, Lymph: 20.6% R.B.C. (450-550) x104/mm3 416 Hb. (13-17) mg/dl 7.9 Ht. (41-51) % 29.5 MCV (84-100) fl 70.9 MCH (28-32) Pg 19.0 MCHC (32-36) g/dl 26.8 Platelet (150000-400000) /mm3 353000 Chemistry BUN (6-22) mg/dl 13.3 Creatinine (0.5-1.3) mg/dl 0.9 Glucose (AC) (60-110) mg/dl 108 Albumin (3.5-5.1) g/dl 3.9 C.R.P. (<0.4) mg/dl 2.88 Urine routine Within normal limit Stool routine Color: Brown, Occult blood: Trace 第二幕... Part 2 ◆ In history taking, unexplained body weight loss about 5 kg, from 73 to 68 kg, in past 6 months was noted. He denied dysphagia, gastralgia, diarrhea, or change of bowel habits during the past six months. He denied any other discomfort, either. ◆ More laboratory data 項 目 名 稱 單位 報告值 備 註 Serum iron (65-173) ug/dl 12 TIBC (224-366) ug/dl 410 RBC Morphology Marked hypochromia, Moderate microcytosis, elliptocyte, Slight spherocyte & schistocyte --

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