Lesson08B: Endocrine Unit 

[Week 17: Test & Assignment]

Admission Note (入院記錄)

主訴:這個星期的血糖都將近400 mg/dl

(英譯) Blood sugar at nearly 400 mg/dl this week.
 













































































































1. 這位64歲肥胖的男性病人其高血壓及高血脂的病史已有十年,



 



(英譯) This obese 64 y/o male patient has a 10-year history of hypertension (HTN/HT) and hyperlipidemia.



 



2. 他一直都有在服用抗高血壓及抗高血脂的藥物。



 



(英譯) He has been taking antihypertensive agents and simvastatin.



 



3. 在八年前戒煙前,其煙齡已有三十多年,每天抽一至兩包。



 



(英譯) He used to smoke one to two packs of cigarettes per day (PPD), and did so for more than 30 years before quitting eight years ago.



       



4. 當他被診斷有第二型糖尿病時,



 



(英譯) When Type II diabetes mellitus was diagnosed.



 



5. 醫師開給他口服降血糖藥(metformin 850 mg,口服,每天一次)。



 



(英譯) An oral hypoglycemic agent (OHA)  (metformin 850 mg po qd) was prescribed.



 



6. 他規律地回我們門診作追蹤,



 



(英譯) He has had regular follow-ups at our OPD.



 



7. 但他血糖控制得不好,大約在200 400 mg/dl之間。



 



(英譯) But his blood glucose control remains poor, ranging from 200 to 400 mg/dl.



 



8. 病人自己每天在家測一次血糖,



 



(英譯) The patient checks his blood glucose by himself at home once a day.



 



9. 他過去一個禮拜的血糖約為400 mg/dl



 



(英譯) His blood sugar has been at about 400 mg/dl over the past week.



 



10. 他同時主訴有多尿、多喝和多吃的現象,



 



(英譯) He has also complained of polyuria, polydipsia, and polyphagia.



 



11.  但沒有發燒、意識改變、腹瀉或便秘等情況。



 



(英譯) . There has been no signs of fever, change in consciousness, diarrhea, or constipation.



 



12. 也未發現有視網膜病變、腎病變或神經病變等症狀。



 



(英譯)  Symptoms of retinopathy, nephropathy, or neuropathy have not been identified either.



 



13.  他的糖化血色素值為13%



 



(英譯) His glycosylated hemoglobin level was 13%.



 



14.  在非胰島素依賴型糖尿病及血糖控制不好的臆斷下,



 



(英譯) Under the impression of non-insulin dependent diabetes mellitus (NIDDM) with poor blood glucose control.



 



15.  他住進我們的病房,以作進一步的評估及治療計畫上的調整。



 



(英譯) He was admitted to our ward for further evaluation and modification of his treatment plan.



 




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