案例报告 Case Report Template
case report范文
case report范文Title: A Miraculous Recovery: A Case ReportIntroduction:In this case report, we present the extraordinary journey of Mr. Smith, a 62-year-old man who experienced a life-threatening medical condition. This report aims to provide a comprehensive overview of his case, including the initial presentation, diagnostic workup, treatment interventions, and the remarkable recovery that followed. Mr. Smith's case highlights the importance of timely medical intervention, multidisciplinary collaboration, and the resilience of the human spirit.Clinical Presentation:Mr. Smith presented to the emergency department with severe chest pain, shortness of breath, and profuse sweating. His symptoms were suggestive of a myocardialinfarction, commonly known as a heart attack. Upon arrival, he appeared pale, diaphoretic, and in distress. His vital signs were unstable, with a blood pressure of 80/50 mmHgand a heart rate of 120 beats per minute. The gravity ofhis condition necessitated immediate resuscitative measures. Diagnostic Workup:An electrocardiogram (ECG) revealed ST-segmentelevation in leads II, III, and aVF, confirming the diagnosis of an inferior myocardial infarction. Further investigations, including cardiac enzyme markers and echocardiography, supported the diagnosis and provided valuable information regarding the extent of myocardial damage. Additionally, coronary angiography revealed acritical stenosis in the right coronary artery.Treatment Interventions:Given the severity of Mr. Smith's condition, a multidisciplinary team consisting of cardiologists, interventional radiologists, and cardiac surgeonscollaborated to devise an optimal treatment plan. Initially, he was stabilized with intravenous fluids, oxygen supplementation, and pain relief. Subsequently, he underwent emergent percutaneous coronary intervention (PCI) to restore blood flow in the occluded coronary artery. A drug-eluting stent was successfully placed, effectively resolving the stenosis.Recovery and Rehabilitation:Following the successful PCI, Mr. Smith's condition gradually improved. He was closely monitored in theintensive care unit for the first few days to manage potential complications and ensure optimal recovery. Physical therapy and cardiac rehabilitation were initiated early to enhance his cardiovascular fitness and prevent deconditioning. With each passing day, Mr. Smith's strength and endurance improved, and he regained his independence.Psychological Impact:While the physical recovery was remarkable, it isimportant to acknowledge the psychological impact that such a traumatic event can have on patients. Mr. Smith experienced anxiety, fear, and a sense of vulnerability during his hospitalization. A multidisciplinary team, including psychologists and social workers, provided emotional support, counseling, and education to help him cope with the psychological aftermath of the myocardial infarction. This holistic approach played a crucial role in his overall recovery.Conclusion:Mr. Smith's case demonstrates the critical importance of timely intervention, collaborative care, and comprehensive rehabilitation in achieving a successful recovery from a life-threatening medical condition. It also highlights the resilience and determination of individuals in overcoming adversity. By sharing this case report, we hope to inspire healthcare professionals to continue providing compassionate care and innovative interventions that can transform lives and restore hope.。
牙科修复病历书写模板范文大全
牙科修复病历书写模板范文大全(中英文版)英文:Dental Restoration Case Report Template Example中文:牙科修复病例报告模板示例英文:This template is designed to provide a comprehensive and standardized format for documenting dental restoration cases.It includes sections for patient information, clinical examination, treatment planning, procedure details, and post-treatment follow-up.中文:本模板旨在为记录牙科修复病例提供一个全面且标准化的格式。
它包括患者信息、临床检查、治疗计划、手术细节和术后随访等部分。
英文:The patient information section should include the patient"s name, age, gender, and medical history.The clinical examination section should describe the condition of the patient"s teeth, any existing restorations, and any signs of decay or damage.中文:患者信息部分应包括患者的姓名、年龄、性别和病史。
临床检查部分应描述患者的牙齿状况、任何现有的修复体以及任何蛀牙或损伤的迹象。
英文:The treatment planning section should outline the proposed treatment options, the reasons for choosing each option, and the expected outcomes.The procedure details section should describe the specific steps taken during the restoration process, including any anesthetic procedures, cavity preparation, and restoration placement.中文:治疗计划部分应概述拟议的治疗方案、选择每个方案的原因以及预期的结果。
陈XXX事故报告
1.必须带手套,2.要求处理彩钢板等工作时小心谨慎
李世泉
Name of investigator Signature
调查人姓名签名
2011.8.18
date
日期
Address地址河南省长垣县方XXX
Occupation when accident occurred事故发生的时间段2011年8月15日上午工作时期
Date日期2011年8月15日time时间(√)am ( )pm
Name of foremen of superintendent工长或管理者姓名李世泉
INCIDENT REPORT FORM
事件报告表
Production70.000
项目
Name of Supervisor李XXX
主管的姓名
Describe incident:
事件描述:
2011年8月15日早上10点15分,钣金车间的陈XX在处理彩钢板时,彩钢板掉下,其下意识的伸手去接,手掌被彩钢板的冲力轻微划伤
事故具体描述(包手工作内容、天气情况、日期、时间、使用的工具和其他任何与事故相关的细节)
2011年8月15日早上10点15分,钣金车间的陈XXX在处理彩钢板时,彩钢板掉下,其下意识的伸手去接,手掌被彩钢板的冲力轻微划伤
Incident/Accident Cause
事件/事故起因
没有带手套
Corrective actions / recommendations
Witnesses目击人李XX,诸XXX
(witnesses declaration)(目击人陈述)
Describe the accident (Remember to include the task or activity, weather condition, date, hour, tools used, and any other detail that help to establish the caus带手套
案例分析报告及其范本
案例分析报告及其范本Case Analysis Report and Its XXXA case analysis report (paper) generally consists of two parts: the first part is the case text。
and the second part is the case analysis。
The focus is on the writing of the case analysis n.1) Basic Structure of a Case Analysis ReportAs a XXX of the results of a case analysis。
a case analysis report has certain academic characteristics。
On the one hand。
it is a record of the process and results of the case analysis。
and must reflect the XXX and analysis results of the case analysis。
On the other hand。
as a formal written document of an academic style。
it also has XXX format and language。
These format requirements reflect the characteristics and logical analysis clues of the case analysis。
Therefore。
a case analysis report generally includes the following main contents: title。
案例分析报告范文
案例分析报告范文案例分析报告范文(供参考)标题:Case Analysis Report: XYZ Corporation’s Merger with ABC Corporation1. IntroductionThe purpose of this report is to analyze the merger between XYZ Corporation and ABC Corporation. The report will provide background information on both companies, analyze the reasons behind the merger, evaluate the potential benefits and risks, and provide recommendations for successful integration.2. Background InformationXYZ Corporation and ABC Corporation are both leading companies in the technology industry. XYZ Corporation specializes in software development, while ABC Corporation focuses on hardware manufacturing. Both companies have a strong customer base and a good reputation in the market.3. Reason for the MergerThe main reason for the merger between XYZ Corporation and ABC Corporation is to create a vertically integrated technology company that can offer end-to-end solutions to customers. By combining their expertise in software development and hardware manufacturing, the merged entity can provide a comprehensive suite of products and services to meet the evolving needs of customers in the technology industry.4. Benefits of the MergerThe merger between XYZ Corporation and ABC Corporation offers several potential benefits. Firstly, it allows the merged entity to leverage the strengths of both companies and enhance their competitive advantage in the market. Secondly, it enables the merged entity to achieve economies of scale and reduce costs through consolidated operations. Thirdly, it provides opportunities for cross-selling and upselling to existing customers, leading to increased revenues. Lastly, the merger can facilitate access to new markets and customers, resulting in business expansion.5. Risks and ChallengesDespite the potential benefits, the merger also carries certain risks and challenges. Firstly, there may be cultural differences and conflicts between the two companies, which can hinder effective integration. Secondly, there may be challenges in integrating different IT systems and processes, which can disrupt business operations. Thirdly, there may be resistance from employees who fear job losses or changes in job responsibilities. Lastly, there may be regulatory hurdles that need to be addressed to ensure compliance with antitrust laws.6. Recommendations for Successful IntegrationTo ensure successful integration, it is recommended that XYZ Corporation and ABC Corporation take the following steps. Firstly, they should establish a clear communication strategy to keep all stakeholders informed and engaged throughout the integration process. Secondly, they should appoint a dedicated integration team with representatives from both companies to oversee and coordinate the integration activities. Thirdly, they should conductthorough due diligence to identify and address potential challenges and risks. Lastly, they should invest in employee training and development programs to facilitate smooth integration and minimize resistance.7. ConclusionIn conclusion, the merger between XYZ Corporation and ABC Corporation has the potential to create a vertically integrated technology company with enhanced competitiveness and expanded market reach. However, careful planning, effective communication, and proactive management are crucial for successful integration and realization of the potential benefits. By following the recommendations outlined in this report, XYZ Corporation and ABC Corporation can increase the likelihood of a successful merger.。
Acasereport:一例报告
1www.onk.ns.ac.yu/Archive August 10, 2004Primary non-Hodgkin's lymphoma of the uterine cervix:A case reportMilica ®ivaljeviæ, Tamara Vujkov, Darjana Jovanoviæ, Aljo¹a Mandiæ, Olgica Mihajloviæ,Mladen Prvuloviæ, Bratislav StojiljkoviæABSTRACTPrimary uterine cervical non-Hodgkin's lymphomas (NHL) are rare. Limited experience dictates careful pretherapy evaluation and multidisciplinary approach in treatment planning. A 53-year-old woman pre-sented with postmenopausal bleeding and PAP smear IIIb. Cervical biopsy and endocervical curettage biopsy revealed NHL of the uterine cervix. Abdominal hysterectomy with bilateral adnexectomy was fol-lowed by pelvic lymphadenectomy due to lymph node metastasis, 21 months after the primary opera-tion. Subsequently, the patient received postoperative chemotherapy. Seven years after the onset of NHL she is alive with no evidence of disease recurrence.KEY WORDS: Cervix Neoplasms; Lymphoma, Non-HodgkinInstitute of Oncology Sremska Kamenica, Institutski put 4,21204 Sremska Kamenica, Serbia & Monetengero;Address correspondence to: Dr Milica ®ivaljeviæ, Institute of Oncology Sremska Kamenica, Institutski put 4, 21204Sremska Kamenica, Serbia & Monetengero; E-mail:*****************,Themanuscriptwasreceived:26.06.2004, Provisionally accepted: 05.07.2004, Accepted for publication: 19.07.2004©2004, Institute of Oncology Sremska Kamenica, Serbia &MontenegroCASE REPORTUDC: 618.126-006:616-006.44:616-089.8:615-085the cervix. After consulting a medical oncologist, no further therapy was planned.The patient was put on close follow-up every 3 months. She was doing well for 21 months after the operation, when gynecological examination revealed right iliac node enlargement and abdominal ultrasound showed hydronephrosis of the right kidney. MRI of the pelvis Figure1.Low-grade B cell non-HodgkinÕs lymphoma, invaded stroma of the uterine cervix under the normal squamocellular epithelium of the exocervixSeven years after the first operation the patient is doing well, without evidence of disease recurrence.DISCUSSIONMalignant NHLs of the uterine cervix are so rare, that less than 100 cases are described in the literature, with the largest data coming from 38 cases from English literature (2). Our patient presented with slight postmenopausal bleeding and abnormal PAP smear. According to the majority of authors, abnormal vaginal bleeding (54%), vaginal mass (12%) and dyspareunia (5%) are the most common clinical features (8). Abnormal cervical smear is only rarely found (9). The pathogenesis of cervical NHL is unclear and they are usually classified in the MALT-oma category (mucosa-associated lymphoiod tissue) because of relatively low malignancy, good prognosis and localized growth (2,5). Individual approach should be used in treatment decision. There are no internationally accepted recommenda-tions, due to lack of experience because of the rarity of this condition. Stroh et al., in ana-lyzing 16 cases, recommend combination of chemotherapy and irradiation (6). Chinese authors prefer combination of surgery and chemotherapy (9). Holweg et al. recommend radiation after surgical staging (10). According to our modest experience, hysterectomy with pelvic lymphadenectomy is the first step in therapy. Lymph node status dictates fur-ther chemotherapy and/or radiotherapy.CONCLUSIONMalignant NHL of the uterine cervix is a rare entity and it should be treated and followed-up by a multidisciplinary team. As a systemic disease, interdisciplinary intervention, including radical surgery, systemic chemotherapy and radiation therapy should be considered.REFERENCES1.Hempling ER in Piver MS: Cervical cancer. Handbook of Gynecologic Oncology, 2nd ed. Boston:Little, Brown and Co.; 1996. p. 103-30.2.Muntz HG, Ferry JA, Flynn D, Fuller AF, Tarraza HM. Stage IE primary malignant lymphomas ofthe uterine cervix. Cancer 1991;68(9):2023-32.3.Vang R, Medeiros LJ, Ha CS, Dearers M. Non - Hodgkin lymphomas involving the uterus: a clin-icopathologic analysis of 26 cases. Med Pathol 2000;13(1):19-28.4.Agrawal A, Ofili G, Allan TL, Mann BS: Malignant lymphoma of uterus: a case report with areview of the literature. Aust N Z J Obstet Gynacol 2000;40(3):358-60.5.el Omari-Alaoui H, Kebdani T, Benjaafar N, el Ghazi E, Erriahni H, el Gueddari BK. Non-Hodgkin'slymphoma of the uterus: apropos of 4 cases and review of the literature. Cancer Radiother 2002;6(1):39-45.6.Stroh EL, Besa PC, Cox JD, Fuller LM, Cabanillas FF. Treatment of patients with lymphomas of theuterus or cervix with combination chemotherapy and radiation therapy. Cancer 1996;75: 239 -9.7.Bollermann C, Reuter t, Weber FW, Schwenzer T. Immunoblastic highly malignant lymphoma ofthe uterine cervix. Zentralbl Gynakol,1996;118:673 - 5.8.DiSaia JPh, Creasmann TW. Invasive cervical cancer In: Clinical Gynecologic Oncology, 5th ed.St. Louis: Mosby-Year Book, Inc; 1997. p. 51-106.9.Sun M, Cao J, Zhang G. Ten case report on primary cervical lymphoma. Abstract. Chung Liu TsaChih 1997;19(3):206-8.10.Holweg M, Kopp A, Stegner HE, Loning T, Jonat W. Primary lymphoma of the cervix uteri - 2case reports. Source Geburtshilfe Frauenheilkd 1995;55:171-2.®ivaljeviæ M. et al.2www.onk.ns.ac.yu/Archive August 10, 2004Figure 2.MR tomography of pelvis. Axial section in T1w sequence before and after the application of paramagnetic contrast medium. At the level of cervix and involving fornix and ishmus, paramedianly left, an ovoid formation dia. 2 cm slightly hypertense in T1w sequence (A), moderate post contrast signal intensity (B)Figure 3.Sagittal sectin in T1w sequence. Tumor formation is relatively homogenous and well defined in relation to postcervical mass. No enlarged lymph nodes are observed。
CaseReport病例报告的书写
26.03.2021
“ Small cell carcinoma of the
prostate is extremely rare. When
it does occur, it is usually in
concordance with prostatic
adenocarcinoma… Because this
2) An unexpected event in the course of observing or treating
a patient.
3) Findings that shed new light on the possible pathogenesis
of a disease or an adverse effect.
The introduction is a brief overview of the larger problem addressed by the case. The overlying message of the section is, “ X is important to understand because…” For example:
“ This case report describes clinical characteristics of a 67-year old man with small carcinoma of the prostate.”
26.03.2021
.
6
Writing: Case report
Structure of a case report:
1. Introduction 2. Case Presentation 3. Discussion 4. References
案例总结英文模板范文
---Case Title:[Provide a brief and descriptive title for the case study.]Background:[Provide an overview of the context in which the case study occurs. Include relevant historical information, industry trends, and any other pertinent background details.]Problem Statement:[Clearly articulate the specific problem or challenge that the case study addresses. This should be concise and focus on the core issue at hand.]Key Players:[List the key individuals or organizations involved in the case. Briefly describe their roles, responsibilities, and any notable characteristics.]Analysis:[In this section, delve into the analysis of the case. Consider the following aspects:]1. Root Causes:- Identify the underlying causes that led to the problem or challenge.- Discuss any contributing factors that exacerbated the situation.2. Impact:- Assess the direct and indirect impacts of the problem on various stakeholders.- Evaluate the long-term and short-term consequences.3. Strategies and Actions:- Outline the strategies and actions taken by the key players to address the problem.- Analyze the effectiveness of these strategies and actions.4. Critical Success Factors:- Identify the critical success factors that contributed to the resolution of the problem.- Discuss how these factors were leveraged by the key players.Findings:[Summarize the key findings of the case study. This should include insights gained from the analysis and any conclusions drawn.]Recommendations:[Based on the findings, provide recommendations for addressing similar problems or challenges in the future. Consider the following:]1. Best Practices:- Suggest best practices that can be applied to prevent or mitigate similar issues.2. Policy Implications:- Discuss any policy implications that arise from the case study.3. Future Directions:- Propose potential future directions for research or action based on the case study.Conclusion:[Conclude the case summary by summarizing the main points andreiterating the significance of the case study. Consider the following:]- The broader implications of the case for the industry or field.- The relevance of the case to current trends or emerging issues.- The enduring value of the case study for future reference and analysis.---Example of a Case Summary Using the Template:Case Title:The Implementation of Agile Methodology in a Tech StartupBackground:In recent years, the tech industry has witnessed a significant shift towards Agile methodologies, which promote flexibility, collaboration, and continuous improvement. This case study focuses on a small tech startup that adopted Agile to enhance its product development process.Problem Statement:The startup faced challenges in delivering projects on time and within budget, with a high rate of defects in the final product. This led to customer dissatisfaction and a loss of market share.Key Players:- The startup's founder and CEO, who championed the Agile transition.- The product development team, responsible for implementing Agile practices.- The clients, who experienced delays and quality issues with the previous development process.Analysis:1. Root Causes:- Traditional waterfall development processes were rigid and did not adapt well to changing requirements.- Communication barriers between the development team and stakeholders hindered progress.2. Impact:- The startup faced financial losses due to project delays and customer churn.- The team's morale was low, as they felt overwhelmed by the pressure to meet unrealistic deadlines.3. Strategies and Actions:- The startup implemented Agile practices, including daily stand-ups, sprint planning, and retrospectives.- They fostered a culture of open communication and collaboration.4. Critical Success Factors:- The successful adoption of Agile was attributed to strong leadership, clear communication, and a commitment to continuous improvement.Findings:The case study found that Agile methodologies significantly improved the startup's product development process. It led to shorter development cycles, reduced defects, and increased customer satisfaction.Recommendations:- Other startups and organizations should consider adopting Agile practices to enhance their product development processes.- Regular training and workshops should be conducted to ensure that team members are well-versed in Agile principles.- Continuous monitoring and evaluation are essential to maintain the effectiveness of Agile practices.Conclusion:The case of the tech startup adopting Agile methodologies highlights the benefits of flexibility and collaboration in product development. Byembracing Agile, the startup was able to overcome its challenges and achieve significant improvements in its operations. This case serves as a valuable reference for other organizations looking to enhance their development processes and drive innovation.。
case report 2分以上
case report 2分以上Title: A Miraculous Recovery from a Rare Autoimmune DiseaseIntroduction:In this case report, we present the extraordinary journey of Mr. Zhang, a 45-year-old man who made a remarkable recovery from a rare autoimmune disease known as systemic lupus erythematosus (SLE). This article aims to provide a detailed account of his medical history, treatment, and the emotional rollercoaster he experienced throughout his battle against this debilitating condition.Medical History:Mr. Zhang had always enjoyed good health until six years ago when he started experiencing unexplained fatigue, joint pain, and a persistent rash on his face. Concerned, he sought medical advice and was eventually diagnosed with SLE, a chronic autoimmune disorder that affects multiple organ systems. The news was devastating for Mr. Zhang and his family, as they were aware of the potentially life-threatening complications associated with this disease.Treatment Journey:The initial treatment plan included a combination of corticosteroids and immunosuppressive medications to manage the symptoms and suppress the overactive immune response. Despite adhering to thetreatment regimen, Mr. Zhang's condition deteriorated, and he developed kidney involvement, a common complication of SLE.Emotional Struggles:Mr. Zhang's battle against SLE took a toll on his emotional well-being. He experienced feelings of frustration, helplessness, and fear as he witnessed his once vibrant life gradually fade away. The physical and emotional burden also affected his relationships with his family and friends, and he often found solace in support groups where he could share his experiences with others who understood his struggles.The Miraculous Turnaround:Just when Mr. Zhang was losing hope, a new treatment option became available –a targeted therapy specifically designed for SLE. After thorough consideration and consultation with his medical team, he decided to enroll in a clinical trial for this innovative treatment. Within a few months of starting the therapy, Mr. Zhang experienced a significant improvement in his symptoms. The joint pain subsided, the rash faded, and his kidney function began to stabilize. It was an unexpected turn of events that left both Mr. Zhang and his doctors in awe.Road to Recovery:With the newfound hope, Mr. Zhang embraced his recovery journeywith renewed determination. He diligently followed his treatment plan, underwent regular check-ups, and made significant lifestyle changes to support his healing process. As the months went by, his condition continued to improve, and he gradually regained his strength and vitality.Life After SLE:Today, Mr. Zhang is living a fulfilling life free from the shackles of SLE. He has returned to his passion for hiking, spends quality time with his loved ones, and actively engages in raising awareness about autoimmune diseases. His journey serves as an inspiration to others facing similar challenges, reminding them that there is always hope, even in the darkest of times.Conclusion:Mr. Zhang's miraculous recovery from SLE highlights the importance of perseverance, access to innovative treatments, and a strong support system in combating rare diseases. His story not only sheds light on the challenges faced by individuals with autoimmune disorders but also instills hope in the medical community and patients alike. It serves as a reminder that medical breakthroughs and the human spirit can triumph over even the most formidable of diseases.。
临床研究病例报告表crf模板
临床研究病例报告表crf模板英文回答:Case Report Form (CRF) Template for Clinical Research. Section 1: Study Information.Study Title:Study Number:Site Name:Site Number:Investigator Name:Investigator Signature:Date:Section 2: Patient Demographics and Medical History. Patient ID:Age:Sex:Race:Ethnicity:Medical History:Section 3: Study Procedures.Date of Visit:Treatment Administered:Dose:Route of Administration:Duration of Treatment:Adverse Events:Concomitant Medications:Physical Examination Findings:Laboratory Test Results:Section 4: Efficacy and Safety Assessments. Efficacy Outcome Measures:Safety Outcome Measures:Section 5: Patient Disposition.Reason for Discontinuation:Date of Discontinuation:Outcome at Discontinuation:Section 6: Investigator's Comments. Comments on Patient's Progress:Comments on Study Procedures:Comments on CRF Completion:中文回答:临床研究病例报告表(CRF)模板。
卫生高级职称临床病案报告范文
卫生高级职称临床病案报告范文英文版Clinical Case Report Template for Advanced Health ProfessionalsAs an advanced health professional, it is crucial to be able to effectively document and report on clinical cases. A well-written clinical case report not only serves as a record of the patient's treatment and progress, but also contributes to the body of medical knowledge and research.When preparing a clinical case report, it is important to include the following key components:1. Patient Information: Start by providing basic demographic information about the patient, including age, gender, and relevant medical history.2. Chief Complaint: Clearly state the reason for the patient's visit or hospitalization, along with any associated symptoms.3. Present Illness: Detail the patient's current symptoms, including when they started, how they have progressed, and any factors that may have contributed to their development.4. Past Medical History: Include any relevant past medical conditions, surgeries, or treatments that may be important for understanding the current case.5. Physical Examination: Describe the findings of the physical examination, including vital signs, general appearance, and any abnormalities noted.6. Diagnostic Tests: Summarize any diagnostic tests that were performed, including laboratory tests, imaging studies, and procedures.7. Diagnosis: Provide a clear and concise diagnosis based on the patient's history, physical examination, and test results.8. Treatment and Follow-up: Outline the treatment plan that was implemented for the patient, along with any follow-up care or recommendations.9. Discussion: Discuss the case in the context of current medical literature, highlighting any unique or interesting aspects that may contribute to the understanding of the disease or treatment.10. Conclusion: Summarize the key points of the case report and emphasize any important takeaways for clinical practice.By following this template, advanced health professionals can ensure that their clinical case reports are thorough, informative, and valuable contributions to the field of medicine.中文版卫生高级职称临床病案报告范文作为一名高级卫生专业人士,能够有效地记录和报告临床病例至关重要。
临床护理病案分析报告范文6篇
临床护理病案分析报告范文6篇 English Answer:Clinical Nursing Case Analysis Report Template.1. Patient Information.Name:Age:Gender:Date of Admission:Date of Discharge:2. Chief Complaint.Brief description of the primary reason for thepatient's hospitalization.3. History of Present Illness.A detailed account of the patient's symptoms, onset, duration, exacerbating and alleviating factors, and any relevant medical history.4. Past Medical History.A summary of the patient's significant past medical conditions, surgeries, and hospitalizations.5. Family History.A review of any relevant health conditions or genetic disorders within the patient's family.6. Social History.Information about the patient's lifestyle, habits, and social support system.7. Review of Systems.A systematic assessment of the patient's symptoms and physical findings by body system.8. Physical Examination.A comprehensive physical examination, including vital signs, general appearance, skin, head, neck, chest, abdomen, musculoskeletal system, and neurological status.9. Laboratory and Diagnostic Tests.A list of any laboratory tests, imaging studies, or other diagnostic procedures performed during the patient's hospitalization.10. Nursing Diagnosis.A list of specific nursing diagnoses that describe the patient's actual or potential health problems.11. Nursing Interventions.A detailed plan of actions taken by the nurse to address the patient's nursing diagnoses.12. Nursing Outcomes.A statement of the expected results of the nursing interventions.13. Evaluation.A summary of the patient's progress and the effectiveness of the nursing interventions.14. Discharge Planning.A plan for the patient's care after discharge from the hospital, including medications, follow-up appointments, and any necessary home care services.15. Case Manager Notes (Optional)。
case report of XXX(英文病例汇报)
The Third Section of The Department of Gastroenterology
Present illness:
The abdominal CT,MRI and M RCP all showed the dilatation of the bile ducts(both the intrahepatic and extrahepatic bile ducts)and the pancreatic ducts. Besides,the abdominal CT showed the enlargement of pancreas with the probability of pancreatic divisum.Then he was diagnosed as pancreatitis and the sy mptomatic treatment was applie d but the effect was not comfortable.
Sex: Male
Race: Han Nationality: China
father and himself
Reliability: Reliable
Address: XinYang,Henan.
Occupation: Excavator driver
The Third Section of The Department of Gastroenterology
amination report of the duodenal wall showed he was diagnosed T lymphoma.
The Third Section of The Department of Gastroenterology
case report范文
case report范文Case Report: A Rare Presentation of Gastrointestinal Stromal TumorIntroductionGastrointestinal stromal tumors (GISTs) are mesenchymal neoplasms that arise from the interstitial cells of Cajal or their precursors. They are relatively uncommon, accounting for less than 1% of all gastrointestinal malignancies. This case report presents an unusual case of a GIST with a rare presentation and discusses its diagnosis, management, and outcome.Case PresentationA 52-year-old male presented to our hospital with a history of abdominal discomfort and weight loss over the past three months. Physical examination revealed a palpable abdominal mass in the right upper quadrant. Laboratory tests were within normal limits. Abdominal ultrasonography showed a heterogeneous mass in the liver, suggestive of a metastaticlesion. Computed tomography (CT) scan of the abdomen revealed a large mass in the right lobe of the liver with multiple smaller lesions scattered throughout both lobes. There was also evidence of peritoneal seeding.The patient underwent a laparotomy, which revealed a large, firm, and encapsulated mass in the right lobe of the liver. The mass was resected along with a segment of the liver. Intraoperatively, there was no evidence of peritoneal metastasis. Histopathological examination of the resected specimen revealed a spindle cell neoplasm with mitoses and atypical cells. Immunohistochemistry staining was positive for CD117 (c-kit) and DOG-1, confirming the diagnosis of GIST.Postoperatively, the patient recovered well and was discharged on the seventh postoperative day. He was started on imatinib mesylate (Gleevec) as adjuvant therapy. Follow-up CT scans showed no evidence of recurrence or metastasis at six months and one year post-surgery.DiscussionGISTs can occur anywhere in the gastrointestinal tract, but they are most commonly found in the stomach (60-70%) and small intestine (20-30%). They typically present as asymptomatic masses and are often diagnosed incidentally. However, symptoms can include abdominal pain, weight loss, and gastrointestinal bleeding. Metastasis is common, and the liver is the most frequent site of involvement.The diagnosis of GIST is confirmed by histopathological examination and immunohistochemistry staining. Surgical resection is the primary treatment modality for localized GISTs. The extent of resection depends on the size and location of the tumor. Adjuvant therapy with tyrosine kinase inhibitors (TKIs) such as imatinib mesylate is recommended for patients with high-risk features, including large tumor size, high mitotic rate, and/or positive resection margins.The prognosis of GISTs varies depending on tumor size, mitotic rate, resection margins, and the presence of metastasis. Long-term survival is possible with complete resection andadjuvant therapy. Regular follow-up with CT scans is recommended to monitor for recurrence or metastasis.ConclusionThis case report highlights the importance of considering GIST in the differential diagnosis of abdominal masses. Surgical resection is the mainstay of treatment, and adjuvant therapy with TKIs improves outcomes in patients with high-risk features. Regular follow-up is crucial for early detection of recurrence or metastasis.案例报告:胃肠道间质瘤罕见病例介绍胃肠道间质瘤(GIST)是起源于卡哈尔间质细胞或其前体的间叶性肿瘤。
Casereport病例报告2
Dr. med.vet. FVH G. Hartmeier Tierklinik Aarau West Switzerland
Signalement
• Gucci: Mix breed female, 12 y Gucci:混血雌性,12岁
• Since 3 months with the new owner 3个月前由新主人领养
ቤተ መጻሕፍቲ ባይዱ
Follow up随访
• After 6 months relapse of the symptoms 6个月后症状复发
• Vomiting呕吐 • Weight loss体重减轻 • Inappetence食欲不振
→ Ultrasound超声检查
History病史
• Pollakisuria since 2 weeks2周前开始出现尿频 • Tenesmus里急后重 • Hematuria since yesterday昨天开始出现血尿
Problem list病症
• Pollakisuria尿频 • Tenesmus里急后重 • Hematuria血尿
症状没有完全消失
Surgery手术
• 2 x 4 cm mass in trigon region三角区有一 个2x4cm肿块
• Both urethers free两侧导尿管都是通的 • Mass in toto excised肿块完全切除 • Regional lymph nodes biopsied局部淋巴结
1.031 9 ++ ++ +++ ++ ++
Extended problem list 更多病症
护士个案护理报告范文
护士个案护理报告范文英文回答:Nursing Case Study Report Template.Introduction.State the patient's name, age, gender, and reason for hospitalization.Provide a brief summary of the patient's medical history, including past surgeries, medications, and allergies.Assessment.Nursing History: Describe the patient's symptoms, chief complaint, and history of present illness.Physical Examination: Record all relevant physicalfindings, including vital signs, skin assessment, and neurological examination.Diagnostic Tests: List any diagnostic tests performed and their results.Diagnosis.State the patient's nursing diagnosis according to the North American Nursing Diagnosis Association (NANDA) guidelines.Provide a brief rationale for the diagnosis.Goals and Interventions.Goals: State the desired outcomes of nursing care for the patient.Interventions: Describe the nursing interventions implemented to achieve the goals.Evaluation: Explain how the interventions were evaluated for effectiveness.Plan of Care.Nursing Interventions: Outline the specific nursing interventions to be implemented.Medication Administration: List all medications ordered for the patient, including dosage, route, and frequency.Dietary Restrictions: Describe any dietary modifications or restrictions.Activity Level: Specify the patient's activity level and any limitations.Evaluation.Patient Outcomes: Describe the patient's response to the nursing interventions and whether the goals were met.Plan Modifications: Discuss any adjustments made to the plan of care based on the patient's progress.Documentation.Nursing Notes: Provide a detailed account of the patient's condition, nursing assessments, and interventions performed.Progress Notes: Document the patient's progress towards the goals and any changes in the plan of care.中文回答:护理个案护理报告范文。
case-report病例汇报英文版
重症医学科
Treatment
• Preoperative preparation for blood test, skin preparation, blood preparation, etc.
• Give anti-infection, dilute sputum, protect the stomach, relieve pain and other drug treatments.
重症医学科
Diagnostic Basis
The patient had a clear history of trauma and underwent imaging examination in our hospital.
Under the action of the same injury factor, it causes trauma more than 2 parts of his body, and the traumatic hemothorax and pneumothorax can be life-threatening.
• Cardiac,abdomen,head,pelvis,limb,artery,nerve: Negative finding.
• FAST: the perihepatic space, perisplenic space, pericardium and the pelvis:
重症医学科
Negative finding.
Past History •The patient is healthy before. •No history of infective diseases. •No allergy of food or drugs.
被骗报案材料模板范文
被骗报案材料模板范文英文回答:Title: Fraud Case Report Template and Sample.Introduction:I recently fell victim to a fraudulent scheme and would like to report the incident. I hope that by sharing my experience, others can learn from it and avoid similar situations. Below is a template for reporting a fraud case, along with a sample report.1. Personal Information:Name: [Your Name]Age: [Your Age]Gender: [Your Gender]Contact Information: [Your Phone Number and Email Address]Address: [Your Address]2. Incident Details:Date and Time of Incident: [Date and Time of the Fraudulent Act]Location of Incident: [Place where the Fraudulent Act Occurred]Description of Incident: [Provide a Detailed Account of What Happened]Sample: I was recently contacted by an individual claiming to be a representative from a well-known online shopping platform. They informed me that my account had been compromised and that I needed to provide my personal information to verify my identity. Trusting theircredibility, I shared my sensitive details, including my bank account number and social security number. Soon after, I realized that I had been scammed and that the person I spoke to was not affiliated with the online shopping platform at all.3. Financial Loss:Amount Lost: [Specify the Amount of Money Lost]Method of Payment: [How the Payment was Made]Supporting Documents: [Provide any Relevant Documents, such as Bank Statements or Receipts]Sample: As a result of this fraudulent act, I lost $1000 from my bank account. The payment was made through an online transfer, and I have attached the bank statement showing the transaction.4. Communication Details:Name and Contact Information of the Fraudster: [If Available]Communication Method: [Phone, Email, or Other]Any Additional Information: [Provide any Relevant Details about the Communication]Sample: The fraudster communicated with me via email and used a fake name, claiming to be a customer service representative. They were very persuasive and used convincing language to gain my trust.5. Action Taken:Steps Taken to Minimize Loss: [Describe any Actions Taken to Prevent Further Loss]Reporting to Authorities: [Specify if the Incident has been Reported to the Police or Other Relevant Authorities]Sample: After realizing that I had been scammed, Iimmediately contacted my bank to freeze my account and prevent any further unauthorized transactions. I have also reported the incident to the local police department, providing them with all the available information.Conclusion:Fraud cases are unfortunately common, and it is crucial to report such incidents to protect ourselves and others. By following the above template and sharing my personal experience, I hope to raise awareness about fraud and help others avoid falling victim to similar schemes.中文回答:标题,被骗报案材料模板范文。
产品质量案件评析报告范文
产品质量案件评析报告范文英文回答:Product Quality Case Analysis Report Template.Introduction.Describe the product and its intended use.State the specific quality issue reported.Briefly outline the investigation process and findings. Analysis of the Quality Issue.Identify the root cause of the quality issue.Consider the impact on product performance, safety,and customer satisfaction.Discuss the potential consequences of the issue if it had not been detected.Corrective Actions.Outline the steps taken to correct the quality issue.Explain how the corrective actions address the root cause of the issue.Discuss the effectiveness of the corrective actions in resolving the problem.Preventive Actions.Identify steps taken to prevent future occurrences of the quality issue.Discuss the implementation of new processes, procedures, or controls to improve quality assurance.Assess the potential effectiveness of these preventiveactions.Conclusion.Summarize the investigation findings and corrective actions taken.Highlight the impact of the quality issue on the product and customer experience.Discuss the lessons learned and recommendations for future improvement.中文回答:产品质量案件评析报告范文。
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INSTRUCTIONS TO AUTHORSCase ReportsCASE REPORTS (Fewer than 2000 words)We receive a large number of case reports and typically accept those of exceptional teaching value.DEFINITION: Articles reporting a small number of patients (typically 1-5) patients with: (1) a diagnostic dilemma; (2) an unusual manifestation of disease processes; (3) an unusual treatment challenge; (4) an unanticipated early failure or complications of some treatment. We typically do not accept cases in which two entities are associated since conditions may occur coincidentally, rather than causally. Authors must include a comprehensive literature review if a rare event.∙ Must contain Introduction, Case Report, and Discussion. The Introduction should include the need and rationale for the new technique.∙Must use text TEMPLATE for guide: (see below).Authorship (Navigate below)We believe it important to document the adequate participation of all authors in at least three major elements of a study and report; the number of authors will generally relate to the scope of the project. For case reports we request no more than 4 authors. In all cases, however, multiple contributions of each author must be documented in our required form addressing copyright transfer, authorship, and conflicts of interest. Authors are encouraged to read “Thoughts on Authorship” Clin Orthop Rel Res 2008; 466:1002-5. Conflict of Interest statement (Navigate below)Authors of all manuscripts published in CORR must clarify any and all potential conflicts of interest. On the Title Page please note any funding or financial support or potential sources of conflict of interest:∙Consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.∙If any author has directly received research funding and/or has potential conflicts of interest, State "One or more of the authors () has received funding from" and note the source and the initials of those authors who received funding in the parentheses.∙If your institution received any sort of support state, "The institution of the authors has received funding from" and note the source.∙If you received no financial support please note, "Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article."If you or any author have received or may receive any personal payment or in-kind benefit or other professional benefits from a commercial entity (eg, serve as aconsultant), please note, "Each author certifies that he or she has or may receive payments or benefits from a commercial entity related to this work."Ethical Review Committee Statement (Navigate below)Manuscripts involving humans or human data must be accompanied by a copy of the letter from your ethical committee approving your studyREMOVE ALL INSTRUCTIONS ABOVE PRIOR TO UPLOADING FINALDRAFT TO EDITORIAL MANAGERCase ReportTITLE PAGEThis page must include the following:∙ Title (containing fewer than 80 characters including spaces)∙ Running title (containing fewer than 40 characters including spaces)∙Author name(s) and final degree(s) (must follow authorship guidelines)∙The affiliation(s), and address(es), and e-mail addresses of all author(s)∙Conflict of interest statement∙Ethical review committee statement∙ A statement of the location where the work was performed (only if authors from multiple institutions)∙Word Count (Introduction through Discussion): Limit manuscript to fewer than 2000 words.∙The Corresponding Author name and e-mail address (must be same as Corresponding Author in Editorial Manager).1Abstract: Your Abstract must be structured with the following four sections and contain 2fewer than 250 words.3∙Background4∙Case Description∙Literature Review56∙Clinical Relevance7Introduction (maximum of 500 words)89∙All manuscripts must contain an Introduction, typically three paragraphs.10∙We suggest one paragraph of background (citing but not amplifying relevant11literature), one or two of rationale, and a final paragraph only stating the purposes 12of the report.13Case Report (maximum of 250 words for each case.)14∙Describe the history, physical examination, laboratory tests and imaging, treatment, 15and followup of each case.16Discussion ( maximum of 1000 words)∙Begin with a restatement of the novelty of the case or cases.1718∙Compare and contrast your case or cases with those in the literature; when relatively few cases have been reported, provide a table comparing the key findings or1920outcomes.21∙End with a summary of the literature.AcknowledgmentsNote any nonfinancial acknowledgments. Begin with, “We thank…” and note the nature of the contribution.∙Ensure your references are complete and in alphabetical order and proper format (modified AMA style - please see our published instructions on our Website).∙In-text citations should appear before commas and periods and located in a sentence immediately after the point they are documenting.∙Provide brief legends to include the major point.∙Figure legends should be written in complete sentences.∙Illustrations with multiple figures (eg, 1A, 1B, 1C) must be labeled "A," "B," and "C"in the lower left hand corner. Each illustration requires a separate legend.∙Figures should be uploaded and separately labeled in Editorial Manager.∙Color illustrations may be used for surgical photographs, photomicrographs, complex graphics; black and white should be used for other illustrations.。