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Foresee Your Next Patient

机译:预见下一位病人

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For 8 days, a 21-year-old man had experienced intermittent episodes of high fever and chills. These episodes lasted about 3 hours and occurred every 2 days. He denied nausea, vomiting, diarrhea, abdominal pain, cough, pharyngitis, and rashes. Six months earlier, the patient had moved to the United States from Chiapas, Mexico. His past medical history was unremarkable, and he did not use tobacco, alcohol, or illicit drugs. The patient appeared to be well nourished. He was afebrile. Slight icterus was noted, but there was no lymphadenopathy. Head, ears, eyes, nose, and throat were normal. Results of the chest and abdominal examinations were normal as well. No rash or petechiae were observed on the skin.
机译:在8天的时间里,一个21岁的男人经历了间歇性的高烧和发冷发作。这些发作持续约3个小时,每2天发生一次。他否认恶心,呕吐,腹泻,腹痛,咳嗽,咽炎和皮疹。六个月前,该患者已从墨西哥恰帕斯州移居美国。他过去的病史并不多见,他没有使用烟草,酒精或非法药物。该患者似乎营养良好。他很发热。注意到有轻微的黄疸,但没有淋巴结肿大。头,耳,眼,鼻和喉咙正常。胸部和腹部检查的结果也正常。在皮肤上未观察到皮疹或瘀斑。

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