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出国病历翻译样例

发布者:鑫达医学翻译 发布时间:2012-11-22阅读:

Chief complaint:
Mass existed in right popliteal fossa and right thigh for 6 months.

History of present illness:
The patient felt swelling in right knee after exercise in early 2009, which relieved after having enough rest. Mass (egg size) existed in right popliteal fossa and right thigh. No flare, pain, numbness of right lower extremity, ischemia and fatig were observed.

No functional disorder in knee joint was noted. Thickening of legs, walking and crouch disorder were observed as the mass extended gradually. After MRI detection, tumor mass was observed in the right popliteal fossa and superior segment of the right leg. Immediate surgery was performed with requests.

Physical examination:
No abnormalities were noted in right lower extremity. A solid mass (5*5*3) with clear boundary was observed in popliteal fossa. The mass was mobile with smooth surface. No pain was felt given pressure. High skin tension was noted for the tumor part. Pulse of dorsal artery of foot was normal. Sensation of legs and feet was normal. The muscle tension of plantar flexor was at level V.

Auxiliary examination
MRI, fibroma recurrence in right lower extremity.

Diagnosis correcting
Fibroma in right lower extremity.

 

 


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