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副主任医师:请实习医师报告病例摘要。患者,男,57岁,住院号79179。持续上腹痛伴恶心、稀便4小时,于1982年5月25日入院。腹痛转剧烈,但无放射及畏冷发热等。恶心而无呕吐,稀便一次但无粘液血便。粪色黄。服去痛片无效而入院。以在无类似病史。3年前开始出现心慌、易怒、手颤、多汗、突眼及颈前肿大等。按甲状腺机能亢进症服药治疗,症状好转。近一年未再服抗甲亢药。嗜烟。检查:体温37.6℃,脉搏112次/分,呼吸30次/分,血压110/70毫米汞柱。痛苦面容,自动体位。巩膜轻度黄染。全身浅表淋巴结无肿大。双眼球突出。双侧甲状腺呈弥漫性肿大,无血管杂音。心肺无异
Associate Chief Physician: Ask the intern to report the case summary. Patient, male, 57 years old, hospital number 79179. Continuous abdominal pain with nausea, loose stool 4 hours, on May 25, 1982 admission. Severe abdominal pain, but no radiation and chills fever and so on. Nausea and vomiting, loose stool once without mucus bloody stool. Color yellow dung. Infected to pain tablets invalid admission. With no similar history. 3 years ago began to palpitation, irritability, trembling hands, sweating, exophthalmos and neck anterior enlargement. Hyperthyroidism medication, the symptoms improved. Nearly a year did not take anti-hyperthyroidism medicine. Smoke. Check: body temperature 37.6 ℃, pulse 112 beats / min, breathing 30 beats / min, blood pressure 110/70 mm Hg. Painful face, automatic position. Scleral mild yellow dye. Systemic superficial lymph nodes without swelling. Eyes prominent. Bilateral thyroid was diffuse enlargement, no vascular noise. Heart and lung is no different