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患者女,60岁,住院号27973。因发热40余日,伴四肢关节疼痛收入院。发病前无明显诱因,自觉左颈部胀痛,继而畏寒、发热,体温达39～40℃,以午后明显,伴四肢关节疼痛,无明显心悸、气短,胸痛咳喘不著。病后自觉乏力,纳减。1971年曾患“肝炎”,对去痛片有过敏史。查体:慢性病容,T39℃,P90次/分,R20次/分。BP120/90mmHg。左腮腺肿大,无压痛。左颈部可扪及3个蚕豆大淋巴结,活动无压痛。皮肤、巩膜无黄染。住院期间全身皮肤曾
Female patient, 60 years old, hospital number 27973. Due to fever for more than 40 days, with limb pain in hospital income. Before the onset of no obvious incentive, conscious left neck pain, then chills, fever, body temperature reached 39 ~ 40 ℃, with no apparent afternoon, with limb pain, no obvious heart palpitations, shortness of breath, chest pain cough. After the illness conscious fatigue, satisfied reduction. 1971 suffered from “hepatitis”, have a history of allergies to painkillers. Physical examination: chronic disease, T39 ℃, P90 times / min, R20 times / min. BP120 / 90mmHg. Left parotid enlargement, no tenderness. Left neck palpable three large beans and lymph nodes, activity without tenderness. Skin, sclera without yellow dye. Whole body skin during hospitalization