淋证（Stranguria）.doc

淋证（Stranguria） The 01 question is dry: First station: medical record writing (60 minutes) Zhang x, female, 36 years old, worker, first diagnosed in September 8, 2002. 10 years ago, spontaneous labor 1, 2 years ago after artificial abortion leucorrhea more, when there is under the Yin pruritus. 2 weeks before the urgency and frequency of urination, painful urination, at rest and improved self medication after norfloxacin. The past 2 days due to fatigue after the symptoms worsen, urination short astringent, drop pain, low back pain, fever, chills, pain, urination, burning sensation, deep yellow urine turbidity, then. See: T:38.4 C, R:18 / min, P:96 / min, BP:120/75 mmHg. Red tongue, yellow greasy fur, slippery pulse number. Double kidney area has knock painful, the point on the ureter on the abdomen has tenderness, did not see other positive signs. Laboratory examination: urine routine showed small amounts of protein, white blood cell ++++/Hp, red blood cell ++/Hp, and white tube type +/Lp. Blood routine showed 12.7 x 109/L and neutrophil 84%. Clean interrupted urine cultures showed Escherichia coli and colony 105/ml. Reference: inpatient medical records Name: Zhang x * gender: Female Age: 36 years old Nationality: Han nationality Marriage: married Occupation: Worker Time of admission: medical history in September 8, 2002: September 8, 2002 The 2 week: frequent micturition, aggravated in 2 days with fever lumbago History: 2 weeks ago because of Yin unclean appear painful urination, frequent urination, at rest and improved self medication after norfloxacin. 2 days ago because of fatigue after symptoms worsen, urination short astringent, drop pain, low back pain, fever, chills, pain, urination, burning sensation, deep yellow urine turbidity, then. Now in urination short astringent, drop pain, low back pain, fever, chills, pain, urination, burning sensation, deep yellow urine turbidity. Past history: leucorrhea more, when there is lower Yin pruritus, 2 years. No other im