狂睡不醒
Chief complaint: neck pain associated with double arm numbness 2 months before. Hpi: in patients with known as the history of neck pain, no obvious incentive before February on neck pain with double upper limb numbness, statistically insignificant, symptoms not seen after resting, since take huoxue pain on neck pain relief, double arm numbness improvement is not obvious, relapse after the drug was stopped, in the armed police hospital, line of cervical spine MRI tip: C6-7 disc slightly prominent, the treatment for system, hence today at our hospital treatment, outpatient service to cervical spondylosis admitted undergraduate course. Engraving: neck pain with double upper limb numbness, mild cervical activity suffers be restricted, double drooping upper limb numbness symptoms worsen, the symptom is reduced when flat, significantly worse after long bow and fatigue, alleviate after resting, double upper limb muscle strength without exception, occasional headache, dizziness, did not see syncope, no night is aggravating, double lower limbs are not obvious on the cotton samples, to sleep, Ann, mainland, red tongue, whitish, pulse count. Past medical history: deny TB infection such as history and history of close contact. Denied drugs, food allergies. History of vaccination is unknown. A history of hepatitis 2 years. Personal history: in origin, no outside living history for a long time, there is no history of epidemic area living. Everyday life rule, no smoking, no toxic exposure history. Baby s: age to marry, spouse and children are healthy. Physical examination T: 36.5 ℃ P: 74 times/min R: 20 times/min BP: 110/80 MMHG developed normally, nutrient medium, automatic position, physical examination, conscious, answer to the point. Whole body skin, the mucous membrane yellow dye, rash and haemorrhage, no liver palm, ZhiZhuZhi, superficial lymph node untouched enlargement. Head shape is normal, the eye has no outer convex, retraction. No loose, fall off his eyebrows. Double eyelid ptosis, edema, did not see conjunctival edema, palpebral conjunctiva congestion, sclera, no yellow dye, on both sides of the pupil big circle, such as 3 mm in diameter, light reflex sensitivity. Binaural hearing, external auditory canal unobstructed, no abnormal secretions, mastoid without tenderness. Nasal appearance is normal, no abnormal secretions, paranasal sinus without tenderness. Oral no purple purple, weeks without herpes, oral mucosa ulcer, gum swelling, no tongue in the middle and no obvious hyperaemia, pharyngeal tonsils. Neck without resistance, jugular vein engorgement, liver - jugular vein reflux sign negative, trachea centered, not touch enlargement of the thyroid gland. Thoracic symmetry, no deformity, breathing mobility on the right side is normal, the right language fibrillation is normal, no pleural friction feeling. Double lung knocking sounds, double lung breath sounds clear, no dry wet sex then sound, smell and pleural rub. Beats the area before the heart without uplift, without exception, apex beat point did not see, touch without a tremor, heart world is not big, heart rate 74 / cent, law of qi, the heart sounds low dull, each valve auscultation area not smell and pathologic murmur, no smell and fibrin often. Specialized examination: cervical curvature straighten, stiff neck muscles, mild cervical activity suffers be restricted, neck tenderness (+) between 4-6 neck spine, neck 3-6 by the spine on both sides of the neck tenderness (+), taps pain (-), bilateral intervertebral foramen (-) extrusion experiment, knocking test (-), brachial plexus pull test (+) on the left and right side (+), spin neck test (plus or minus), double upper limb muscle strength, normal biceps, humerus normal tendon reflex, bilateral hoffmann sign (-)（仅供参考）
长颈鹿之迷
mango,mandarin,melon， mushroom,milk,milk shake,milk caramel，芒果，柑 ，甜瓜 ， 蘑菇 ， 牛奶，奶昔， 牛奶糖, macaroni，meringue， muffin, 通心面， 慕思（蛋白和糖做的） 松饼macaroon, malt ， maltose，mayonnaise ，蛋白杏仁饼干, 麦芽或啤酒， 麦芽糖， 蛋黄酱，你也可以叫my tea house,点心就叫mug-up
yingyingwp
diffidence
英 ['dɪfɪd(ə)ns] 美
n. 无自信；羞怯；内向
短语
diffidence blazonness 缺乏自信
diffidence e 谦虚
docile & diffidence 温顺
shyness and diffidence 羞涩和感到胆怯
overcome diffidence and nervousness 克服不自信和紧张
With Awkward Diffidence 既尴尬又不安
扩展资料
双语例句
1、I fervently wished we could warm up into some discussion, but my diffidence got the better of my conversational powers.
我热烈希望我们能进行一次活跃的讨论。但是我的羞怯，压倒了热烈讨论的动力。
2、It is with some diffidence that I try to speak to you in his own home of Newton as he was himself.
在牛顿自己的家里，我试图就牛顿为题来进行演讲，是有些忐忑不安的。
3、No usage or custom was a bondage for him, and so was he able to rid me of my shrinking diffidence.
任何风俗习惯都束缚不住他，因此他才能去除掉我身上的畏缩胆怯。
4、Of bashfulness, diffidence or fear we had none, our main object being to bask in the heat of our own fervour.
我们没有害羞、胆怯和恐惧，因为我们的主要目的就是沉浸在我们自己的狂热当中。
5、Even money did not make much difference; farmers maintained a certain proud and wary reserve that might be seen as diffidence, in the presence of citizens they could buy ahd sell.
即使有了钱，乡下人也没有什么变化。在与他们做生意的城里人面前，他们保持着的某种尊严和小心翼翼的矜持，可能被看作胆怯。
年~you(yu)
The Lord诉：颈项部疼痛伴双上肢麻木Sue: neck pain and upper limb numbness22月余。More than a month.现病史：患者素有颈项部疼痛病史，于History: the patient has a history of neck pain, to22月前无明显诱因出现颈项部疼痛伴双上肢麻木，Without apparent inducement occurrence neck pain with double upper limbs numbness months ago,未予重视，Do not pay attention to,休息后症状未见缓解，The symptoms were not relieved after rest,自服活血止痛药后颈项部疼痛缓解，Self service Huoxue painkillers neck pain relief,双上肢麻木改善不明显，Double upper limbs numb no obvious improvement,停药后复发，就诊于武警医院，行颈椎Relapse after stopping, visits to the Armed Police Hospital, cervical spineMRIMRI提示：Prompt.C6-7C6-7椎间盘轻度突出，为求系统治疗，遂于Disc slightly prominent, for the sake of the treatment system, and to今日就诊我院，门诊以“颈椎病”收住本科。刻下：颈项部疼痛伴双上肢麻木，颈椎活动轻度Today's visit in our hospital, outpatient service with "cervical spondylosis" admitted to undergraduate. At the moment: neck pain with double upper limbs numbness, mild cervical activity受限，双上肢下垂时麻木症状加重，平放时症状减轻，长时间低头及劳累后症状明显加重，休Limited, double upper limbs muscle numbness symptoms, when laid flat to alleviate the symptoms, long time head and exertional symptoms increase, Hugh息后缓解，双上肢肌力无异常，偶见头痛头晕，未见晕厥，无夜间加重，双下肢踩棉花样感不After remission, double upper limbs strength without exception, I see no headache and dizziness, syncope, no nightly accentuation, double lower limbs on the cotton like not feeling明显，纳可，眠安，二便可，舌质红，苔白，脉细数。Obviously, nake, Mian an, two can, red tongue, moss white, pulse counting.既往史：否认结核等传染病史及密切接触史。否认药物、食物过敏史。预防接种史不详。Past history: denial of tuberculosis and other infectious disease history and history of close contact. Deny drug, food allergies. Vaccination history is unknown.有肝炎病史With a history of hepatitis22年。Years.个人史：生于原籍，无外地长期居住史，无疫区居住史。平素生活规律，无吸烟史，无毒Personal history: in the country of origin, no field of long-term residential history, history of living in non endemic area. Usually the law of life, no smoking, no物接触史。Contact history.婚育史：适龄结婚，配偶及子女均健康。Obstetrical history: age of marriage, spouses and children are healthy.体Body格Lattice检Check查CheckT:36.5T:36.5℃CP:74P:74次Time//分DividedR:20R:20次Time//分DividedBP:110/80mmHgBP:110/80mmHg发育正常，营养中等，自动体位，查体合作，神志清楚，回答切题。全身皮肤、粘膜无黄The development of normal, nutrient medium, automatic position, check cooperation, sane, answer to the point. Systemic skin, mucous membrane without yellow染、皮疹及出血点，无肝掌、蜘蛛痣，浅表淋巴结未触及肿大。头颅外形正常，眼球无外凸、Dye, rash and bleeding, no liver palm, spider nevus, superficial lymph node with no palpable. The cranial shape normal, non convex eye,内陷。眉毛无稀疏、脱落。双眼睑无下垂、浮肿，球结膜未见水肿，睑结膜无充血，巩膜无黄Invagination. Sparse eyebrows, without shedding. Eyelid droop, no edema, conjunctival no edema, conjunctival no congestion, no yellow sclera染，Dye,两侧瞳孔等大等圆，Bilateral pupil wait for a circle greatly,直径Diameter3mm3mm，,对光反射灵敏。The light reflex sensitivity.双耳听力正常，Binaural hearing,外耳道通畅，The external auditory canal,无异常分泌物，No abnormal secretions,乳突无压痛。鼻外形正常，无异常分泌物，副鼻窦无压痛。口唇无紫绀，口周无疱疹，口腔粘Mastoid no tenderness. Nose is normal, no abnormal secretions, paranasal sinus without tenderness. No lips cyanosis, mouth weeks without bleb, buccal adhesive膜无溃疡，牙龈无红肿，伸舌居中，咽部无明显充血，扁桃体不大。颈无抵抗，颈静脉无怒张，Film without ulcers, gingival swelling without, tongue is no obvious hyperemia, pharynx, tonsil is not. Neck no resistance, no jugular vein engorgement,肝Liver--颈静脉回流征阴性Jugular venous reflux sign negative,,气管居中，甲状腺未触及肿大。胸廓对称无畸形，右侧呼吸动度正常，Tracheae, no palpable thyroid. Symmetric non thoracic deformity, on the right side of the normal respiratory motion,右侧语颤正常，The right language fibrillation to normal,无胸膜摩擦感。No sense of pleural friction.双肺叩清音，Double lung percussion sound,双肺呼吸音清晰Double lung breathes phonic clarity,,无干湿性啰音，No dry and wet rales,未闻及胸膜摩擦No pleural friction音。Sound.心前区无隆起，Free zone uplift before the heart,无异常搏动，No abnormal pulse,心尖搏动点未见，Apex beat no,触无震颤，Touch no tremor,心界不大，Heart group is not big,心率Heart rate7474次Time//分，Divided,律齐，The law is neat,心音低钝，各瓣膜听诊区未闻及病理性杂音，未闻及心包摩擦音。Heart sounds is low blunt, area of each valve auscultation without pathological murmur, no pericardial friction sound.专科检查：颈椎曲度变直，颈部肌肉僵硬，颈椎活动轻度受限，颈Specialized examination: cervical curvature becomes straight, stiff neck muscles, and cervical spine slightly restricted, neck4-4-颈Neck66棘间压痛（Interspinous tenderness (++）)，,颈Neck3-3-颈Neck66棘旁两侧压痛（Paraspinal tenderness (both sides++）)，叩击痛（, percussion pain (--）)，双侧椎间孔挤压试验（, bilateral intervertebral foramen extrusion test (--）)，叩顶试验（Knock test (top,--）)，臂丛牵Brachial plexus traction,拉试验左侧（The left (tensile test++）)、右侧（, (on the right side++）)，旋颈试验（±）, neck rotation test (±)，双上肢肌力正常，肱二、肱三肌腱反射正常，双Normal, double upper limbs strength of two, three, triceps tendon reflex is normal, double侧霍夫曼征（Hoffman syndrome (side--）)，余病理反射未引出。No more than, pathology reflex.
