症状减轻英文

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）