CASE

Medical Number: 756943

General information

Name: Yue Jun-rong

Age: Forty- two years old

Sex: Female

Race: Han

Occupation: Unemployment

Nationality: China

Marital status: Married

Address: Xiaochang county of Xiaogan city in Hubei. Tel: 4835963 Date of admission: Feb.27th, 2003 Date of record: 3pm, Feb.27th, 2003 Complainer of history: the patient herself Reliability: Reliable

Chief complaint: The patient was found “myoma of uterus”(子宫肌瘤) over two years ago and menometrorrhagia（月经过多） for 5 months. Present illness: In 1999, the patient was found “myoma of uterus” in a physical examination. But she had nothing uncomfortable and her catamenia （月经）was normal. She used some Chinese traditional medicine. About 5 months ago, she found the cycle of her catamenia was shorten from 30 days to 20 days and the period lasted from 2 days to 4 days. She felt no pain and the quantity was normal. She was accepted in our hospital and her diagnosis was “subserous （浆膜下）myoma of uterus”.

Since onset, her appetite was good, and both her spiritedness and physical energy are normal. Defecation and urination are normal（二便正常）, too.

Past history

Operative history: Never undergoing any operation.

Infectious history: No history of severe infectious disease.

Allergic history: She was not allergic to penicillin or sulfamide. Respiratory system: No history of respiratory disease.

Circulatory system: No history of precordial pain.

Alimentary system: No history of regurgitation.