诊断证明书英文模板
诊断证明书英文模板【1】
Beijing Children's Hospital of Capital Medical University (for reference by insurance company)
Name: x Gender: male Age: 8 years and 7 months and 25 days old Admission No.
: 604321 Admission Date: February 12th2013
Discharge Date: March 4th 2013
Discharge diagnosisLeave prognosisDischarge information
(1) I diabetes mellitusImprovement
(2) Diabetic ketosisCure
(3) Mild dehydrationCure
(4) Acute upper respiratory infectionCure
Matters needing attention after discharge
Actively improve the way of life, low-salt diet, the daily calories shall be controlled at around 1600 kilocalorie considering both the growth and disease control needs.
In addition, please do moderate exercise after eating.
When the blood sugar is more than 15mmol/L, constrain exercise movement and test the urine acetone bodies.
At present, the diabetes mellitus requires lifelong treatment and I diabetes mellitus need lifelong insulin injections.
Now, the proportion between the short-acting and the intermediate-acting of subcutaneous insulin injection (before breakfast) is 3IU:7IU; the proportion between the short-acting and
the intermediate-acting of subcutaneous insulin injection (before dinner) is 1IU:2IU.
The patient shall timely adjust the dosage according to the blood sugar information.
Strengthen the blood sugar monitoring.
When the blood sugar is stable, the patient should test for 4 times.
When the blood sugar fluctuates, the patient should test for 7 times.
Pay attention to the symptoms of low blood sugar to avoid low blood sugar.
If the blood sugar is lower than 4mmol/L, the patient can drink 200ml fruit juice; if the blood sugar is lower than 3mmol/L, the patient can drink10gglucose or sugared beverages.
After 15 to 30 minutes, retest the blood sugar.
If the blood sugar is lower than 2mmol/L or such symptoms as dizziness, palpitation, sweat and weakness, etc appear, the patient shall be immediately rescued and timely see a doctor.
The blood sugar control target is 5 to 8 mmol/L before breakfast and 5 to 10 mmol/L two hours after meal and the glycosylated hemoglobin shall be lower than 7.
5%.
Attend the diabetes mellitus outpatient service clinic after 2 weeks and retest such 4 items as glycosylated hemoglobin, fasting blood glucose, fasting C-Peptide, routine urine test and tg chohdlldl, etc.
Monitor the body weight, height, blood pressure and growth and development information.
Adhere to record diabetes diary everyday (insulin dosage, blood glycosuria test results, food intake and special event).
Adhere to diabetes mellitus outpatient service for follow-up clinic for a long term.
When the patient's condition is changed, timely go to the endocrine outpatient for follow-up clinic.
Things that need to bring: the parent need to check:
1 Reexamination laboratory test report: glycosylated hemoglobin, fasting blood glucose, fasting C-Peptide, routine urine test, tg chohdlldl and thyroid function five-item tests.
2 Diabetes health education prescription/ Obesity health education prescription
3 A piece of diabetes diary header
4 Insulin
After discharge, the patient shall continue to take12gXiaoer Resuqing Granules orally for three days and three times each day.
The patient shall periodically reexamine the blood routine + CRP.
*Have appointed to go to diabetes mellitus outpatient service for follow-up clinic 2 weeks later.
*Periodically go to the diabetes specialist outpatient service for reexamination.
Admission department: Genetic Metabolic Endocrine Center [the original Internal Medicine Department] Inpatient ward: Internal No.
2 Ward
Signature of doctor:
Notes: This certificate is valid after being stamped by the Admission Office.
(Official Certificate Stamp of the Admission Department ofBeijingChildren's Hospital)
诊断证明书英文模板【2】
Doctor's Certificate June.
18, 2000 This is to certify that the patient, Mr.
Tomas, male, aged 41, was admitted into our hospital on June.
9, 2000, for suffering from acute appendicitis.
After immediate operation and ten days of treatment, he has got complete recovery and will be discharged on June.
19, 2000.
It is suggested that he rest for one week at home before resuming his work.
Jack Hopkins Surgeon-in-charge 翻译： 医生证明书 2000年6月18日 兹证明病人托马斯先生，男，41岁，因患急性阑尾炎，于2000年6月9日住院。
经立即施行手术和十天治疗后，现已痊愈，将于2000年6月19日出院。
建议在家休息一个星期后再上班工作。
主治医生：杰克·霍普金斯
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