Stevens-Johnson Syndrome. A Case Presentation. Patient Profile. Name: 王 O 芬 Age: 49 years old Gender: female Marriage: divorced Occupation: working in printing-related factory. Chief complaint. Multiple oral ulcers since one week ago. Present Illness-1.
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A Case Presentation
1. General appearance: acutely ill
2. Consciousness: clear
3. Peripheral perfusion: Normal
4. Skin : normal
Head, Eyes, and Ears: normal
Mouth & Throat: oral ulcers(+)
Neck: one thyroid nodule on the right lobe.
Trachea, carotid artery, and Jugular vein: normal
Thyroid gland : one nodule found in the right lobe region
6. Chest and abdomen, and extremities: normal
7. Nervous system: normal
8. Genitalia area: one shallow ulcer found on the vulva.
No specific findings beside multiple oral ulcers.
Rt & Lt CP angle blunting, probably pleural effusion or pleural change.
Bilateral apex pleural thickening
Mild Increased bronchovascular lung markings of both lungs.
11/24 oral ulcer with pain, feeling much improved.