中国医科大学：《诊断学》课程教学课件（PPT讲稿）Diagnostics

Diagnostics 2nd Affiliated Hospital China Medical University 内科郑长青

Diagnostics 2 nd Affiliated Hospital China Medical University 内科 郑长青

What is Diagnostics? Diagnostics is a bridge subject, this subject is in a position between preclinical medicine and clinical medicine

What is Diagnostics? Diagnostics is a bridge subject, this subject is in a position between preclinical medicine and clinical medicine

The contents of diagnostics include symptomatology ※inquiry X physical examination laboratory electrocardiogram ultrasonic

The contents of diagnostics include symptomatology ※ inquiry ※ physical examination laboratory electrocardiogram ultrasonic

Inquiry history taking by questioning to take a history *The importance of inquiry for example: peptic ulcer gastric ulcer duodenal ulcer

Inquiry history taking by questioning to take a history ★The importance of inquiry for example: peptic ulcer gastric ulcer duodenal ulcer

Peptic ulcer has three clinical characteristics chronicity several years periodicity special seasons late autumn early spring rhythmicity of epigastric pain pain meal relief duodenal ulcer meal pain relief gastric ulcer

Peptic ulcer has three clinical characteristics chronicity several years periodicity special seasons late autumn early spring rhythmicity of epigastric pain pain meal relief duodenal ulcer meal pain relief gastric ulcer

*The contents of inquiry 1 general data 2 chief complaints 3 present illness 4 past medical history 5 systems review 6 personal history 7 marital history 8 menstrual history 9 childbearing history 10 family history

★The contents of inquiry 1 general data ﹡2 chief complaints ﹡3 present illness 4 past medical history 5 systems review 6 personal history 7 marital history 8 menstrual history 9 childbearing history 10 family history

1 General Data Name Native place Sex Working unit Age Date of admission Race Date of record Occupation Narrator Marriage Reliability Address

1 General Data Name Native place Sex Working unit Age Date of admission Race Date of record Occupation Narrator Marriage Reliability Address

2 Chief Complaints The chief complaints should constitute in a few simple words:symptom(s)plus time. The main reasons why the patient consults a doctor. The chief complaints should be stated as nearly as possible in the patient's own words

2 Chief Complaints The chief complaints should constitute in a few simple words: symptom(s) plus time. The main reasons why the patient consults a doctor. The chief complaints should be stated as nearly as possible in the patient’s own words

For example: Asore throat,high fever for two days Achill,fever,right chest pain, cough for three days Arecurrent epigastric pain for eight years,it has been getting worse over the past two weeks

For example: ▲sore throat, high fever for two days ▲chill, fever, right chest pain, cough for three days ▲recurrent epigastric pain for eight years, it has been getting worse over the past two weeks

The chief complaint should not include diagnostic terms or disease entities such as: diabetes heart disease hypertension

The chief complaint should not include diagnostic terms or disease entities such as: diabetes heart disease hypertension