《诊断学总论》PPT课件

patient's viewpoint
精选课件ping a medical history is an "art"
• Talk with, rather talk to the patient.
• Listen attentively and guide a patient effectively.
精选课件ppt
Physical Diagnosis
5
• A linkage between basic medical knowledge and clinical medicine.
• A discipline to use basic medical theory and skill to make a diagnosis.
精选课件ppt
13 Laboratory findings
• To detect pathogenic or functioning information.
• Chemical, biological and physiological tests. • X-film, CT, MR. • gastroscopy, angiography and bronchoscopy
etc.
精选课件ppt
Interpretation of laboratory data
14
• Lots variables alter laboratory tests results.
• Specificity and sensitivity of the tests. • Overlapping between the healthy and the
observation make a student to a clinician.
精选课件ppt
How to conduct physical examination 12
• Application of the sensory end organ to the patient.
• In a rational, thorough, and accurate fashion.
• With efficiency and minimal discomfort to the patient.
• 5 components of physical examination: inspection, palpation, percussion ,auscultation and smelling.
精选课件ppt
Obtain information
6
• From any and every source possible.
• Strain to hear the voice of the patient in the thin reed of his crying.
• See most acutely out of the corner of your eye.
interest in the patient's well being • A deep-seated, well-grounded self
confidence in abilities • A through knowledge of the diseases • Ability to see the problem from the
精选课件ppt
History Taking
8
• Obtain as much information as needed to diagnose and treat the illness.
• Requirements for the physicians: • A genuine, profound, and absorbing
3
• What is the meaning of “Clinician”?
精选课件ppt
Physical Diagnosis
4
• What is the main responsibility of the clinician?
• Making diagnosis • Treat a disease • Treat a patient
• Signs: findings elicited by physical examination
• Past history
• Family history
• Systems review
精选课件ppt
11
Physical Examination
• Begins when greeting the patient. • Sedulously practicing the art of
• Ask searching questions.
• Interrogation of family and friends if necessary.
精选课件ppt
History Taking
10
• Know all about the disease
• Symptoms and signs
• Symptoms: patient's complaints, or his recognition of something abnormal.
• To hear best with your inner ear.
精选课件ppt
The contents of diagnosis
7
• Verbal observation or history taking
• Physical observation or examination
• Laboratory observation
diseased subjects.
Clinical Diagnostics
CHINA MEDICAL UNIVERSITY
1
ZHAO LI
精选课件ppt
Physical Diagnosis
2
• Today’s medical students • Tomorrow’s clinicians
精选课件ppt
Physical Diagnosis