《诊断学总论》PPT课件

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Obtain information
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• From Leabharlann Baiduny 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.
• To hear best with your inner ear.
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The contents of diagnosis
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• Verbal observation or history taking
• Physical observation or examination
• Laboratory observation
patient's viewpoint
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History Taking
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• Obtaining a medical history is an "art"
• Talk with, rather talk to the patient.
• Listen attentively and guide a patient effectively.
• With efficiency and minimal discomfort to the patient.
• 5 components of physical examination: inspection, palpation, percussion ,auscultation and smelling.
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• What is the meaning of “Clinician”?
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Physical Diagnosis
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• 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
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Physical Examination
• Begins when greeting the patient. • Sedulously practicing the art of
observation make a student to a clinician.
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How to conduct physical examination 12
• Application of the sensory end organ to the patient.
• In a rational, thorough, and accurate fashion.
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Physical Diagnosis
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• A linkage between basic medical knowledge and clinical medicine.
• A discipline to use basic medical theory and skill to make a diagnosis.
Clinical Diagnostics
CHINA MEDICAL UNIVERSITY
1
ZHAO LI
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Physical Diagnosis
2
• Today’s medical students • Tomorrow’s clinicians
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Physical Diagnosis
etc.
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Interpretation of laboratory data
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• Lots variables alter laboratory tests results.
• Specificity and sensitivity of the tests. • Overlapping between the healthy and the
diseased subjects.
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13 Laboratory findings
• To detect pathogenic or functioning information.
• Chemical, biological and physiological tests. • X-film, CT, MR. • gastroscopy, angiography and bronchoscopy
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History Taking
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• Obtain as much information as needed to diagnose and treat the illness.
• Requirements for the physicians: • A genuine, profound, and absorbing
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
• Ask searching questions.
• Interrogation of family and friends if necessary.
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History Taking
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• Know all about the disease
• Symptoms and signs
• Symptoms: patient's complaints, or his recognition of something abnormal.