英文诊断学总论.ppt

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1、GeneralIntroductionofPhysicalDiagnosisLiuJian-minDepartmentofPhysicalDiagnosisDepartmentofEndocrineandMetabolicDiseasesRui-jinClinicalCollegeShanghaiJiao-tongUniversitySchoolofMedicinePhysicalDiagnosisToday’smedicalstudentsTomorrow’scliniciansPhysicalDiagnos

2、isWhatisthemeaningof“Clinician”?PhysicalDiagnosisWhatisthemainresponsibilityoftheclinician?MakingdiagnosisTreatadiseaseTreatapatientPhysicalDiagnosisAlinkagebetweenbasicmedicalknowledgeandclinicalmedicine.Adisciplinetousebasicmedicaltheoryandskilltomakeadiag

3、nosis.ObtaininformationFromanyandeverysourcepossible.Straintohearthevoiceofthepatientinthethinreedofhiscrying.Seemostacutelyoutofthecornerofyoureye.Tohearbestwithyourinnerear.ThecontentsofdiagnosisVerbalobservationorhistorytakingPhysicalobservationorexaminat

4、ionLaboratoryobservationHistoryTakingObtainasmuchinformationasneededtodiagnoseandtreattheillness.Requirementsforthephysicians:Agenuine,profound,andabsorbinginterestinthepatient'swellbeingAdeep-seated,well-groundedselfconfidenceinabilitiesAthroughknowledgeoft

5、hediseasesAbilitytoseetheproblemfromthepatient'sviewpointHistoryTakingObtainingamedicalhistoryisan"art"Talkwith,rathertalktothepatient.Listenattentivelyandguideapatienteffectively.Asksearchingquestions.Interrogationoffamilyandfriendsifnecessary.HistoryTaking

6、KnowallaboutthediseaseSymptomsandsignsSymptoms:patient'scomplaints,orhisrecognitionofsomethingabnormal.Signs:findingselicitedbyphysicalexaminationPasthistoryFamilyhistorySystemsreviewPhysicalExaminationBeginswhengreetingthepatient.Sedulouslypracticingthearto

7、fobservationmakeastudenttoaclinician.HowtoconductphysicalexaminationApplicationofthesensoryendorgantothepatient.Inarational,thorough,andaccuratefashion.Withefficiencyandminimaldiscomforttothepatient.5componentsofphysicalexamination:inspection,palpation,percu

8、ssion,auscultationandsmelling.LaboratoryfindingsTodetectpathogenicorfunctioninginformation.Chemical,biologicalandphysiologicaltests.X-film,CT,MR.gastroscopy,angiographyandbronchoscopyetc.Interpr