genetics_（yu lu） （上海交大仁济临床医学院《医学专业英语》课件ppt）

《genetics_（yu lu） （上海交大仁济临床医学院《医学专业英语》课件ppt）》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、HowtoWriteMedicalHistoryDr.Lu,QinchiDept.NeurologyRenJiHospitalShanghaiSecondMedicalUniversityQinchilu@hotmail.comQinchil@hotmail.comChiefComplant(1).Symptom-for-Time:e.g.Coughwithyellowsputumfor5days(2).Symptom-of…..duration:e.g.Blacktarrystoolsofthreeday’sdu

2、ration(3).Symptom-Time-induration:e.g.Lowfever2-3monthsinduration(4).Time-of-Symptom:e.g.Two-dayhistoryofchestpainPresentHistory1.OnsetFulminant;explosiveTheonsetwasfulminatingwithfeverThedrugcausedanexplosiveonsetofpainSudden;abrupt;precipitateTheonsetwassudd

3、enwiththetemperaturerisingto40oCAttacksbeganandendedabruptlyTheattacksisoftenprecipitatedbyalargeorfattymealPresentHistoryRapidComaoccurredrapidlyGradualGradualonsetoflistlessnessandanorexiaOccasionally;accidentallyOccasionallyhenoticedamassintherightupperabom

4、enHeperceivedaccidentallythathisstoolwasmixedwithbloodPresentHistory2.OccurrenceRecurrentboutsoffeverandjointpainAttacksoccurredoftenaftermealNocturnalattacksoccurssporadicallyTransitoryattacksofdizzinessSymptomswanedandwaxedfromtimetotime.Herillnesshangsinthe

5、balancePresentHistoryPersistentfeverIntermittentfeverPatienthadfrequentepisodesofvomitingAnattacklastedontheaverage4to5hoursTheentireattacklastedforlessthanaminuteTheattacklastedavariabletimefromafewminutestoseveralhoursAttacksoccureusuallybetween2and4AMThepai

6、nhasbeenfreeofattacksforonemonthPresentHistory3.FactorsaffecttheoccurrenceofthesymptomDyspneaoccurssoonafterlyingThepainbecamemoresevereaftermealsDyspneaisrelievedbysittingupThechestpainhadrelationtorespirationThepainhadnorelationtocoughingPastMedicalHistory1.

7、Inintactmedicalhistory,itinclude:Infectiousdisease,allergy,surgeryHehadcontactwithpatientwhohadpulmonarytuberculosisfor3monthsbeforeoneyear.Hehad(ortherewas)nohistoryofallergytofoodordrugsHehadhistoryofPenicillinsensibilityAppendectomywasdoneinMay,1986becauseo

8、facuteappendicitisPastMedicalHistorySystemReviewincludes:Hadsymptom(Disease)inthepastNosymptom(Disease)2.InMedicalRecord,itonlyneedtomentiontherewereanydisease(orSymptom)therewasno