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1、临床诊断1、Inquisition1.Whatshouldbeaskedwhenyoumakeinquisition?1.Generaldata:suchasname,sex,age,native,birthplace,profession,maritalstatus,sourceofhistoryandestimateofreliabilityetc.2.Chiefcomplaints:Ttshouldconstituteinafewsimplewordsthemainreasonswhythepatientconsuitedhisphysician,whichusuallyincl
2、udessymptomsorsignthepatientissuffering.3・Historyofpresentillness:Itshouldbeawel1-organized,sequentiallydevelopedelaborationofpatient"schiefcomplaintorcomplaints・Agoodhistorywillreflectthefactsthatyourdiagnosisorimpressionisgoingtobemade.4・Pasthistory:Healthconditionanddiseasewhichthepatientsuff
3、eredbeforethepresentillness.Infectiousdisease,surgery,allergyareessentialpartofthecasehistory.5.Systemsreview:Thepurposeofthisreviewistwofold:(1):Athoroughevaluationofthepastandpresentstatusofeachbodysystem.(2):Adoublechecktoproventomissionofsignificantdatarelativetothepresentillness-6.Personalh
4、istory:Itineludesthoserelatingtosmokingandalcoholicbeverages(durationandamount),sedatives,socialhistory,professionandworkingcondition.1.Maritalhistory:Thisreviewineludesdataconcerningthehealthofthemate,thenumberofchildrenandtheirphysicalstatus・2.Menstrualhistory3.Childbearinghistory4.Familyhisto
5、ry:Inquirethediseaseofpatient"sfirstrelativewhichmightbehereditary,suchasheartdisease,hypertension,diabetesetc.2.Howtoaskthepatientforhispresenthistoryofillness?Ttincludesthefollowingaspects:(1)・Onsetanddurationofthedisease・(2).Mainsymptoms,localionandtheircharacter.(3).Etiologyandprovokingfacto
6、rs.(4).Evolutionofdisease(5)•Associatedsymptoms.(6).Treatmentanditseffects.(7).Generalcondition,especiallythedietaryhabit.2、GeneralInspection1.Tympanyisthesoundemittedbypercussing()・A・air-fi1ledstomachB.1iverC.heartD.spleenKEY:(A)2.Whichkindoftemperaturetakenisthelowest?A.ora11yB.rectallyC.axi1l
7、ailyD・allthesameKEY:(C)3.Whichaccessorynasalcavitycannotbefoundonbodysurface?A.antrumhighmoriBsinussphenoidalis.C.frontalantrumD.antrumethmoidaleKEY:(B)4.Whichofthefollowingdiseasereferstotheexcessive1inergrowththatoccurswit
