《诊断学总论》PPT课件

《《诊断学总论》PPT课件》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、ClinicalDiagnosticsCHINAMEDICALUNIVERSITYZHAOLIPhysicalDiagnosisToday’smedicalstudentsTomorrow’scliniciansPhysicalDiagnosisWhatisthemeaningof“Clinician”?PhysicalDiagnosisWhatisthemainresponsibilityoftheclinician?MakingdiagnosisTreatadiseaseTreatapatientPhysical

2、DiagnosisAlinkagebetweenbasicmedicalknowledgeandclinicalmedicine.Adisciplinetousebasicmedicaltheoryandskilltomakeadiagnosis.ObtaininformationFromanyandeverysourcepossible.Straintohearthevoiceofthepatientinthethinreedofhiscrying.Seemostacutelyoutofthecornerofyou

3、reye.Tohearbestwithyourinnerear.ThecontentsofdiagnosisVerbalobservationorhistorytakingPhysicalobservationorexaminationLaboratoryobservationHistoryTakingObtainasmuchinformationasneededtodiagnoseandtreattheillness.Requirementsforthephysicians:Agenuine,profound,an

4、dabsorbinginterestinthepatient'swellbeingAdeep-seated,well-groundedselfconfidenceinabilitiesAthroughknowledgeofthediseasesAbilitytoseetheproblemfromthepatient'sviewpointHistoryTakingObtainingamedicalhistoryisan"art"Talkwith,rathertalktothepatient.Listenattentiv

5、elyandguideapatienteffectively.Asksearchingquestions.Interrogationoffamilyandfriendsifnecessary.HistoryTakingKnowallaboutthediseaseSymptomsandsignsSymptoms:patient'scomplaints,orhisrecognitionofsomethingabnormal.Signs:findingselicitedbyphysicalexaminationPasthi

6、storyFamilyhistorySystemsreviewPhysicalExaminationBeginswhengreetingthepatient.Sedulouslypracticingtheartofobservationmakeastudenttoaclinician.HowtoconductphysicalexaminationApplicationofthesensoryendorgantothepatient.Inarational,thorough,andaccuratefashion.Wit

7、hefficiencyandminimaldiscomforttothepatient.5componentsofphysicalexamination:inspection,palpation,percussion,auscultationandsmelling.LaboratoryfindingsTodetectpathogenicorfunctioninginformation.Chemical,biologicalandphysiologicaltests.X-film,CT,MR.gastroscopy,a

8、ngiographyandbronchoscopyetc.InterpretationoflaboratorydataLotsvariablesalterlaboratorytestsresults.Specificityandsensitivityofthetests.Overlappingbetweenthehealthyandthedis