发烧与熟悉妨碍(国外英文资料).doc

发热与意识障碍 The diagnosis of disease The patient goes to the symptom, the doctor goes to the diagnosis, the treatment The diagnosis of disease Collect the complete and true diagnostic data: check, physical examination. 2, synthesize and analyze data, establish preliminary diagnosis: medical knowledge, clinical experience. Verification and revision diagnosis: related inspection, dynamic clinical observation. Consultation and physical examination Comprehensive, analytical, reasoning: clinical experience, medical knowledge, routine testing Primary diagnosis Treatment, observation: special examination - biochemistry, imaging, pathology, biology The final diagnosis fever Fever is refers to the persons body temperature than normal range, for many reasons can be found in a variety of systemic and local infection and many non-infectious diseases, is the most common symptom of medical emergency. axillary temperature of 37 ℃, oral temperature 37.3 ℃, rectal temperature 37.6 ℃, and the difference in temperature fluctuations in 1 ℃ above within 24 hours. Low thermal: 37-38 ℃; In the hot: 38 and 39 ℃; High fever: 39 and 40 ℃; Super hot 40 ℃. Clinical: axillary temperature 37 ℃ Exogenous high fever 38.5 ℃ A, causes (1) infectious fever: viruses, bacteria, ricks, spirochetes, etc. Majority. This includes the fever caused by various urgent, chronic infectious diseases and acute, chronic systemic and focal infections. (2) non-infectious fever Haematology: leukaemia, evil network Abnormal reaction: rheumatic fever, drug heat, serum disease Connective tissue disease: SLE, dermatomyelitis 4, malignant tumor Physical and chemical damage: thermal radiation, postoperative, fracture and burn Neurogenesis: brain hemorrhage, plant neurological dysfunction Other: hyperthyroidism, severe loss of water or bleeding, aseptic abscess, visceral vasculature, and tissue necrosis. Second, diagnostic thinking: (1) illness: Acute fever: within 1 week, most of them are infectious Long-term fever: more