河南2010年助理实践技能第一站真题(国外英文资料).docVIP

河南2010年助理实践技能第一站真题(国外英文资料) First stop: Medical history: male, 21 years old, abdominal pain and nausea and vomiting for 8 hours. The answer: Acute appendicitis cause abdominal pain Medical history Inquire according to the main complaint and relevant discrimination (1) symptoms of abdominal pain: diet, surgical triggers, attention to various acute abdominal diseases, and attention to mitigating factors (2) the nature and degree of abdominal pain. Burning pain related to chemical stimuli, cutting pain for viscera perforation (3) (4) the time of abdominal pain and abdominal pain part eating, activity, the relationship between position, (5) the symptoms associated with: as with nausea and vomiting (6) since the onset of the condition of the diet, sleep and weight change 2, clinical practice (1) do you go to the hospital? What tests have been done? How did it go? (2) what is the effect of treatment and medication? Second, the medical history 1, 2, with and without history of drug allergy is associated with the disease of other history: always whether similar attacks, presence of digestive ulcer, 3 history of biliary and pancreatic diseases, presence of tobacco and alcohol addiction, the presence of tumor genetic family history and so on The case study is a duodenal ulcer. The answer: Diagnostic and diagnostic criteria for diagnosis and diagnosis 1, chronic gastritis 2, chronic cholecystitis 3, gastric cancer 4, function indigestion Third, check further 1, gastroscopy or barium meal contrast 2, B super. Fourth, the treatment principle General treatment 2, proton pump inhibitor or H2 receptor antagonist inhibits gastric acid treatment and can be used to protect gastric mucosal drugs 3, if the helicobacter pylori is found in gastroscopy, the treatment of helicobacter pylori should be given to the eradication of helicobacter pylori (the triple treatment of two antibiotics, based on PPI or bismuth). Second stop: physical examination is blood pressure measurement, cervical lymp