技能答题目技巧（Skills and skills）.docVIP

技能答题目技巧（Skills and skills） Second leg exam: (a) physical examination: we would like to talk about some of the problems we should pay attention to during the inspection Respiration: be careful of the condition in which the patient is unconscious during examination Pulse: pay attention to the location of the test, the time should be more than half a minute Blood pressure: be sure to check the tonometer before testing to see if it is open Superficial lymph node: 1) the order of attention: the ear, the ear, the posterior mastoid region, and so on 2) describe the use of common items such as egg size and so forth 3) we should grasp the characteristics of lymph node metastasis of various parts of the tumor: for example, where breast cancer, lung cancer and gastric cancer tend to move; what is the swelling of the lymph nodes in the groin and trochlear region? What is the sign of lymph node enlargement in the neck? Skin examination content for this year: new note color, smoothness, flexibility, ecchymosis and hyperemia and hemorrhage is enough Thyroid / trachea: 1) pay attention to the difference between the front and back techniques) 2) we should pay attention to the fixation of the 3 sides of the side of the test page. In the examination, we may ask: what is the significance of bilateral and unilateral enlargement? The reason for the displacement of the trachea (answer to note: 1, side shift in pleural disease, 2 contralateral displacement seen in the blood, gas, liquid chest) Vascular examination: pay attention to a few sounds, a few veins and their respective causes and characteristics. Dont check the carotid artery at the same time, so as not to interrupt the blood supply to the brain. Chest: Observation: focus on respiratory rate and rhythm Palpation: increased breast palpation. Pay attention to 1) Order 2) breast fixation 3) pectoralis major examination and teat examination Chest palpation should pay attention to: 1) use the finger side edge 2) tremor measurement shou