临床医生床旁诊断警句（Bedside diagnostic aphorism for clinicians）.doc

临床医生床旁诊断警句（Bedside diagnostic aphorism for clinicians） Bedside diagnostic aphorism for clinicians Bedside immediate diagnosis - intravenous accumulation 1, low fever, cough for more than 7 days, should be excluded from tuberculosis, Mycoplasma pneumonia. - 2, sudden cold, high fever, accompanied by respiratory tract certificate, we should consider bacterial pneumonia. - 3, chest pain without pleural friction sound, should pay attention to check whether there is rib cartilage inflammation, intercostal neuralgia, herpes zoster and so on. - 4, a large number of purulent foul sputum, think of lung abscess or bronchiectasis. - 5, persistent rales left shoulder, should be suspected of bronchiectasis. - 6, repeated hemoptysis, but chest X-ray examination showed no definite lesion, should consider bronchiectasis or endobronchial tuberculosis. - 7. Irregular patchy shadow of lung with eosinophilia of more than 1 x 109/L, which is usually suggestive of hypersensitivity pneumonitis. - 8, sudden chest pain and dyspnea, be vigilant against spontaneous pneumothorax. - 9, the diagnosis of right pleurisy, liver abscess and diaphragmatic empyema should be excluded. - 10, long-term smoking in middle-aged and elderly people with irritating cough, persistent blood sputum or localized wheezing, should be vigilant against lung cancer. - 11 patients with congenital heart disease or congenital heart disease who have fever of unknown origin for more than one week should be aware of subacute infective endocarditis. - 12, cold after heart rate or arrhythmia, should think of viral myocarditis. - 13, rest or temperature drop, heart rate is still fast, we should consider myocardial inflammatory lesions. - 14, the diagnosis of hypertension, to exclude secondary hypertension. - 15, hypertension with abdominal vascular murmur, often suggestive of renal hypertension. - 16, the middle and old people suddenly abdominal, left neck, left upper limb pain, should guard against angina pectoris or acute myo