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新大纲51个病例分析(51 cases of new outline analysis)
新大纲51个病例分析(51 cases of new outline analysis)
According to the 2009 new outline of the medical record list analysis of diagnostic keywords to help candidates quickly write the diagnosis.
(I) chronic obstructive pulmonary disease (new contents)
The old person + cough, phlegm, gasp = chronic bronchitis
Barrelchest + hyperresonance = emphysema
Elderly patients with cough, phlegm and asthma + + + + barrelchest hyperresonance pulmonary function =COPD
Chronic respiratory disease + sign of right heart failure = cor pulmonale
(two) pneumonia;
Young + cold + heat + rales + rusty sputum = lobar pneumonia
Infants + cough, dyspnea + dyspnea sign (ALA flap + three concave sign) = bronchopneumonia
Cyanosis + nose fan syndrome (+), three concave syndrome (+) + two lungs can smell and wheeze and moist rales + fast breathing, heart rate = Zuo Xinshuai
Liver edema + double lower limb edema = right heart failure
Children + paroxysmal irritative cough + joint pain = mycoplasma pneumonia
(three) bronchial asthma (new contents)
Juvenile + allergic rhinitis + episodic wheezing + full lung wheezing = bronchial asthma
(four) lung cancer (new content, assistant does not test)
Middle-aged and elderly + smoking history + irritating cough (or sputum with blood) + burr (irregular edge) = lung cancer
(five) respiratory failure (new contents, assistant examinations)
Chronic respiratory disease in elderly patients with cyanosis + + + blood = respiratory failure
Type PaO260mmHg respiratory failure
PaO260mmHg+PaCO250mmHg type II respiratory failure
PH7.35 acidosis
PH7.35 alkalosis
Chronic respiratory disease + consciousness disorder = pulmonary encephalopathy
(six) tuberculosis, tuberculosis, tuberculous pleurisy, tuberculous pleurisy and intestinal tuberculosis (new contents)
Low fever, night sweats, fatigue, weight loss = TB symptoms
Cough, expectoration, hemoptysis + tuberculosis poisoning symptoms + antibiotic treatment is not better = tuberculosis
Chest swelling + trachea partial + speech tremor
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