内科重点（Focus of Internal Medicine）.docVIP

内科重点（Focus of Internal Medicine） Class 19 medical focus (answer for reference only) Vocabulary and structure 1 、 chronic bronchitis diagnosis: cough, expectoration, or accompanied by wheezing, each year for three months, and for two consecutive years or more, and exclude other chronic airway diseases. 2 and COPD complications: chronic respiratory failure, spontaneous pneumothorax, chronic pulmonary heart disease 3 、 typical symptoms of bronchial asthma: paroxysmal wheezing accompanied by wheezing, dyspnea or paroxysmal chest tightness and cough. 4. Contraindicated drugs for bronchial asthma: B receptor blocker 5, PTE (pulmonary thromboembolism) triad: dyspnea, chest pain, hemoptysis 6, decompensated pulmonary heart disease signs: obvious cyanosis, conjunctival congestion and edema, may have severe retinal vascular dilation, papilledema and increased intracranial pressure performance. Reduced or absent tendon reflex; pathological reflex. Because of hypercapnia can occur around blood vessels, such as skin flushing, sweating. 7, pulmonary heart disease, digitalis poisoning: chronic pulmonary heart disease patients due to chronic hypoxia and infection, the tolerance of digitalis drugs is very low, the curative effect is poor, prone to arrhythmia. 8. The pathogenesis of rapid arrhythmia: abnormal formation of impulse and abnormality of impulse conduction. 9. Classification of acute coronary syndromes: unstable angina pectoris, non ST segment elevation myocardial infarction, and ST segment elevation myocardial infarction. 10, the incidence of angina pectoris: mainly in the middle or upper part of the sternum body, can spread to the heart area, there are palm size, range, and even across the chest, the line is not very clear. Often radiate to the left shoulder and left arm, reaching the ring finger and little finger, or to the neck, pharynx or jaw. 11, myocardial infarction laboratory test of the earliest indicators: CK-MB 12, myocardial infarction complication: papillary