临床医生诊断警句（Clinician diagnostic aphorism）.docVIP

临床医生诊断警句（Clinician diagnostic aphorism） Clinician diagnostic aphorism 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, 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 odor sputum, think of lung abscess or bronchiectasis. Persistent rales 5 left subscapularis, should be suspected of bronchiectasis. 6 repeated hemoptysis, but the chest X-ray examination showed no definite lesion, or bronchiectasis or endobronchial tuberculosis should be considered. 7 irregular patchy shadows of lungs with eosinophilia of more than 1 x 109/L, often suggestive of hypersensitivity pneumonitis. 8 sudden chest pain and dyspnea, be aware of spontaneous pneumothorax. 9 to diagnose right pleurisy, we should exclude hepatic abscess and inferior phrenic empyema. 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, after rest or body temperature drops, heart rate is still fast, should consider the heart muscle to have phlogistic sex damage. 14 secondary hypertension should be excluded in the diagnosis of hypertension. 15 hypertension with abdominal vascular murmur, often suggestive of renal hypertension. 16, the elderly, sudden abdominal, left neck, left upper limb pain, should guard against angina or acute myocardial infarction. 17, the diagnosis of angina pectoris, we must exclude the gallbladder, pancreas, stomach and ce