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西医诊断学重点笔记(Notes on diagnostics of Western Medicine)
西医诊断学重点笔记(Notes on diagnostics of Western Medicine)
Diagnostic notes in western medicine, unit 1, symptomatology
Heat type
1, continue to 3940 continued fever: temperature more than 24 hours, the fluctuation range is less than 1
Pneumonia, typhoid fever, typhus
2, temperature remittent fever in more than 39, 24 hours, 2 degree temperature difference.
It is found in septicemia, rheumatic fever, severe pulmonary tuberculosis, purulent inflammation
3, intermittent fever: high temperature period and no hot period alternate.
Seen in malaria, acute pyelonephritis
4, relapsing fever: body temperature suddenly rose to more than 39, and then suddenly dropped to normal
Seen in relapsing fever, Hodgkins disease, periodic fever
5, wave heat: body temperature gradually increased by 39, gradually down to normal
Brucellosis
6, irregular fever: found in tuberculosis, rheumatic fever, bronchial pneumonia, exudative pleurisy, infective endocarditis
Third unit specimen diagnosis
1, typhoid fever can be seen as: no desire to look
2, riboflavin deficiency can be seen: Map tongue
3. Jugular vein pulsation is seen in mitral insufficiency
4, can cause the jugular vein anger disease: right heart dysfunction, constrictive pericarditis, upper vena cava obstruction, pericardial effusion.
5. The earliest signs of pulmonary consolidation: bronchial sounds
6, aortic valve second auscultation area suitable for auscultation: diastolic murmurs
7, first, second intercostal space left sternal region and its vicinity heard in continuous murmur: branch of ductus arteriosus.
8. The absolute dullness of the heart is the right ventricle
The mechanism of the 9 and second heart sounds is mainly caused by the vibration of the two semilunar valves closed.
10, can make mitral stenosis noise more clearly position: left lateral decubitus
11, central paralysis can occur: pathological reflex disappeared
12. The mechanism of murmur formation during aortic stenosis: accelerated blood flow
13, pulmonary hypertension:
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