O症状学C课件.pptVIP

Accompanying Symptom伴随症状 (3) With skin and mucosa bleeding: hematological disease, epidemic hemorrhagic fever, rheumatism, leptospirosis. 皮肤黏膜出血: 血液病 风湿性疾病 流行性出血热 钩端螺旋体病 With jaundice: leptospirosis, lobar pneumonia, pulmonary infarction. 黄疸: 钩端螺旋体病 大叶性肺炎 肺梗塞 Distinction between Hemoptysis and Hematemsis咯血与呕血的鉴别 Hemoptysis 咯血 Hematemesis 呕血 History 病因 TB, bronchiectasis 结核 支气管扩张 Ulcer, cihrrosis 溃疡 肝硬化 Presymptom 先兆症状 Cough, chest discomfortable 咳嗽 咽痒 Vomit, nausea, epigastric discomfort 恶心呕吐 上腹不适 Mode of 出血方式 expectoration Blood spitting 咳出 Vomiting 呕出 Color of blood 血液颜色 Bright red 鲜红 Dark red and black 暗红 Material mixed with blood混合物 Mixed with air bubble and sputum 痰液泡沫 Contain food debrits gastric juice 食物残渣 Ph: 酸碱反应 Alkaline 碱性 Acid 酸性 Melena 黑便 No 无 偶因吞咽所致 Occasionally swallowed Yes 有 可持续数天 May continue for several days foreshow next content 预告下次内容 diagnosic method 诊断方法 case calligraph 病历书写 * * * * * * Ask all Patients Complaining of Dyspnea the Following Questions (2) How many level blocks could you walk 6 months ago? Is the shortness of breath accompanied by wheezing?fever?cough?coughing up blood? Chest pain? Palpitations?hoarseness? Do you smoke?if so how much? For how long? Have you had any exposure to asbestos?sandblasting?pigeon breeding? Have you had any exposure to individuals with tuberculosis? Cough and Expectoration 咳嗽与咳痰 Cough is a reflex that prevents the airways from the foreign substance and clear the excretion of respiratory tract. permanent and frequent coughing indicates an abnormality. 咳嗽是一种保护性反射 持续或频繁的咳嗽为一种病症 Expectoration is a pathological phenomenon that human being remove the pathological secretion from respiratory system by means of coughing. 咳痰是排出呼吸道和肺部病变分泌物的病理现象 Etiology 病因 Respiratory disease: inflammation, bleeding or tumor of respiratory tract and inhalation of foreign material; pleural diseases, inspiratory stimulus g