病史书写朱伟.pptxVIP

病史书写朱伟;体格检查(二）; Inspection：腹纹： abdominal striae 外形： contour膨胀： distension平坦的： flat腹胀不对称： asymmetrical distension蛙腹： frog belly腹部普遍膨隆（凹陷）： general prominenoe (retraction) of the abdomen; Inspection：腹围增大： increased abdominal girth肠型： intestinal pattern (or contour)阶梯样蠕动波： peristaltic wave in ladder pattern脐膨出： projection of the umbilicus膨隆的： protuberant舟状腹： scaphoid abdomen妊娠纹： striae gravidarum striae of pregnancy静脉曲张： varicose veins;  dilated tortuous veins；varicoaty可见胃蠕动： visible gastric peristalsis; Inspection：1. Inspection reveals visible peristaltic waves passing from left to right across the upper abdomen.2. Findings on inspection are a distended abdomen covered by tense, shiny skin.3. ln the upper abdomen, dilated tortuous veins are seen in which the blood flows upwards,; Palpation：板样强直: board-like rigidity肝脾肿大： hepatosplenomegaly肝肿大： hepatomegaly； enlargement of the liver腹壁松弛： lax abdominal wall墨菲(氏)征： Murphy‘s sign肌卫： muscle guarding反跳痛： rebound tenderness强直： rigidity脾肿大： splenomegaly; enlargement of the spleen压痛： tenderness; Palpation：1. Rebound tenderness and board-like rigidity of the abdominal musculature are present in all abdomen2. The patient has a palpable loop of thickened bowel in the left lower quadrant3. A firm tumor mass, about 3 cm in diameter, is felt 4 centimeters below the costal margin at the external margin of the right rectus muscle; Percussion：浊音： dullness移动性浊音: shifting dullness鼓音： tyrnpanitic resonance； 1. Percussion of the abdomen demonstrates tympany throughout2. There is no shifting dullness3. On percussion there is dullness in the flanks and tympanitic in the middle; Auscultation：浊音： dullness肠鸣： Borborygmi击水声： splashes肠鸣音： bowel sounds peristaltic sounds气过水声： gurgling；borborygmus of bubbling quality振水声： succusion sound； clapotage；clapotement;外展： abduction指端肥大： acromegaly内收： adduction 关节强硬: an