2011资格测验2(国外英文资料).docVIP

2011资格考试2 2 questions 【 】 the first stop Medical history: fever, right neck and neck Diagnosis: Hodgkin lymphoma Points: (score 15) The contents of the consultation (13 points) (1) medical history (10 points) 1, according to the main complaint and the relevant discrimination enquiries (8 points) What is the temperature of the test? Is it continuing to heat up? Are there any chills? The development velocity of the neck package, the relationship with swallowing The causes of the disease and the accompanying symptoms, the lymphatic sections of the lymph nodes are 2 points Do you have sneezing, stuffy nose, runny nose, cough, headache, and hiss? Diet, sleep, two, and weight change two 2, the diagnosis was passed (2) Have you visited the hospital? What tests have been done? 1 minute, What medications have you taken? How is the effect? 1 minute, (2) other relevant medical history (3 points) 1, the history of drug allergy Other medical history related to the disease: previous history of similar history, otolaryngology Case analysis: Diagnosis: inguinal inguinal hernia, intestinal obstruction Diagnosis: The area of the inguinal area is very painful and cannot be paid back. The bowel sounds hyperventilated and stops the exhaust. History of 3. Differential diagnosis: The testicular membrane effusion 2, testicular tumor The transport scabbard fluid Further check: 1, abdominal x-rays 3, abdomen B exceeds and inspects the lump, prostate Routine laboratory tests before emergency surgery, blood biochemistry, blood clotting, liver and kidney function, ecg The treatment principle: Be proactive and prepare for surgery. Emergency surgery. 【 】, the second stop Physical examination: 1, skin elasticity and edema test 5 Elastic skin elasticity is associated with age, nutritional status, subcutaneous fat and tissue interstitial moisture. Check the skin flexibility often apply by inspectors of the hand or arm medial part, inspectors with index finger and thumb, skin picked normal fold inst