余静问诊英文1(双语).pptVIP

yujing2304@126.com 0931-8942376 Thanks for your attension! * * * * 2.3 Present History现病史 The main problems at present 病人目前的主要问题 (1) Onset of the problems: acute or chronic 起病情况：急缓、患病时间 (2) Any reason or inducing factors 发病的原因和（或）诱因 (3) main symptoms Characteristics Characteristics 特点 Location 部位 Properties 性质 Frequency of episodes 发作频率 Durations 持续时间 Intensity 强度 Radiation 放射区 Factors that worsen or relieve the symptom 加重和缓减的因素 Progress of the illness 病情的发生和演变 (5) Other symptoms 伴随症状 Negative symptoms 有临床意义的阴性症状 History of diagnosis and treatment 诊断和治疗的经过 General situation since the illness 患病以来的一般情况 Explore Pain in detail What was the patient doing immediately before the episode? Speed of onset? Time of onset? Duration? Feature of pain? Radiation? (to be continued) example Explore Pain in detail (cont.) Associated symptoms? Aggravating features? Relieving factors? Recovery? Remain symptoms? Effect of any intervention? Previous episodes? example 4. Past history 过去史 Health status in the past 既往的健康情况 Illness suffered in the past 过去患过的疾病 Previous hospital admissions 既往住院史 History of surgical operations, trauma and vaccines 手术、外伤、预防接种史 History of allergic disorders 过敏史 5 System Review 系统回顾 Respiratory system Cardiovascular system Digestive system Urinary system Blood system Endocrine system and metabolism Nervous system Muscle skeleton system 5. Review of Systems 系统回顾 Aims: avoid missing significant symptoms, suggest other disorders A few main symptoms for each system: screening questions Be familiar with the symptoms in each system of screening questions Cardiovascular system Chest pain Palpitation Dyspnoea Cough Ankle swelling Fatigue Example 6. Personal history 个人史 Social experiences 社会经历 Occup