diagnosics by dr. zhuoren lu first hospital xian jiaotong university
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Diagnosics
by Dr. Zhuoren Lu
First Hospital
Xian Jiaotong University
Section I Introduction
A. Why do we have to learn Diagnostics?To make diagnosis The principles and methods of diagnosis Some basic knowledge: (1) rules and mechanism of some symptoms
and signs(2) technique of taking history and making
physical examination (3) clinical thinking methods and processes
Diagnostics is as a bridge connecting the basic medicine with clinical medicine.
It is the fundamental subject of all of the clinical medical courses.
Now, is it still necessary to take histories and do physical examination?
To obtain information of the uncomfort from patients themselves (interview or inquisition)
To decide what kind of tests we should do To check the patient with simple way first
(physical examination) The findings from physical examination are
really believable.
B. What is involved in Diagnostics? 1. Symptoms and inquisition systemic, careful and
skillful inquisition is one of the basic technique
2. Physical examination (Inspection, palpation,
percussion, auscultation and smelling)
the standard technique of physical examination
how to check and find some positive signs
why these symptoms and signs can be found
what significance is of them
3. Lab tests and Instrumental examination
some basic tests with physical, chemical
and biological methods
electrocardiogram, ultrasonic examination
how to analyze the results combined with
the clinical findings
C. How do we learn the Diagnostics?
1. practice and practice 2. thinking and thinking We should learn how
to think and analyze every clinical findings and how to find their real relationship, causes, and so on.
3. learn to be a doctor The characteristics of a doctor should be very kind, patient, gentle and careful to the patients.
The principle: always do everything you can for the patients!
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