Diagnosics

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Diagnosics

• by Dr. Zhuoren Lu
• First Hospital
• Xian Jiaotong University

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Section I Introduction

• A. Why do we have to learn Diagnostics?
• To make diagnosis
• The principles and methods of diagnosis
• l 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

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• l Diagnostics is as a bridge connecting the basic
  medicine with clinical medicine.
• l It is the fundamental subject of all of the
  clinical medical courses.
• Now, is it still necessary to take histories and
  do physical examination?
• l To obtain information of the uncomfort from
  patients themselves (interview or inquisition)
• l To decide what kind of tests we should do
• l To check the patient with simple way first
  (physical examination)
• ? The findings from physical examination are
  really believable.

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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
• l how to check and find some positive signs
• l why these symptoms and signs can be found
• l what significance is of them

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• 3. Lab tests and Instrumental examination
• l some basic tests with physical, chemical and
  biological methods
• l electrocardiogram, ultrasonic examination
• ? how to analyze the results combined with the
  clinical findings

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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!