????????? Orientation - PowerPoint PPT Presentation

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????????? Orientation

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Title: Orientation Author: CG Luh Last modified by: Luke Created Date: 11/16/2003 1:37:29 PM Document presentation format – PowerPoint PPT presentation

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Title: ????????? Orientation


1
????????? Orientation
  • ????????????
  • ???????, ??????

2
?????????(I)
  • ?????(GP)??
  • ??,????????? ???,???
  • ????? ???
  • ????? ???
  • ??????? ???
  • ????????,???
  • ??????
  • ??? (GI) ,???(Newborn),???(Endo), ???(Nephro)
  • ?????? ???(Immune),???(GI),???(Newborn)

3
?????????(II)
  • ????????,???,???,???
  • ????????,???
  • ??????????, ???,???,???
  • ???????,???,???

4
?????????(III)
  • ????VS???????????,???????????(?pharyngitis,
    tonsillitis, bronchitis, asthma, AGE,
    etc.)??VS?????case?
  • ???,?????PICU??????
  • ?????,???,?????NICU,CNU, BR??????

5
????????
  • 5B, 5C ???GP, CV, Neuro????
  • 10EN ?Hema????
  • PICU (5CI) ???????
  • NICU (5AI) ???????
  • CNU (5AC) ????????(lt4??)
  • ?????????

6
???????
  • ?????????????????????, ??????, ??????
  • ????????????????????, ?????, ?????,???
  • ????????? ??BC???,???????

7
????????????
  • ??????
  • ??????
  • ????????
  • ??????
  • ????
  • ??????
  • ???????????/procedure

8
?????????
  • ??????
  • Chief complaint
  • Present illness
  • Past history
  • Birth history
  • Vaccination
  • Growth Development

9
??????
  • Vital sign
  • ??
  • ??
  • ??
  • ??
  • ???????
  • ??????

10
????????
  • ?VS????????????????
  • ????????????,?????????????,??VS??????????????
  • ???????????????,??????????
  • ???VS????,????????,???????????,??VS??????????
  • ????????????,??????,?????????,??????????(?)???,???
    ???VS???,?????VS???????????????????

11
??????
  • ?VS???????????????
  • ?on service note, progress note, off service
    note?????????ipd??????,???????????,????cosign,????
    ?????????????,clerk?????????
  • ???copy????????,???????,??????????????

12
??????
  • ??????????
  • ??????????,??????
  • ????? ?????,??????
  • ????? ??????,??????
  • ??????????????????
  • ?????????,?????????????,????VS??,?????VS?(????????
    ?)
  • ??????,??????????????(?????????),??????????,??????
    ???????
  • ?????????????????,???????,????????????????

13
????
  • ??????
  • ??????????
  • ??????
  • ????????
  • ???????
  • ??????
  • ??????
  • ?????????

14
???????????
  • ????????????
  • ?????(???????)???
  • ????????????????
  • ?????????? (???)
  • ?VS?R???????????????????????

15
?????????
  • ????????
  • ???????
  • ????????????
  • ???????????
  • ?????????(CBC, U/R, S/R, biochemistry)

16
???????procedure(I)
  • ?????
  • AGE
  • FUO
  • Pharyngotonsilitis
  • Short stature/ GHD
  • Herpangina
  • Hand-foot-mouth dz
  • Lymphadenitis
  • UTI
  • Nephrotic syndrome
  • Hematuria
  • Proteinuria
  • IDDM/ NIDDM
  • DKA
  • Kawasaki disease
  • Abdominal echo

17
???????procedure(II)
  • ?????
  • Pneumonia
  • Bronchitis/ bronchiolitis
  • Croup
  • Asthma
  • Congenital heart dz
  • Cardiac echo
  • Lung function test
  • EKG
  • Bronscopy
  • Cardiac catheterization

18
???????procedure(III)
  • ?????
  • Meningitis
  • Lumbar puncture
  • Febrile convulsion
  • Seizure disorder
  • CP
  • SMA
  • DMD
  • Brain echo
  • EEG
  • EMG
  • NCV
  • Muscle biopsy

19
???????procedure(IV)
  • ???????
  • ALL
  • AML
  • ITP
  • SLE
  • Rhabdomyosarcoma
  • Neuroblastoma
  • Osteosarcoma
  • Anemia
  • Bone marrow aspiration
  • Intrathecal C/T
  • Anaphylactoid purpura

20
???????procedure(V)
  • ????
  • Hyperbilirubinemia
  • MAS
  • TTNB
  • Prematurity
  • RDS
  • Neonatal sepsis
  • PDA
  • Congenital syphilis
  • IUGR
  • Phototherapy
  • Umbilical catheter
  • PICC

21
????????????
  • ????????730830
  • ?10EN???
  • Bedside teaching?????730830??station
  • ????? ?????25??5C??????,?????????(????????),????
    ?NP
  • ???????????????????
  • ?????????
  • ???????????Topic

22
??????
  • ?????730800, ????800900
  • ????????????(????????)????????????
  • ?????????????review?paper??EBM?????
  • ?????????SLIDE
  • ????????????????

23
?????????????(I)
  • ???????????,?????VS?????,????????
  • ?????????section meeting??,???????????????
  • ???,??,bedside teaching???,?VS?CR????????????(???)
  • ???????????,???????,??????
  • ?????????????????
  • ?????????,bedside teaching????????

24
?????????????(II)
  • VS teaching???????
  • ?????????????????????,????????Nelson???,????????
  • ??????????????VS??
  • ???????????
  • ????????5B???????,
  • 1 pic/person/day

25
?????????????(II)
  • ???????????,????station???
  • ????????????,??????,???????

26
??????????????
  • ??????course???,???,????,???????????12???????????
    ???
  • ??course?????????????????VS,??course?2? (??)?
  • ???bedside teaching ?,?????????????????(?????????)
    ?

27
??????
  • ?????????????????????????????????
  • ??????,??????????????????????????
  • ???????(???course???????????) ??????VS????
  • 1?/??,?????????

28
?????????????(I)
  • VS??(50)
  • ???????????????????????????
  • ????/????(15)????80?
  • ??????0.52?,????0.5?,??-0.5?,??-1?,???R??????
  • ???????/???? (10)
  • ???????(??70)
  • ??(???)????
  • Newborn PE??????

29
?????????????(II)
  • ??(10)
  • ???????,??1100-1200,?????????, morning meeting,
    ?special teaching????,???????
  • ??(15)??????????????(?????VS??),????????????????
    ?
  • ????????,????85?,????????,????80??
  • ??course????????????????????,???????,?????,??????
    ????????????????

30
?????????????(III)
  • ????????????????CR???????????????????????
  • ?newborn PE????
  • ?????????
  • ?????
  • ?????????????????(?????????)
  • 2???
  • ????

31
???????/????
  • ??????????????????????????,??5C???,???????????????
    500-600?

32
???????
  • ??????????????,?????????????????????,?????????
  • ???????????????,?????????
  • ??(?????????????????)
  • ????course???(????)
  • ?????????

33
???????????!
  • The End
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