The medical history collection question is the combination of symptoms required by the outline. There are generally more than 50 questions for candidates to take. The answer is very skillful. If you apply the following formula to collect any symptoms, you can get 80% marks.
1. Ask medical history: It includes the following five parts.
Etiology and inducement
Characteristics of main symptoms
Concurrent syndrome
General state, that is, the general state after onset.
Diagnosis and treatment process
2. Go to history.
Related medical history
History of drug allergy and surgery (it must be mentioned that this is included in the annual scoring standard)
3. Be organized in the consultation, think well before you start writing, and don't add it later, so you will lose points.
4. It is impossible to make a diagnosis with only one chief complaint, but there is still a trend. For example, 24-year-old women are more likely to cough up blood and get tuberculosis, while 45-year-old men are considered to have lung cancer. The two have different collection tendencies, and they still rely on knowledge accumulation. Follow the above method when collecting, and you will always know that most of the scores have been obtained.
This year's exam added several symptoms:
Skin mucosal bleeding: Consider: leukemia, aplastic anemia, thrombocytopenia, hemophilia and other bleeding and coagulation disorders;
Constipation and diarrhea: tumor, colitis, Crohn's disease and some infectious diseases;
Masses: mainly understand neck masses and abdominal masses;
I won't go into details about the rest.