Case analysis: the causes of type 2 diabetes, nephritis and tachycardia are to be investigated (because the heart rate is 1 16 times per minute, there is no heart disease in other tests, so I was so nervous that I forgot to hand in the paper without remembering it).
Chest wall inspection at 2 stations; Auscultation sequence and auscultation content of the heart; Examination of spinal curvature, tenderness and percussion pain; The surgical test is back lipoma surgery.
Stop: wheezing sounds of both lungs with wet rales, right pneumonia, diastolic rumbling murmur, femoral neck fracture, normal electrocardiogram, ventricular fibrillation, digestive tract perforation, medical ethics examination shows that ct of emergency patients is not enough, so you can ask the hospital attendant to postpone the payment, and do CT first.
The first stop on the 2nd: hemoptysis; The location of the seventh spinous process of cervical vertebra and palpation of abdominal mass in acute viral icteric hepatitis A. The use of simple breathing apparatus.
First stop 3: 1. Young male, bloody stool gets worse once a year.
2, 7-year-old child, fever for a week I consider: right lung middle lobe pneumonia (bronchopneumonia)
Second stop: 1, wear isolation gown: a, if you touch your face while wearing isolation gown.
B: How often does isolation gown need cleaning?
This is a lottery ticket. I guess everyone is different. My topic is 63: breast examination, costal crest angle percussion, meningeal irritation sign.
Question: five parts of the reflex arc (this is a bit BT)
Third stop: premature contraction of alveolar breath sounds, right pleural effusion, acute pancreatitis, normal electrocardiogram, paroxysmal supraventricular tachycardia, and doctors think that legal solutions can be chosen.
Question 4: Medical history collection: cough and expectoration.
Case analysis: physical examination of ectopic pregnancy rupture, hemorrhage and shock.
Physical examination: eye movement examination, basic operation of heart percussion: cardiopulmonary resuscitation.
Question 5, case study: infantile diarrhea.
Question 6: 15-year-old female child went to see a doctor for a week because of chills and high fever with redness and swelling of the right knee joint.
The medical history collected at station 7 1 is that the female is pale and the sclera is stained yellow.
Case analysis showed that the child had fever with rash.
The second stop respiratory movement (rhythm, frequency and mode) examination: Murphy sign examination, hair membrane irritation sign examination. The patient fell from the upstairs and hurt his waist. He asked how to get it into the ambulance. 、
Question 9:40-year-old male, urine 1 more than a month's medical record analysis. distant ulcer
Problem 10, male with medical history collection 18 years old, wheezing 16 years, aggravated by 2 days.
Analysis of medical records: An elderly man with sudden right hemiplegia showed low-density shadow on CT.
The first stop of 1 1
Consulting urinary tract stimulation.
Analysis of suppurative obstructive cholangitis
The second stop
Catheterization (method)
Trachea examination, thoracic dilatation, heart auscultation, hand joint examination.
The third stop, sinus bradycardia, left bundle stop rate and whistle, renal rupture CT X-ray, hypertension, heart disease, fracture.
Question 12: The medical history was collected as bladder irritation sign, and the medical history was analyzed as torsion of ovarian cyst pedicle.
Question 13 medical history collection: 70-year-old male, suddenly syncope, limb weakness in hospital for one day.
Case study: acute pelvic inflammatory disease
Operation: dressing change
Physical examination: meningeal irritation sign
Question 14: Case study: headache attack in the morning with vomiting.
Disease analysis: hysteromyoma
Physical examination: meningeal irritation sign, respiratory movement
Operation: nasal catheter oxygen inhalation
On the computer: confirm: ureteral calculi, bronchial breath sounds, myocardial infarction precordial miscellaneous room (I choose rumble type)
15 lower lung boundary, mask oxygen inhalation, Murphy's sign, abdominal wall reflex. Problems; What should be paid attention to in the process of oxygen transportation and preservation? Where does the mid-abdominal wall reflex disappear?
The patient was a 45-year-old man with abdominal pain for 3 days and stopped exhausting and defecating for 2 days. Femoral artery puncture blood gas analysis, the examiner asked: Why do you hold the needle immediately after smoking? What other puncture points are there outside the femoral artery?
Medical history collection corresponds to question 57: The patient is female, X years old, emaciated, eating 1 more than a month.
Case analysis corresponding problem 17: dislocation of shoulder joint, fracture of greater tuberosity of humerus.
Question 17: medical history collection: diabetes, dislocation of shoulder joint, auscultation of lung, palpation of liver, hand examination, skills, femoral artery puncture.
Problem 18 Fever, abdominal pain and diarrhea for 3 days.
chronic obstructive pulmonary disease (COPD)
Babinski's axillary lymph node displacement voiced sign
Excision of sebaceous cyst
The question 19 is different from the above. The medical history was collected from a 22-year-old woman who suffered from nausea and vomiting in the morning because of menopause for 43 days. Case analysis is lung abscess, pneumonia, physical examination is neck palpation, liver palpation, chest breathing frequency and rhythm examination. The operation is disinfection of the right lower abdomen. Multimedia chest radiograph is normal, kidney calculi, atrial premature beats. It's the exam in Yunnan, this morning's exam.
Question 19 A 66-year-old male at the first stop, with abdominal distension, edema of both lower limbs and decreased urine output 10 day. Have a history of hepatitis C and have not received treatment.
The second stop is physical examination, cardiac auscultation, examination of blood flow direction of abdominal varicose veins, calf and floating patella test.
Question 1 Babinsky sign positive?
2 Pleural fricative auscultation site?
operate
Wear scrubs and gloves.
Question 1 Should I take off my gloves or gown first?
Should the talcum powder on the glove be removed? Why?
Pre-contraction of the third station
Third degree atrioventricular block femoral shaft fracture esophageal cancer cerebral infarction
Galloping rhythm of alveolar breathing sound
medical ethics
Doctors have an obligation to discourage patients from quitting smoking and limiting alcohol.
Question 20: Physical examination of duodenal ulcer caused by hunger pain: auscultation of lung, palpation of liver and visual inspection with both hands.
2 1 Asthma after exercise for 2 years, edema of both lower limbs for 7 days. "rheumatic heart disease" in the past 20 years
Case analysis: cystic hyperplasia of breast.
Question 22: First stop: medical history collection: female, 35 years old, unconscious with garlic breath for half an hour.
Case study: chronic obstructive pulmonary disease bronchial asthma
Question 22: Decreased lung activity, cardiopulmonary resuscitation, fluid tremor, babinski's sign.
Question 22: Atrial fibrillation, asthma, tricuspid stenosis and fracture.
Cardiac auscultation of surgical meningeal irritation syndrome
Medical History Collection No.23: Vomiting with Upper Abdominal Pain 1 day.
No.24 1. Physical examination: eyes (eye movement, indirect light reflection, direct light reflection, convergent reflection, nystagmus examination)
Operation: Disinfect the operation area of gastrectomy, wear surgical gown and sterile gloves (operated on a medical simulator).
Question 25: A 2-year-old child has a fever and convulses one day.
A case of acute glomerulonephritis
The safe operation of defibrillation requires dictation.
Ask if field first aid can be defibrillated without ECG.
What is the difference between synchronous discharge button and asynchronous discharge button?
Physical examination cervical lymph node palpation lung palpation bladder palpation (oral examination content)
What are the symptoms of peritoneal irritation and what is its clinical significance?
Man-machine dialogue 1, diastolic murmur 2, moist rales 3, normal chest film 4, normal abdominal plain film 5, skull fracture, subdural hematoma 6, myocardial infarction 7, atrial fibrillation.
Question 26: Medical history collection: A 40-year-old woman had recurrent lower abdominal pain with mucus pus and bloody stool for 2 months.
Question 27 (Anhui): 1. Case analysis of medical record collection
1, eat greasy and sticky right upper abdominal pain with jaundice!
2. Left temporal lobe hemorrhage
Third, get on the computer.
Horse-running rhythm of cerebral hemorrhage
Exam No.28: Case analysis: A 45-year-old male suffered from right waist pain for 2 months, which was aggravated for 2 hours. In February, the pain in the right waist increased, and it suddenly increased when running two hours ago, showing colic. After drinking alcohol for the past 3 months, the first joint of the right toe is red, swollen and painful.
Physical examination: there is no abnormality in the heart and lungs. Deep tenderness at the level of right ureter and umbilicus, percussion pain at the right kidney area, auxiliary examination: routine urine full-field red blood cells, trace protein and acidity of 542umol.
Question 29! First stop: medical history collection: male, 23 years old, progressive urine volume 1 week.
Case study: type 2 diabetes mellitus
The second stop: measuring blood pressure, abdominal surface marking, abdominal quadrant division, surgical disinfection range of patients with gastric ulcer, abdominal wall reflex.
The question is: what is the definition of pulse pressure and what is the disease of pulse pressure reduction?
Third stop: (I don't know if the answer is right)
There are: pericardial friction sound and pleural friction sound.
Watch the film: cerebral hemorrhage, pleural effusion
Electrocardiogram: normal, atrioventricular block
Medical ethics is very simple, so I won't say it.
The third stop was eight questions, and I don't remember one.
Cough and expectoration 1 week, fever for 3 days;
Case analysis of acute obstructive suppurative cholangitis;
Physical examination: deep sliding palpation of the masses in the seventh cervical vertebra, subclavian fossa, posterior axillary line, subscapular area and left lower abdomen; Bone perforation and meningeal irritation sign;
On-board: pleural effusion, digestive tract perforation, normal electrocardiogram, I degree atrioventricular block, cardiopulmonary auscultation forgot.
Question 3 1: medical record analysis 7 1 year-old male patient was admitted to hospital for 3 months with bloody stools 1 week. Question 3 1: Case analysis: 72-year-old male, history of rectal cancer with mild anemia: 42-year-old male, retrosternal pain for a week, aggravated in emergency for 3 hours; Computer topics: dry and wet rales in expiratory phase, premature beats, pleural effusion, intestinal obstruction, normal electrocardiogram, atrial fibrillation, and doctor's responsibility.
Question 33: The medical history collection is intestinal obstruction.
The case analysis is goiter.
ECG of Station 3 is normal, ventricular tachycardia, pneumothorax, cerebral hemorrhage and intestinal obstruction
Question 34: I have a dull pain in my upper abdomen, and I have black stool for two days in February.
The first stop of question 34: case collection: cough and expectoration; Medical history analysis: The medical history of straight hernia No.34 was collected for four years, and the medical history of hypertension was four years (hypertensive heart disease).
Medical history collection. The analysis showed that the back was red and swollen after bathing, and there was a history of diabetes (furuncle or carbuncle)
A 40-year-old woman had recurrent lower abdominal pain for 4 years, accompanied by mucus stool or bloody stool, with recurrence 1 month.
Case analysis of cellulitis in type 2 diabetes mellitus
Physical examination, tonsil examination, cardiac palpation, moving dullness.
The topic of attention in basic surgical debridement is 9 hours after injury, and the pollution is serious. Don't forget it.
Auxiliary examination can determine cerebral hemorrhage, and other uncertainties.
Disease collection: intestinal obstruction, analysis: acute mastitis, operation: lung auscultation, abdominal varicose vein examination, the question is why to take oxygen?
Question 37: First stop: medical history collection 70-year-old male, coughing up blood?
Second stop: back lipoma resection and suture, no need.
Question 38: Consultation: Palpitation+Hypertension
Case: Rectal cancer
Physical examination: lungs (chest? ) auscultation, liver palpation, hand and joint examination; Tracheal intubation for oxygen inhalation
Airborne: Diastolic rumbling murmur, expiratory coherent rale+wet rale; Atrial fibrillation; Atrial premature beats; Normal chest film
Acute pancreatitis; Zuo kidney calculi
Medical history collection: dyspnea aggravated on a certain day in April, and previous valvular heart disease 15 years.
Case analysis: suprabulbar fracture of left humerus
Physical examination, body temperature, heart palpation, liver palpation.
Oxygen inhalation operation mask
The third station premature beat wet rales ureteral calculi femoral fracture subdural hematoma ventricular premature beat myocardial infarction can not rely on auxiliary examination
Question 40: medical history collection: organophosphorus poisoning: breast cancer station: sinus bradycardia and normal abdominal plain film of atrial fibrillation, acute pancreatitis and tuberculosis
No.41:medical history collection: pathological analysis of myocardial infarction: ectopic pregnancy
Operation: heart percussion, upper liver percussion and thyroid palpation. Take off isolation gown.
Question 42: Intermittent hemoptysis at the first stop 12 years, and another day; Analysis of cases of liver cancer
The second stop is chest surface scribing, meningeal irritation sign in the direction of abdominal varicose blood flow, and the basic operation is to wear surgical gown and sterile gloves.
Third stop: pleural fricative sound, atrial fibrillation, premature ventricle, chest X-ray. She said she didn't know whether it was tuberculosis or pneumonia.
Question 43: Diagnosis, primary liver cancer.
Surgery: thoracic dilatation, spinal examination, liver palpation, putting on and taking off surgical gown.
Analysis of Case No.44: After defecation, the tumor came out with bloody stool. Internal hemorrhoids!
Question 45: A case report of an elderly male with sudden right hemiplegia. CT shows low density shadow, which should be cerebral infarction.
46. Ask the medical history to collect skin yellow staining (hepatitis B for 20 years)
Case analysis of acute epidural hematoma fracture
Heart surgery, palpation of lymph nodes, palpation of trauma rescue.
Question 48: Medical history collection is a 6-hour first aid for male trauma with progressive amnesia.
The case analysis is reflux esophagitis.
Catheterization, visual examination of respiratory movement, palpation of spleen, examination of calf and knee joint (floating test, positive signs, clinical significance)
The medical history of question 50 was collected from an 8-year-old girl who suffered from headache, fever and jet vomiting. First stop: case analysis of left elbow dislocation (palm landing, abnormal relationship of posterior elbow triangle), skill operation side temperature, heart auscultation and spleen palpation.
Breathing sounds and left lung apex moist rales, sinus tachycardia (EKG), right lower pneumonia (X-ray), ventricular tachycardia? (EKG), radial fracture (X-ray), cerebral hemorrhage (CT), talk and sign before blood transfusion (medical ethics)
No.5 1: The medical history was collected as neonatal hemolysis! Medical record analysis is peptic ulcer ~!
Surgery ~ examination of precordial area of spine ~ palpation of spleen ~ ~ and arterial blood gas analysis!
52 Medical history collection: A 26-year-old female was emaciated, irritable and irritable.
Case analysis: cirrhosis ascites portal hypertension anemia
Physical examination: spleen palpation and temperature measurement
Operation: Put on the surgical gown and sterile gloves.
Question 53: First stop medical history collection: 22-year-old female with systemic edema.
Case analysis: Sudden epigastric pain 3 hours ago, eating a lot of fried food, supraumbilical pain extending to the left, previous health, negative Fess, negative movement sound, urine amylase 398, white blood cells 1 1.
Diagnosis: acute pancreatitis
Second stop: external eye examination, lung percussion, abdominal blood flow direction, abdominal puncture. Question: the maximum amount of abdominal puncture, how to prevent water seepage when negative pressure is high.
The third stop: Diastolic rumble, right lower lung exhalation whistling sound+wet rales, cerebral hemorrhage (CT), right femoral fracture (X-ray), left ventricular hypertrophy, supraventricular tachycardia, medical ethics: the female doctor made an examination and drew a line on the patient, with knowledge.
The case of question 54 is liver cancer.
Physical examination is the location of subclavian fossa, cervical fossa and subscapular fossa, which should be dictated.
Abdominal tension? Tender feelings? Rebound pain?
Surgery is appendix dressing change.
Question 55: Medical history: low back pain, low fever and night sweats in January.
Cases: hypertension grade 3 (extremely high risk), atrial fibrillation, heart failure and cardiac function grade 3.
Physical examination includes cardiac deduction, vibration sound, peritoneal reflex and debridement of left forearm trauma. The problems are the manifestations and significance of peritoneal irritation sign, the purpose of debridement and the tissues that cannot be removed during debridement.
Analysis of medical record No.56, autoimmune hemolytic anemia, fever, abdominal pain, diarrhea, skill and operation failure.
Abdominal liver palpation, one hand, two hands, chest and back marking position and appendix operation area disinfection.
First stop No.57: Case analysis (No.4): 22-year-old female, menopause for 47 days, nausea and vomiting for 3 days. Pregnant.
Medical history collection (No.57): A 55-year-old male suffered from sudden chest pain 17 hours, cold sweat and shortness of breath for 2 hours while driving. ...
1 acute myocardial infarction 2 left heart failure 3 cardiogenic shock
The second stop: body surface marks, calf examination, patella floating test, and the operation is sputum aspiration.
Third stop: pericardial fricative sound, dry and wet rales, cerebral infarction, right radius fracture, normal electrocardiogram, supraventricular tachycardia, the responsibility of the surgeon (another one forgot ...)
Case Analysis No.58: 48-year-old male with palpitation for 7 days (I forgot specifically). Hypertension was controlled at160/100 mmhg for 2 years.
Physical examination: BP 155/96mmhg arrhythmia 72 times per minute. There is no abnormality in both lungs and limbs, and auxiliary examination is needed; Na139 mmhg cl100 mmhg k3.2 mmhg ECG showed a large abnormal QRS wave, which was never seen before.
What is the diagnosis? My answer is: arrhythmia (premature ventricular contraction) 2. Hypertension (1 grade, extremely high risk) 3. Electrolyte disorder (hypokalemia).
Question 65: Analysis of medical records of thrombocytopenic purpura
During the second stay, I took my temperature and struck my heart.
Question 66: Case analysis and diagnosis of right heart failure as upper gastrointestinal bleeding.
No.74: medical history collection: patient, female, 18 years old, with retrosternal pain 1 year and aggravation 1 week.
Case analysis: The cause of hematochezia needs to be investigated.
Congenital anemia
Physical examination: suprasternal fossa, supraclavicular fossa, clavicle midline, scapular region, subacromial angle, moving dullness, calf and knee joint.
Operation: oxygen inhalation
Computer: apical rumbling murmur, alveolar breathing sound, normal chest radiograph, epidural hemorrhage, atrial fibrillation, paroxysmal supraventricular tachycardia, asking for the patient's consent.
Question 75: The case study is chickenpox.
Question 78: Station 1: Abdominal pain analysis is acute glomerulonephritis.
Second stop: temperature check! I will also ask the meaning of various heat types: heart auscultation+spleen palpation+biceps brachii reflex! Is there a difference between sitting and lying biceps reflex examination?
Third stop: the operation is surgical disinfection, but the arm is not disinfected! Q: What are the advantages of iodophor? Can the surgical towel move?
Question 79: Abdominal pain, tuberculosis, auscultation of heart, palpation of spleen, wearing surgical gown and gloves.
On the 80 th, the case analysis was that a 4-month-old child was born in winter and was diagnosed as early rickets.
The medical history was collected from a 46-year-old man with abdominal distension for 2 years and vomiting blood and black stool for 6 hours.
Physical examination: knee joint and lower limb examination, liquid wave test, cardiac palpation, operation: three-cavity and two-sac tube hemostasis.
Station 3 "Atrial fibrillation, gastric cancer, bronchoalveolar breath sounds, heart auscultation seems to be 2 stenosis, right ventricle hypertrophy."
Question 8 1: the first stop, painless lump in the neck for half a month, duodenal rupture.
The second stop, Achilles tendon reflex, axillary lymph node examination, abdominal body surface markers, lumbar puncture.
Question 83: Measuring body temperature, heart percussion, vibrating water sound, asking about the concepts of missed diagnosis of fever and common diseases. The operation test is catheterization, asking how much the first catheterization should not exceed when the bladder is highly filled.
The medical history was collected and examined as fever, cough and expectoration, and the cases were analyzed as lower common bile duct stones and cholangitis. The main thing is to remember the answer template and set it directly in it, but the time is a little tight.
The computer image examination site is heart murmur and bronchial breathing sound, the ECG examination site is myocardial infarction and supraventricular tachycardia, the X-ray examination site is pneumothorax, and the CT examination site is subdural hematoma.
No.84 medical history collected fever and oral mucosal ulcer.
Case analysis of hysteromyoma
Physical examination, axillary lymph node palpation, spleen palpation and knee reflex: What is the positive significance of ankle clonus?
Operation of triangle towel suspension for forearm fracture fixation
Bronchoalveolar breath sound galloping rate, pleural effusion, intestinal obstruction, atrial fibrillation, right bundle branch block, subdural hematoma
No.85, oxygen inhalation, medical records, idiopathic epilepsy, cardiac palpation, tonsil examination, group topic No.85,
Collect medical history: male, abdominal pain after drinking, vomiting for 6 hours.
Case analysis: Idiopathic thrombocytopenic purpura. The second stop: flat body examination, heart palpation, axillary lymph node examination and spleen palpation.
The third stop: systolic murmur, a breathing sound, pneumonia X-ray, acute pancreatitis CT, femoral neck X-ray, doctor-patient communication!
Question 88: Case study: Uterine blood disease? Not sure, it should be a genital tumor, which needs to be verified! !
Topic 89 1, medical history collection: shortness of breath after exercise, edema of both lower limbs 1 month, hypertension for 6 years.
2. Case analysis: dislocation and fracture of shoulder joint.
3. Physical examination: 1 1, lower lung activity 2, abdominal wall reflex 3, Murphy sign.
4, surgery: male indwelling catheter.
The first question 93: medical history collection: male, over 40 years old, hated greasy food for 2 weeks and his skin turned yellow for 3 days.
Case analysis: (chronic obstructive pulmonary disease, type II respiratory failure, type III heart failure, respiratory acidosis)
The second level: physical examination: blood pressure measurement, heart voiced percussion, auscultation of abdominal vascular murmur. Basic operation: lumbar puncture
The third level: atrial premature beats, acute myocardial infarction? Fracture of tibia and fibula, left pleural effusion, the doctor referred the patient to a small hospital for surgery.
93: Upper abdominal pain for 4 years, bloody mucus for * days.
Medical record analysis: respiratory failure due to pneumonia in both lower lungs 1.
Physical examination: the breathing type, frequency, rhythm and clinical significance of Chen's breathing. Meningeal irritation syndrome
Basic operation: V-belt fixed forearm. Application of first aid tourniquet
On the computer: arrhythmia, moist rales and wheezing, sinus bradycardia, premature beats, intestinal obstruction, right upper pneumonia, cerebral hemorrhage. . . . . .
Question 94: Case study: Hypertensive heart failure
Medical history collection: febrile convulsion
Question 96: Collection of history of intestinal obstruction;
Case analysis of tuberculous pleurisy;
Palpation of inguinal lymph nodes, chest percussion, Murphy's sign, dressing change of abdominal incision (dressing change several days after operation, light yellow exudation of incision 5 days after appendicitis, what should be considered? ); Wet rales, wheezing, chest tuberculosis, CT cerebral hemorrhage, (probably sinus bradycardia, completely right)
Question 98: medical history collection: dyspnea, surgical scope of sigmoid colon cancer, lung activity, pathological analysis: ureteral calculi
99 questions! Medical history collection: male, 70 years old, with increased urine output in two months.
Case analysis: prostatic hyperplasia, acute urinary retention.
Surgery: wear a surgical gown. Examination: blood pressure, thoracic deduction, abdominal vascular murmur.
. Third stop: galloping rhythm, moist rales and wheezing, kidney calculi, liver cancer, lung cancer, atrial fibrillation, ventricular tachycardia, medical ethics.
Question 102 First stop: Medical history collection: 40-year-old female, with recurrent lower abdominal pain and mucus purulent stool for 2 months.
Case analysis: A 45-year-old male had pain in his right waist for 2 months, which was aggravated for 2 hours. In February, the pain in the right waist increased, and it suddenly increased when running two hours ago, showing colic. After drinking alcohol for the past 3 months, the first joint of the right toe is red, swollen and painful.
Physical examination: there is no abnormality in the heart and lungs. Deep tenderness of right ureter and umbilicus, percussion pain of right kidney area, auxiliary examination: routine urine full-field red blood cells, trace protein, uric acid 542umol.
104 question: physical examination: thyroid abdominal knee reflex surgery: debridement, dressing and hemostasis of back trauma.
Question 107: Physical examination: skin palpation, chest exercise, knee joint and calf examination: nasal catheter oxygen inhalation.
Question 106 In the case analysis, the girl was 7 years old, had a fever for 2 days, and had a rash 1 day! !
Question 1 10 First stop medical history collection dyspnea, rectal cancer case analysis.
Problem 1 1 1, disease set, dyspnea. Rectal cancer analysis, blood pressure measurement, liver palpation, abdominal wall reflex, dressing change
1 18 medical history collection: fever, diarrhea and abdominal pain for three days.
Case study: It seems to be chronic bronchitis.
Second stop: costal crest angle, parasternal line, posterior midline, scapular line, meningeal irritation sign and Murphy sign.
Venocentesis of limbs
Question 133 First stop: Collection of the history of scleral yellowing.
Case study: angina pectoris.
Second stop, insert a stomach tube. Auscultation of lung. Bladder examination, floating patella test.
Third stop: epidural hematoma.
Question 1 17 case analysis: myocardial infarction, angina pectoris, diabetes.
Medical history collection: epigastric pain
Scleral examination problems 13 1. Pupil breathing movement left colon surgery disinfection asked the disinfection scope, perineum disinfection with bromogeramine.
Case analysis shows that the construction workers lost 2 kilograms, which seems to be the tuberculosis I wrote last year, and the pain in the right upper abdomen increased two days after meals.
136 medical history collection, female, 42 years old, intermittent left lower abdominal pain, diarrhea for 2 months, aggravated for 3 days.
Case analysis, female, right chest injury after sudden braking ... My diagnosis is 1, closed chest injury 2, right hemopneumothorax 3, mediastinal displacement 4, respiratory failure 5, hemorrhagic shock.
Second stop 1, cardiac auscultation, vibrating water sound, anal digital diagnosis.
2, chest perforation
Question: How many milliliters does it take to detect 1 pleural effusion?
2 Where is the pneumothorax punctured and pumped?
The order of the third stop is not clear, but the heart auscultation is forgotten. The auscultation of lung is alveolar breath sound, right bundle branch block, ventricular tachycardia, acute pancreatitis and tibial fracture. The nurse asked the patient to count his pulse.
139 case collection: the patient was a 30-year-old male with chest pain and dyspnea for 5 hours after a car accident.
Case analysis: The patient was a 40-year-old male with a mass in the right lower abdomen for 4 months, and had difficulty in exhausting and defecating with abdominal distension for 2 weeks. No previous combination history.
Physical examination: normal vital signs, normal heart and lungs. Abdominal physical examination: the abdomen is soft, and the right lower abdomen can reach a 3×4cm mass. Medium, poor fluidity, mild tenderness, adhesion with the surrounding area (as if). Laboratory examination: PPD is strongly positive; The rest of the tests are normal. There is no auxiliary examination. Second stop:
Physical examination: 3 parts: chest (lung) percussion, pleural fricative sound and motor dullness.
Skill operation: The patient is a female with lipoma in the abdomen. Lipoma resection is needed, and skin incision and suture are needed. Lipoma resection is not required.
Third stop: 1. Pleural fricative sound of left lower lung II. Heart auscultation, can not be done, the topic is: A atrial fibrillation B atrial flutter C triple method D quadruple method.
3.CT: renal rupture 4. X-ray: No.5 fracture of left femur. Electrocardiogram: sinus tachycardia 6. Electrocardiogram: right bundle branch block (QRS wave is M-shaped) 7. Medical ethics: There are two surgical schemes for two operations. How to choose?
148 constitution is mammary gland, thyroid gland and abdominal wall reflex.
A patient suffered an open fracture of his right forearm in a car accident.
Evaluate with tourniquet and splint.
No. 150 1. Male low back pain with right lower limb pain for 5 days. 2. Bronchial asthma. 3. Temperature measurement, posterior midline, parasternal line, supraclavicular fossa, palpation of spleen, and disinfection of sigmoid colon surgery. 4. Two auscultations, cerebral hemorrhage, tuberculosis, gastric cancer, bradycardia, supraventricular tachycardia, medical ethics problems.