病史与查体 英文版PDF电子书下载

Part I:History 1

Preface 3

1.Introduction to History Taking 3

Basic Principles 3

Obtaining and Assessing Information 3

Relationship with the Patient 4

Difficult Consultations 4

Overview of History Section 4

Acknowledgements 5

2.The History 5

Introductory Statement 5

History of Presenting Complaint 5

Dedication 8

Past Medical History 8

Drug History 9

Social History 10

History of Drug Allergy 10

Family History 12

Review of Symptoms 14

Summary 16

3.Presenting Problems:Cardiovascular System 17

Chest Pain(Cardiac) 17

Palpitations 20

Heart Failure 22

Deep Vein Thrombosis or Pulmonary Embolism 23

4.Presenting Problems:Respiratory System 25

Asthma 25

Chronic Obstructive Pulmonary Disease 27

Chest Infection 28

5.Presenting Problems:Abdominal 31

Acute Abdominal Pain 31

Acute Diarrhoeal Illness 34

Jaundice 35

Anaemia 38

Melaena and Acute Gastrointestinal Bleeding 40

Change in Bowel Habit 41

Dysphagia 43

6.Presenting Problems:Renal Tract 45

Acute Renal Failure 45

Chronic Renal Failure 47

Haematuria 49

The Unconscious patient 51

7.Presenting Problems:Nervous System 51

Blackouts 52

Headache 54

Epileptic Fit 56

Stroke 58

Off Legs 60

8.Presenting Problems:Psychiatric 63

Drug Overdose 63

Back Pain 65

9.Presenting Problems:Locomotor System 65

Rheumatoid Arthritis 66

10.Presenting Problems:Endocrine System 69

The Diabetic Patient 69

Thyroid Disease 70

Part II:Examination 73

11.Introduction 75

Setting 75

Examination Routine 75

Examining a System 75

Physical Signs 76

Overview of Examination Section 76

12.Cardiovascular Examination 77

Examination Routine 77

Aortic Stenosis 87

Aortic Regurgitation 88

Mitral Stenosis 89

Mitral Regurgitation 90

Tricuspid Regurgitation 91

Infective Endocarditis 92

Heart Failure 93

Myocardial Infarction 94

13.Respiratory Examination 97

Examination Routine 97

Pleural Effusion 101

Pneumothorax 101

Lung Collapse 103

Consolidation 103

Lung Fibrosis 105

Integrating Physical Signs to Diagnosis Pathology 106

Asthma 107

Lung Cancer 108

Examination Routine 111

14.Abdominal Examination 111

Hepatomegaly 118

Splenomegaly 119

Anaemia 122

Acute Gastrointestinal Bleed 123

Acute Abdominal Pain 124

15.Renal Examination 129

Acute Renal Failure 129

Chronic Renal Failure 130

Palpable Kidneys 130

16.Neurological Examination 133

Examination Routine 133

Stroke 151

Epileptic Fit 152

Unconscious Patient 153

Multiple Sclerosis 154

Diabetes Mellitus 157

17.Endocrine Examination 157

Hyperthyroidism 158

Hypothyroidism 160

18.Reticulo-endothelial Examination 163

Examination Routine 163

19.Breast Examination 165

Examination Routine 165

Breast Mass 168

Investigations 169

Breast Pain 169

Gynaecomastia 169

20.Locomotor Examination 171

Examination Routine 171

21.Opthalmic Examination 185

Examination Routine 185

Part III:Clerking and Further Investigations 189

General Notes 191

22.Writing Medical Notes 191

Structuring Your Thoughts 192

Presenting Your Findings 193

Medical Sample Clerking 194

23.Further Investigations 199

Cardiovascular System 199

Respiratory System 202

Abdominal System 204

Renal System 205

Neurological System 206

Part IV:Self-Assessment 209

Multiple-choice Questions 211

Short-answer Questions 217

Case-based Questions 219

MCQ Answers 220

SAQ Answers 221

Index 225