病例分析公式(Case analysis formula).doc
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病例分析公式(Case analysis formula)
Case analysis formula
(I) chronic obstructive pulmonary disease (new contents)
The old person + cough, phlegm, gasp = chronic bronchitis
Barrelchest + hyperresonance = emphysema
Elderly patients with cough, phlegm and asthma + + + + barrelchest hyperresonance pulmonary function =COPD
Chronic respiratory disease + sign of right heart failure = cor pulmonale
(two) pneumonia;
Young + cold + heat + wet rales + rusty sputum = lobar pneumonia
Infants + cough, dyspnea + dyspnea sign (ALA flap + three concave sign) = bronchopneumonia
Cyanosis + nose fan syndrome (+), three concave syndrome (+) + two lungs can smell and wheeze and moist rales + fast breathing, heart rate = Zuo Xinshuai
Liver edema + double lower limb edema = right heart failure
Children + paroxysmal irritative cough + joint pain = mycoplasma pneumonia
(three) bronchial asthma
Juvenile + allergic rhinitis + episodic wheezing + full lung wheezing = bronchial asthma
(four) lung cancer;
Middle and old people + smoking history + irritating cough (or sputum with blood) + burr (irregular edge) = lung cancer
(five) respiratory failure (new contents, assistant examinations)
Elderly patients with chronic respiratory disease + + blood + = cyanosis and respiratory failure
PaO2 60 mmHg type 1 respiratory failure
PaO2 60 mmHg + PaCO2 50 mmHg type 2 respiratory failure
PH 7.35 acidosis
PH 7.35 alkalosis
Chronic respiratory disease + consciousness disorder = pulmonary encephalopathy
(six) tuberculosis, tuberculosis, tuberculous pleurisy, tuberculous pleurisy and intestinal tuberculosis
Low fever, night sweats, fatigue, weight loss = TB symptoms
Cough, expectoration, hemoptysis + tuberculosis symptoms + antibiotic treatment is not better = tuberculosis
Chest swelling + trachea partial + speech tremor reduction + knock + turbidity breath sound attenuation + heart Shift + heart world knock = clear pleural effusion sign
Tuberculous poisoning symptoms + pleural effusion sign = pleural effusion:
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