快速写出诊断（Quick write diagnosis）.doc

快速写出诊断（Quick write diagnosis） The following are listed in the new outline of 2009. (1) chronic obstructive pulmonary disease (new content) Old age + cough, phlegm, asthma = chronic bronchitis Pail chest + overtone = emphysema Elderly patient + cough, phlegm, wheezing + pail chest + overtone + lung function = COPD Chronic respiratory system history + right heart failure sign = pulmonary heart disease (2) pneumonia Young and strong + cold + hot and hot + wet and rusty sputum = large leaf pneumonia Infant + cough, asthma and dyspnea (nasal wing fan + trident) = bronchopneumonia Cyanosis + nasal fan sign (+), three concave signs (+) + two lungs can smell and wheeze and wet tone + breathing fast, heart rate fast = left heart failure Hepatic and bilateral lower extremity edema = right heart failure Children + paroxysmal cough + joint pain = mycoplasma pneumonia (iii) bronchial asthma (new content) Adolescents + allergic rhinitis + seizure and full lung asthma = bronchial asthma (4) lung cancer (new addition content, assistant not to test) Elderly + smoking history + irritant cough (with blood in phlegm) + burr (edge irregularity) = lung cancer (5) respiratory failure (new content, assistant) Elderly patients + chronic respiratory system history + purple cyana + blood = respiratory failure PaO2 60 MMHG Ⅰ type failure PaO2 60 MMHG + PaCO2 50 MMHG Ⅱ type failure PH 7.35 acidosis PH 7.35 alkalosis Chronic respiratory system history + consciousness disorder = pulmonary encephalopathy (6) tuberculosis, tuberculosis, tuberculous pleurisy, tuberculous pleurisy, intestinal tuberculosis (new addition content) Low heat, night sweats, exhaustion, weight loss = tuberculosis poisoning symptoms Cough, expectoration, hemoptysis + tuberculosis poisoning symptom + antibiotic treatment does not improve = tuberculosis The thoracic turbidity + tracheal bias + the turbidity + the phonation of the peritulosity + the movement of the heart and the heart is not clear = pleural effusion Sympto