技能常见错误(Common mistakes in skills).doc
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技能常见错误(Common mistakes in skills)
This article brings together a number of skill examiners experience. We have focused on the common mistakes of examinees. Make sure you read carefully and avoid mistakes, whether its in the first place or the second.
1. Medical history collection
1 hpi
The first thing to ask is the trigger. Most examinees have more comprehensive questions about cough and vomiting, but forget to ask the triggers. The criterion is to mention the trigger two words, give the whole point. Then ask for the development of the disease, the scope and the requirements will not exceed the diagnostic teaching material to discuss the key points of the patient after each symptom. Ask next diagnosis and treatment, generally is two points, almost half of the students forget, to score is as long as mentioned after two words to 0 5 points. Just ask what kind of tests you have done, and what medications youve used, and give them all.
2 related history
Mainly refers to the past medical history, personal history, family and some content related to the disease, such as upper gastrointestinal bleeding, ask to have hepatitis, liver cirrhosis, schistosomiasis (this is very easy to forget), alcohol and so on. Every disease must ask drug allergy history, otherwise this one cent is white buckle.
Two parts must be divided, the handwriting must be clear and neat. One day, hundreds of volumes, and then see written as a group of, which have the mood to give you slowly to find cause, disease, relief, diagnosis and treatment passes, the first glance can not see the deduction. The paper is unkempt and the handwriting is ugly. There are two more points of inquiry and whether to surround the main complaint. Its all about judging the teachers mood.
2, case analysis
1 diagnosis
The first diagnosis is all right, but the high blood pressure should be graded in the risk group, the diabetes is divided into type 2, the angina pectoris should be divided. Secondary diagnosis
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