病史和神经系统检查ppt课件

发布时间:2013-08-27

课件大小:0.27 MB

所属栏目:医药类

课件格式:.rar(压缩解压).ppt(使用格式)

课件等级:病史和神经系统检查ppt课件推荐等级为3星

简略标题:病史和神经系统检查

应用环境:应用于多媒体教学

制作使用软件:PowerPoint

应用阶段:临床医学

病史和神经系统检查ppt课件介绍及下载


病史和神经系统检查ppt课件内容预览:Huang hai-weiBeing the essential skillNecessary to learn the clinical methodhistory and neurological examsymptoms signsqualitative anatomic(topographic)diagnosis diagnosisother data lab testpathologic(etiologic)diagnosispatient’s trust and cooperationreliable history and accurate examcorrect diagnosisTaking the historyPurpose:primary information of the diseasewhere,what,why…pptguide to the exam and Lab testTaking the historyNotice:good attitude while patient sayingavoiding suggestionaccurate comprehension of what heshe saytaking care to negative or other systems’symptomsobtaining from a relative or friend(coma,child,mental disorder)Structure of the historyThe complaintThe presenting historyPast historyPersonal historyFamily historyThe complaintWhat is the main problem?What was it that caused you to come here?Use the patient’s language.The presenting historyInformation of onsetNature of the main symptomProcess of the diseaseAssociated symptomsPreceding treatmentInformation of onsetWhen it was first noted by the patient?Inducing factors of onset.Was the onset sudden,subacute,insidious or gradual?acute:vascular,poison,trauma,infectionchronic:tumor,metabolism,degenerationNature of the main symptomWhat is its distribution?unilateral,bilateral,frontal,occipital etc.What is its nature and severity?e.g.headache:throbbing,stabbing,tensing…Is there anything that makes it better or worse?e.g.movement,posture,sleep,coughing …How long does it take for every attack?…has itProcess of the diseaseIs the symptom episodic or constant?Has it worsened,improved,or stayed the same since?Associated symptomsAre there any associated symptoms?Have any other symptoms developed since?Neurological symptoms are important,not ignoring the symptoms of other systems.PrecedingTreatmentHave any tests already been performed?Has any therapy ever been given?The results of treatmentPast historyThe following may be relevant in neurologyHP、DM、rheumatic valvular heart diseaseinfections during childhoodhead injuries and poisona systemic disorderbirth and early developmentdrug allergiesPersonal historyhome circumstancecation and occupationdietsmoking history and alcohol intakeFamily historyare there any family illnesses?hereditary ataxia .muscular dystrophyepilepsy.migraine(susceptible)are parents,siblings,and children alive?if not,what did they die from?Neurological examinationNotice:preparation of toolsophthalmoscope 、hammer、tuning-forkgood attitude and gentle behaviourproceeding from the head downwardsbeginning while taking the historytreating while examining an alarming caseNeurological examinationTesting categoryhigher cortical functioncranial nervesmotor functionsensory functionreflex functionautonomic nervesmeningeal irritation signs㈠higher cortical functionlevel of consciousnesscognitive functionlanguage skillsemotional stateconsciousnessThe level of arousalnormal-full awakefulness and responsivenesssomnolent-asleep but rousable when stimulatedstupor-difficult in arousal and co-operation
课件关键字:病史和神经系统检查,神经系统,经系统,病史,神经,系统。
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