Р心尖区、隆隆样、舒张期杂音?局限于心尖区、低调、隆隆样、?舒张中晚期、递增型杂音Р二尖瓣听诊区Р二尖瓣狭窄 mitral stenosis:Р要求:?为患者解除病痛及发掘病因的意识和愿望。?医学知识/临床技能/思维方法/科学证据。?(循证医学Evidence-Based Medicine,EBM)Р意义:?“临床医学首重诊断”。?诊断疾病是治疗疾病的先决条件。没有正确的诊断,就没有正确的治疗。РEstablishment of Diagnostic thinking&?建立正确的诊断思维Р概念: ?在临床诊断疾病的过程中将疾病的一般规律应用到判断特定个体所患疾病的思维过程。Р诊断疾病的过程 Diagnosis Procedure of medical diseases:РModify or validate diagnosis?验证确立诊断РCollect clinical information ? 收集临床资料РAnalyze and colligate information?分析综合资料РPropose primary diagnosis? 提出初步诊断Р诊断思维РEstablishment of? Diagnosis thinkingРInquiry--symptomРphysicalexamination--signsРLab.tests and instrumental examinationsРEvaluation,identification judgementРProblem listingРGrasp the Key pointsРGenerate reasonable hypothesesРMake differential diagnosisРAchieve the final certain ?diagnosis.Р亲自掌握?全面了解?全实动特
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