男性，25岁，上腹痛伴呕吐1天。请针对该案例，说明问诊内容与技巧。
参考答案：
1.问诊内容（13分）
（1）现病史（10分）①根据主诉及相关鉴别询问（8分）有无不洁饮食、暴饮暴食等。（2分）呕吐的方式，呕吐发生时间，呕吐内容物、量和气味，有无出血或咖啡样物。（2分）腹痛性质、特点、持续时间有无放射，呕吐后腹痛情况。（2分）有无发热、黄疸等伴随症状。（1.5分）大小便、饮食、睡眠、体重情况。（0.5分）②诊疗经过（2分）是否到医院就诊过，做过哪些检查。（1分）治疗用药情况。（1分）
（2）相关病史（3分）是否有集体发病者，有无药物过敏史。（1分）与该病有关的其他病史，有无溃疡病或慢性胃炎史，有无腹部手术史。（2分）
2.问诊技巧（2分）条理性强、能抓住重点。（1分）能够围绕病情询问。（1分）
Mr. Johnson lives outside the town. He works in a post office. His wife is often ill and six children __26____ at school. He works hard but he is often short of __27____. In the end of every month his family are always__28____. One afternoon, on his way home, it suddenly began to __29____. When he got home, he was wet through. He hurried to go __30____ after supper and his wife washed the clothes and shoes for him. __31____ she went to bed, she brought the clothes into the room but __32____ the shoes. The next morning Mr. Johnson couldn’t find his shoes. His wife found a pair of __33____ shoes under the bed for him. Then he went to __34____ and told the policeman about it. “I __35____ ten dollars for my shoes, sir,” said the man. “Look! I have to __36____ such a pair of worn-out shoes!” Several days later the police __37____ a thief and found the shoes. They were as worn-out as the __38____ which Mr. Johnson was wearing. “You’ve fooled us, Mr. Johnson,” said a policeman. “The shopkeeper told me a pair of new shoes like them __39____ only seven dollars!” “You’re right, ,sir,” said Mr. Johnson. “I’ve __40____ them for five years and I had them mended six times. And I paid three dollars to the shoemaker for mending them!”
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