问题 问答题 案例分析题

男性,33岁。主诉:右胸痛部被摩托压伤后,疼痛、极度呼吸困难3小时。请针对该案例,说明问诊内容与技巧。

答案

参考答案:

问诊内容

现病史:

1.根据主诉及相关鉴别询问

(1)受伤状况:受伤时体位,摩托车轻重与力量大小。

(2)呼吸困难情况:呼吸困难程度、口唇发绀,呼吸快慢、深浅:胸部有无开放性伤口、有无局部肿胀。有无意识障碍,烦躁、昏迷。来院途中呼吸困难是否逐渐加重。

(3)胸部疼痛:阵发性、持续性、与呼吸关系、有无放射、缓解。

(4)有无其他部位损伤。

(5)伤后有无恶心、呕吐:心悸、冷汗、手脚发凉、面色苍白。

2.诊疗经过

(1)是否曾到医院就诊,做过何种检查。

(2)治疗情况,做何处理。

相关病史:

1.有无药物过敏史。

2.与该病有关的其他病史:胸部疾病史、高血压病史等。

问诊技巧

1.条理性强,能抓住重点。

2.能围绕病情询问。参考诊断损伤性张力性气胸

选择题
阅读理解

Have you ever stayed up late? If so, you know that not getting enough sleep can leave you tired and grumpy . Not sleeping enough can also make it harder to think clearly the next day.

Sleep experts have long known that getting a good night’s sleep is important.

It helps kids perform their best during the day. A recent study shows that sleep helps improve problem--- solving skills and creative thinking.

For the study, two groups of volunteers answered a math problem. The group that slept for eight hours solved the problem correctly more often than the group that did not get enough sleep.

While you sleep, your brain is busy doing its “homework”. It sorts out information from your day. Getting enough sleep each night can boost your brainpower. That will help you do your best in school. Experts say that, in return, can lead to better grades.

小题1:What is the best title for the passage?

A.Too Much Sleep

B.It’s Homework Time

C.Sleep to Succeed

D.Math Problems小题2:The underlined word “boost” in paragraph 5 means ________.

A.reduce

B.improve

C.disturb

D.worsen小题3:Why is sleep important?

A.It can improve problem-solving skills and creative thinking

B.It will help you do your best in school

C.It helps your brain sort out information from your day.

D.All of the above小题4: What did the results of a recent sleep study show?

A.People who sleep enough are good at math

B.Sleep is important for learning

C.If you get enough sleep, you don’t have to do your homework

D.Adults need more sleep than kids