问题 问答题 案例分析题

唐某,女,30岁,腹痛1天。答题要求:病史采集题要求根据简要病史口述应如何采集病史。

答案

参考答案:

采集要点

(1)现病史:根据主诉及相关鉴别询问。①发病诱因:是否有传染病接触史,是否有性生活史、停经史,腹痛有无诱因。②病情演变过程:要按时间顺序询问从起病到就诊时病情发展变化的主要情况,腹痛的性质、部位、程度有无明显变化,其变化有无规律性,影响变化的原因或诱因是否存在,病情演变有无规律性,其总的趋势如何?③诊察治疗过程:要询问起病之初到就诊前的整个过程中所做过的诊断与治疗情况。疾病初起曾到何处就医?做过何种检查?检查结果如何?诊为何病?做何治疗?服用何药物以及剂量、用法、时间、效果如何?有否出现其他不良反应等。④现在症状:要询问这次就诊的全部自觉症状,这是问诊的主要内容。应问清疼痛产生的原因、性质、部位、时间、喜恶等。⑤结合"十问歌"了解其他相关情况。

(2)相关病史:①与该病有关的其他病史:肝炎患者接触史,胃肠疾病史、胆道疾病史、外伤手术史及家族史。②药物过敏史

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Have you got a Facebook account? Are you thinking of getting one? Jamie Simmonds has just signed up. Let's see how she's getting along.

My Diary

MONDAY: I'm officially a Facebooker. I find a few people I used to know and I've soon got seven friends. I've never felt so popular! I wonder if my old university flatmate Steve is on here…What do you know! He is! Maybe Facebook has its uses.

TUESDAY: I've received lots of nice welcoming messages on my wall. Later, I meet up with Steve for a drink after not seeing him for five years. We get on really well! Then, he uses his Facebook app for iPhone to suggest me as a friend to some other former classmates. Some of them even come to the pub and it's just like old times – possibly a bit too much like old times. During the night, photos are uploaded to Facebook.

WEDNESDAY: Disaster! My mum's on Facebook! Has she seen the photos of me dancing on the table last night? Has she shown them to dad? Oh. And I have a friend request – mum again!

THURSDAY: There's a message from my boyfriend, “so, it's over then, is it?” Obviously I haven't changed my settings to show I'm “in a relationship”, and I haven't even added him as a friend. Ah, well, I wonder what my ex-boyfriend is doing… Whoops! I accidentally type his name into my status box instead of the search  and now every one can see it on their news feed.

FRIDAY: Time to update my status: “Work is boring. Can't wait for the weekend!” Oh, look, I've received a comment! Someone must feel the same way. Lots of my friends now “like” this status.

SATURDAY: Good news! I've got 100 friends. But wait! Someone has “un-friended” me! I look through my “friend list” to try to work out who it was. Why did they do that? Am I really such a terrible person? I never knew Facebook could be this cruel.

SUNDAY: Wake up. Check my Facebook page. Make coffee. Check my Facebook page again. Get ready to leave. Change my mind and check my Facebook page … again. I am becoming addicted to it! I think it's time to end it all before it takes over my life. I delete my account. Back to good, old, simple e-mails. Oh, look, I've got a message: A friend invited you to join Twitter. . .  

In July 2010, Facebook had more than 500 million active users. The average Facebook user has 130 friends. Facebook is translated into more than 70 different languages. The world spends 700 billion minutes a month on Facebook. Facebook creator Mark Zuckerberg's Facebook page says he's a Harvard graduate, even though he actually dropped out to focus on Facebook. The site is valued at between $7.9 and $11 billion.

小题1:Why did Jamie's boyfriend ask her whether she had broken up with him?

A.He had seen photos of Jamie dancing on the table.

B.She showed in her Facebook that she was still not dating anyone.

C.Her boyfriend was angry that she refused to add him as her friend.

D.He saw the name of her ex-boyfriend on his news feed.小题2:Which of the following is expressed in this article?

A.Visiting Facebook website took up a large part of Jamie's time and energy.

B.Jamie is enthusiastic about her present job.

C.Facebook was created by a Harvard graduate, Mark Zuckerberg.

D.Compared with Facebook, Twitter is a better choice for Jamie.小题3:What does the word “un-friend” mean in “Someone has ‘un-friended' me!”?

A.Being unfriendly to others.

B.Having a quarrel with somebody.

C.Removing a name from the friend list.

D.Ending friendship with somebody.小题4:Which of the following is true according to the passage ?

A.Steve was Jamie's boyfriend in the university.

B.People all over the world spend 700 billion minutes a week on Facebook.

C.Jamie's mother saw her dancing on the table last night.

D.Jamie felt enthusiastic about Facebook at first.小题5:It can be learned from the passage that the writer's attitude towards Facebook is _________  .

A.subjective

B.objective

C.negative

D.positive