第一部分《检体诊断学》理论教学大纲绪论一、目的要求1.掌握《诊断学》学习主要内容，包括常见症状与体征、问诊、体格检查、实验室检查、辅助检查及其他一些特殊检查，病史采集与书写，临床思维等。2.熟悉《诊断学》学习方法和要求。3.了解《诊断学》在临床医学中的地位与作用。二、主要内容1.《诊断学》在临床医学中地位与作用。2.学习方法和要求。3.常见症状与体征、问诊、体格检查、实验室检查、辅助检查及其他一些特殊检查，病史采集与书写，临床思维。三、学时安排共1学时，含理论课1学时。其中理论内容“绪论四、教学方法课堂授授五、重点难点1.诊断学学习的方法与要领2.掌握诊断学学习的基本内容六、授课语言汉语第一篇问诊一、目的要求掌握问诊主要内容和方法。、主要内容1.问诊重要性2.问诊方法与技巧3.问诊内容包括：一般项目、主诉、现病史、既往史、系统回顾及个人史、婚姻史、月经史、生育史、家族史。三、学时安排共1学时，含理论课1学时。其中理论内容“问诊”四、教学方法课堂授课五、重点难点问诊主要内容、方法和技巧。六、授课语言汉语第二篇常见症状The section 1FeverAim and Requirementsl.Mastercausesandclassificationoffever.2.Familiarwithaccompanied symptomsand theirrelationshipwithcauses3.Comprehend usual fever types and their clinical significance.Main Contents1.Definition of fever and physiologic variance of temperature.2.Mechanism of fever-exogenous fever-endogenous fever-non-pyrogenic fever3.Etiologyand classification-infective fever
第一部分《检体诊断学》理论教学大纲 绪论 一、目的要求 1.掌握《诊断学》学习主要内容，包括常见症状与体征、问诊、体格检查、 实验室检查、辅助检查及其他一些特殊检查，病史采集与书写，临床思维等。 2.熟悉《诊断学》学习方法和要求。 3.了解《诊断学》在临床医学中的地位与作用。 二、主要内容 1.《诊断学》在临床医学中地位与作用。 2.学习方法和要求。 3.常见症状与体征、问诊、体格检查、实验室检查、辅助检查及其他一些 特殊检查，病史采集与书写，临床思维。 三、学时安排 共1学时，含理论课1学时。其中理论内容“绪论” 四、教学方法 课堂授授 五、重点难点 1.诊断学学习的方法与要领 2.掌握诊断学学习的基本内容 六、授课语言 汉语 第一篇问诊 一、目的要求 掌握问诊主要内容和方法。 二、主要内容 1.问诊重要性 2.问诊方法与技巧 3.问诊内容包括：一般项目、主诉、现病史、既往史、系统回顾及个人史、婚姻史、月经史、生育史、家族 史。 三、学时安排 共1学时，含理论课1学时。其中理论内容“问诊” 四、教学方法 课堂授课 五、重点难点 问诊主要内容、方法和技巧。 六、授课语言 汉语 第二篇常见症状 The section 1 Fever Aim and Requirements 1.Master causes and classification of fever. 2.Familiar with accompanied symptoms and their relationship with causes. 3.Comprehend usual fever types and their clinical significance. Main Contents 1.Definition of fever and physiologic variance of temperature. 2.Mechanism of fever -exogenous fever -endogenous fever -non-pyrogenic fever 3.Etiology and classification -infective fever
-noinfectivefever:abortion fever of sterile necrosis substances, antigen-antibody reaction,endocrinemetabolism disorders,decreasedheat abstraction ofskin,disordersoftemperatureregulation center, disorders of autonomic nervers system.4.Clinical manifestations-degree of fever-clinical process and feature5.Character and significance of usual fever type: continued fever, remittent fever,intermittentfever and irregular fever.6.Simultaneous phenomenon and its potential causes: chill,conjunctivalcongestion,simplexherpslymph node enlargement, skin eruption, swollen and pain of joint, hemorrhage and coma.7.Key points of inquiry about fever.SchedulesA total of 1 class hours, theory class l class hoursTeaching MethodLecture in classesKey and difficult pointsThe causes and classification of fever.The teaching languageChinese and EnglishThe section 3EdemaAim and Requirementsl.Familiar with the mechanism of edema.2.Familiar with the cause of local edema3.Master the etiology and clinical features of systemic edemaMain contentsl.The main factors to maintain the balance of intravascular fluid and interstitial fluid and themechanism of edema.2.Etiology and clinical features of systemic edema.3. The cause of local edema.4. The clinical significance of edema accompanying symptoms in the differential diagnosis of thedisease.SchedulesA total of 1 class hours, theory class 1 class hoursTeaching methodLecture in classesKey anddifficult pointsl.Key points:The classification and degrees of edema2.difficult points:The case and clinical characteristics ofedema.The teaching languageChinese and EnglishThe section 4Cough and ExpectorationAim and Requirements1.Familiar with common causes of cough.2.Familiar with the relationship between the quantity & quality of sputum and the etiology ofcough & expectoration.3.Master the relationshipbetween clinical features of cough&itsaccompanying symptoms andtheetiology.Main Contents
-noinfective fever: abortion fever of sterile necrosis substances, antigen-antibody reaction, endocrine metabolism disorders, decreased heat abstraction of skin, disorders of temperature regulation center, disorders of autonomic nervers system. 4.Clinical manifestations -degree of fever -clinical process and feature 5.Character and significance of usual fever type: continued fever, remittent fever, intermittent fever and irregular fever. 6.Simultaneous phenomenon and its potential causes: chill, conjunctivalcongestion,simplexherps , lymph node enlargement, skin eruption, swollen and pain of joint, hemorrhage and coma. 7.Key points of inquiry about fever. Schedules A total of 1 class hours, theory class 1 class hours Teaching Method Lecture in classes Key and difficult points The causes and classification of fever. The teaching language Chinese and English The section 3 Edema Aim and Requirements 1.Familiar with the mechanism of edema. 2.Familiar with the cause of local edema. 3.Master the etiology and clinical features of systemic edema Main contents 1.The main factors to maintain the balance of intravascular fluid and interstitial fluid and the mechanism of edema. 2.Etiology and clinical features of systemic edema. 3.The cause of local edema. 4. The clinical significance of edema accompanying symptoms in the differential diagnosis of the disease. Schedules A total of 1 class hours, theory class 1 class hours Teaching method Lecture in classes Key and difficult points 1.Key points：The classification and degrees of edema. 2.difficult points：The case and clinical characteristics ofedema. The teaching language Chinese and English The section 4 Cough and Expectoration Aim and Requirements 1.Familiar with common causes of cough. 2.Familiar with the relationship between the quantity & quality of sputum and the etiology of cough & expectoration. 3.Master the relationship between clinical features of cough & its accompanying symptoms and the etiology. Main Contents
1.Commoncauses of cough:respiratory diseasescardiovascular diseasescentral nervous factors2.Relationship between clinical manifestations、characters of sputum and etiology.-relationship between the time and rhythm of cough and its etiology.-relationship between the timbre of cough and its etiology.-relationship between the quality and quantity of sputum and the etiology of cough andexpectoration.3.Relationship between accompanying symptoms of cough and expectoration and the etiology.4.Main points of inquiry about cough and expectoration.SchedulesAtotalof5classhours,theoryclass1classhours,demonstrationlesson4credithours。Teaching MethodLecture in classesKey anddifficult pointsThe relationship between the features of cough and its accompanying symptoms and the correspondingetiology.The teaching languageChinese and EnglishThe section 5HemoptysisAim and Requirements1.Familiarwith common causes of hemoptysis.2.Master main points of the identification between hemoptysis andhematemesis.Main Contents1.Definition of hemoptysis.2. Common causes of hemoptysis: bronchial diseases, pulmonaryDiseases and cardiovascular diseases,et al.3.The relationship between patients'age and theamount,color andcharacteristics of hemoptysis and the etiology.Accompanying symptoms of hemoptysis and theirrelationshipwith the etiology4.Differential diagnosis between hemoptysis and hematemesis.5.Schedules6. A total of l class hours, theory class 1 class hoursTeaching MethodLecture in classesKey and difficult points1.Differential diagnosis of hemoptysis and hematemesis.2.The etiology of hemoptysis.The teaching languageChinese and English第七节呼吸困难一、目的要求1.掌握肺源性呼吸困难与心源性呼吸困难鉴别。2.熟悉呼吸困难病因。3.了解呼吸困难伴随症状对病因诊断的帮助。二、主要内容1.定义2.常见病因3.肺源性呼吸困难分类及临床特点4.心源性呼吸困难发生机制及临床特点5.引起呼吸困难常见药物及化学物质
1.Common causes of cough: respiratory diseases、cardiovascular diseases、central nervous factors. 2.Relationship between clinical manifestations、characters of sputum and etiology. -relationship between the time and rhythm of cough and its etiology. -relationship between the timbre of cough and its etiology. -relationship between the quality and quantity of sputum and the etiology of cough and expectoration. 3.Relationship between accompanying symptoms of cough and expectoration and the etiology. 4.Main points of inquiry about cough and expectoration. Schedules A total of 5 class hours, theory class 1 class hours，demonstration lesson 4 credit hours。 Teaching Method Lecture in classes Key and difficult points The relationship between the features of cough and its accompanying symptoms and the corresponding etiology. The teaching language Chinese and English The section 5 Hemoptysis Aim and Requirements 1. Familiar with common causes of hemoptysis. 2. Master main points of the identification between hemoptysis and hematemesis. Main Contents 1. Definition of hemoptysis. 2. Common causes of hemoptysis: bronchial diseases, pulmonary Diseases and cardiovascular diseases,et al. 3. The relationship between patients’age and the amount ,color and characteristics of hemoptysis and the etiology. Accompanying symptoms of hemoptysis and their relationship with the etiology. 4. Differential diagnosis between hemoptysis and hematemesis. 5. Schedules 6. A total of 1 class hours, theory class 1 class hours Teaching Method Lecture in classes Key and difficult points 1.Differential diagnosis of hemoptysis and hematemesis. 2.The etiology of hemoptysis. The teaching language Chinese and English 第七节 呼吸困难 一、目的要求 1.掌握肺源性呼吸困难与心源性呼吸困难鉴别。 2.熟悉呼吸困难病因。 3.了解呼吸困难伴随症状对病因诊断的帮助。 二、主要内容 1.定义 2.常见病因 3.肺源性呼吸困难分类及临床特点 4.心源性呼吸困难发生机制及临床特点 5.引起呼吸困难常见药物及化学物质
6.神经精神性呼吸困难临床特点7.呼吸困难伴随症状及对病因诊断的帮助三、学时安排共2学时，含理论课2学时。理论内容"胸部检查”四、教学方法课堂授课五、重点、难点肺源性呼吸困难和心源性呼吸困难的鉴别。汉语六、授课语言The section 12HematemesisAim and Requirementsl.Familiar with causes of hematemasis.2.Master clinical manifestation of hematemesis.Main Contents1.The definition of hematemesis.2.The common etiopathogenisis of hematemesis.3.The clinical manifestation and etiopathogenisis of hematemesis and the relation between them4.Thesimultaneousphenomenonofhematemesis anditsrelationwith etiopathogenisis5.Main points of inquiring hematemesis.SchedulesAtotal of l classhours,theoryclassl classhoursTeaching MethodsLecture in classesKey and difficult pointsTheclinical manifestation of hematemesis.The teaching languageChinese and EnglishThe section 13HematocheziaAimandRequirements1.Familiar with causes of hematochezia.2.Master the relation between the color of bloody stools and bleeding part.Main Contentsl.The definition of hematochezia.2.The common causes of hematochezia: diseases of upper digestive tract, diseases of intestine,diseases of colon, diseases of rectum and anus and systemic diseases.3.The clinical manifestation of hematochezia:-the relation between the volume of hematochezia and general symptoms.-the relation between the color of hematochezia and bleeding parts of digestive system.-the problems of occult blood test which should be pay attention to,simultaneous phenomenon of hematochezia and the relation with etiopathogenisis.-main points of inquiry of hematochezia.SchedulesA total of l class hours, theory class l class hoursTeaching MethodLecture in classesKey and difficult pointsThe clinical manifestation of hematochezia.The teaching languageChinese and English
6.神经精神性呼吸困难临床特点 7.呼吸困难伴随症状及对病因诊断的帮助 三、学时安排 共2学时，含理论课2学时。理论内容”胸部检查” 四、教学方法 课堂授课 五、重点、难点 肺源性呼吸困难和心源性呼吸困难的鉴别。 六、授课语言 汉语 The section 12 Hematemesis Aim and Requirements 1.Familiar with causes of hematemasis. 2.Master clinical manifestation of hematemesis. Main Contents 1.The definition of hematemesis. 2.The common etiopathogenisis of hematemesis. 3.The clinical manifestation and etiopathogenisis of hematemesis and the relation between them. 4.The simultaneous phenomenon of hematemesis and its relation with etiopathogenisis. 5.Main points of inquiring hematemesis. Schedules A total of 1 class hours, theory class 1 class hours Teaching Methods Lecture in classes Key and difficult points Theclinical manifestation of hematemesis. The teaching language Chinese and English The section 13 Hematochezia Aim and Requirements 1.Familiar with causes of hematochezia. 2.Master the relation between the color of bloody stools and bleeding part. Main Contents 1.The definition of hematochezia. 2.The common causes of hematochezia: diseases of upper digestive tract, diseases of intestine, diseases of colon, diseases of rectum and anus and systemic diseases. 3.The clinical manifestation of hematochezia: -the relation between the volume of hematochezia and general symptoms. -the relation between the color of hematochezia and bleeding parts of digestive system. -the problems of occult blood test which should be pay attention to, simultaneous phenomenon of hematochezia and the relation with etiopathogenisis. -main points of inquiry of hematochezia. Schedules A total of 1 class hours, theory class 1 class hours Teaching Method Lecture in classes Key and difficult points The clinical manifestation of hematochezia. The teaching language Chinese and English
The section 14Abdominal PainAim and Requirements1.Familiar with causes of abdominal pain.2.Master the clinical manifestation of acute abdominal pain and the prompt to etiopathogenisis bysimultaneous phenomenon.Main Contents1.The common etiopathogenisis of abdominal pain(1)Acute abdominal pain-acute inflammation of organs in belly cavity-blockage or dilation of viscus-intortion or disruption of organs-peritonitis-angiemphraxis in abdominal cavity-diseases of abdominal wall-heterotopic abdominal pain by thoracic cavity-abdominal pain caused by general diseases(2)Chronicabdominalpain-chronic inflammationoforgansinabdominal cavity-tension changes of viscus-gastroduodenal ulcer-intortion or blochage of organs in abdominal cavity-stretch of organ s amicula-empoison and dysbolism-oncothlipsis and tumor infiltration-functional disorder of gastrointestinal nerves2.Clinicalmanifestationofabdominaletiopathogenisisbypainpromptto.location,character,degree,motivation,relation between episode time and location.3.Prompttoetiopathogenisisbysimultaneousphenomenon.4.Main points of inquiring abdominal pain.SchedulesAtotal of 6 class hours, theory class 2 class hours, demonstration lesson 4 credit hoursTeachingMethodLecture in classesKey and difficult pointsThe clinical manifestation of acute abdominal pain and the prompt to etiopathogenisis bysimultaneous phenomenon.The teaching languageChinese and EnglishThe section 17JaundiceAim and Requirements1.Master the etiological classification of jaundice, and mater etiopathogenisis ,mechanisms andclinical manifestation of each type ofjaundice2.Comprehend the etiologicaldiagnosisofjaundicebythesimultaneousphenomenonofjaundiceMain Contents1.Definition of jaundice.2.Normal metabolism of bilirubin.3.Classification of jaundice.4.Identify the origin ,etiopathogenisis and clinical manifestation of different jaundice.-hematogeneous jaundice
The section 14 Abdominal Pain Aim and Requirements 1.Familiar with causes of abdominal pain. 2.Master the clinical manifestation of acute abdominal pain and the prompt to etiopathogenisis by simultaneous phenomenon. Main Contents 1.The common etiopathogenisis of abdominal pain (1) Acute abdominal pain -acute inflammation of organs in belly cavity -blockage or dilation of viscus -intortion or disruption of organs -peritonitis -angiemphraxis in abdominal cavity -diseases of abdominal wall -heterotopic abdominal pain by thoracic cavity -abdominal pain caused by general diseases (2) Chronic abdominal pain -chronic inflammation of organs in abdominal cavity -tension changes of viscus -gastroduodenal ulcer -intortion or blochage of organs in abdominal cavity -stretch of organ`s amicula -empoison and dysbolism -oncothlipsis and tumor infiltration -functional disorder of gastrointestinal nerves 2.Clinical manifestation of abdominal pain ： prompt to etiopathogenisis by location,character,degree,motivation,relation between episode time and location. 3.Prompt to etiopathogenisis by simultaneous phenomenon. 4.Main points of inquiring abdominal pain. Schedules A total of 6 class hours, theory class 2 class hours，demonstration lesson 4 credit hours Teaching Method Lecture in classes Key and difficult points The clinical manifestation of acute abdominal pain and the prompt to etiopathogenisis by simultaneous phenomenon. The teaching language Chinese and English The section 17 Jaundice Aim and Requirements 1.Master the etiological classification of jaundice，and mater etiopathogenisis ,mechanisms and clinical manifestation of each type of jaundice. 2.Comprehend the etiological diagnosis of jaundice by the simultaneous phenomenon of jaundice. Main Contents 1.Definition of jaundice. 2.Normal metabolism of bilirubin. 3.Classification of jaundice. 4.Identify the origin ,etiopathogenisis and clinical manifestation of different jaundice. -hematogeneous jaundice