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皮肤科英文查房手册连载（22）：国外临床病历2013.08.13: 由Nallamothu, Padma医生修改审定很多欧洲国家的病历格式里没有主诉，代之以一段话，中心意思为“患者这次为什么来就诊?”。有部分医生认为： 1、对有些复杂的疾病，没法一下子提炼出合适的主诉。 2、避免了由于主诉的主观倾向性(因字数限制，书写...

皮肤科英文查房手册连载（21）：临床英文病历展示2013.08.12: Case1: 在这里我们学习一个英文病历来自上海市皮肤病医院。采用完全与我们目前中文病历格式一一对应的书写方式，由 Nallamothu, Padma医生修改审定。 Medical Records for Admisson Medical Number: 00xxxxx General information Name: ZY Age: for...

皮肤科英文查房手册连载（20）：月经、婚姻、生育史和家族史(Menstrual, marrital and childbearing histor...2013.08.09: 第一节：月经史 menstrual history 初潮年龄age of menarche月经周期 menstrual cycle行经期menstrual period未次月经时间last menstrual period (LMP)闭经年龄 age of menostasis白带过多profuse leukorrhea (whites)月经过多menorrhagi...

皮肤科英文查房手册连载（19）：系统回顾 (system review)2013.08.08: 呼吸系统：咳嗽、咳痰、呼吸困难、胸痛、盗汗、发热respiratory system: cough, sputum, short of breath, chest pain, night sweeting, fever循环系统：心悸、胸痛、气促、咳嗽和咯血、水肿、晕厥、头晕Circulatory system: palpitation, chest pa...

皮肤科英文查房手册连载（18-1）：体格检查(physical examination)2013.08.07: 第六节：面容 facial features 呈急（慢）性面容be in acute (chronic) distress表情不安 anxious (distressing) expression神情憔悴 haggard expression贫血（肾病、肝病）面容anemic (nephrotic, hepatic) facies二尖瓣（伤寒）面容 mi...

皮肤科英文查房手册连载（18）：体格检查(physical examination)2013.08.07: The physical examination begins as one is taking the history, by observing the patient and beginning to consider a differential diagnosis. When the physical examination is performed with potential diagnoses and expected physical f...

皮肤科英文查房手册连载（17-1）：现病史的书写技巧2013.08.06: 第四节：病情变化描述症状好转fell better than beforetake a favorable turntake a turn for the betterimprovemake favorable progressturn for the betterchange for the betterbe better症状减轻alleviatereducepalliatediminishease(lighten)...

皮肤科英文查房手册连载（17）：现病史的书写技巧2013.08.06: History of present illness: the most crucial part of the entire database. The questions are guided by the differential diagnosis. The doctor begins to consider what the patient mainly complained about, as well as the clinician’s ...

皮肤科英文查房手册连载（16-1）：主诉的写法2013.08.02: 4.其他表示方法每月（年、日）一次Monthly (Yearly; daily)整整一年 Yearlong (Year-round)满周岁 Yearling工作日Working day周末Weekend每周末Weekends整天Daylong白天Daytime日常的Day-to-day夏令时间Daylight saving time每晚Nightly黄昏Nighfa...

皮肤科英文查房手册连载（16）：主诉的写法2013.08.02: Chief complaint: what is it that brought the patient into the hospital or office? Is it a scheduled appointment, or an unexpected symptom? Has there been a change in a chronic or recurring condition or is this a completely new pro...

皮肤科英文查房手册连载（15）：英文门诊病历示例2013.08.01: The history is the single most important tool in obtaining a diagnosis. All physical findings and laboratory and imaging studies are first obtained and then interpreted in the light of the pertinent history. The art of seeking thi...

皮肤科英文查房手册连载（14-1）：常用问诊短语和句型(Approach to the patient)2013.07.31: 3.检查和诊断好吧。我给您检查一下，您不介意脱掉外衣吧？All right. Let me examine you. Would you mind taking off your coat?请你脱去鞋和裤子，躺到检查床上。Please take off your shoes and panties and lie on the examining table 现在嘴...

皮肤科英文查房手册连载（14）：常用问诊短语和句型(Approach to the patient)2013.07.31: Applying “book learning” to a specific clinical situation is one of the most challenging tasks in medicine. Retention ofinformation is difficult; organization of the facts and recall of a myriad of data in precise application to...

皮肤科英文查房手册连载（13-1）：医嘱术语(medical orders)2014.02.28: 2. 附住院/出院病历首页格式病人姓名Patient name种族race地址address宗教religion科别medical service入院（出院）日期admit (discharge) date住院天数Length of stay担保人姓名 guarantor name需通知的亲属姓名next of kin or person ...

皮肤科英文查房手册连载（13）：医嘱术语(medical orders)2013.07.30: 收入（转入）Admit/transfer to住院（主诊）医师 Resident/attending病危critical (Imminence)不稳定unstable稳定 stable普食full (home) diet流汁（半流汁）饮食liquid (semi-liquid) diet糖尿病饮食diabetic diet禁食fasting (NPO, nothing by mo...

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