健康评估（Health Assessment）

卢舜飞、蓝雪芬等

目录

  • 1 course introduction
    • 1.1 study guide(English version)
    • 1.2 study guide (Chinese version)
    • 1.3 schedule
    • 1.4 materials
    • 1.5 introduction
    • 1.6 videos of history taking and physical examination
  • 2 Common symptoms
    • 2.1 collecting subjective data
    • 2.2 Mind map and English Materials
    • 2.3 fever
    • 2.4 cyanosis
    • 2.5 dyspnea
    • 2.6 cough and expectoration
    • 2.7 edema
    • 2.8 jaundice
    • 2.9 hymoptysis
    • 2.10 haematemesis
    • 2.11 pain
    • 2.12 disturbance of consciousness
  • 3 physical exmination
    • 3.1 overview of physical examination
    • 3.2 assessing general health status
    • 3.3 assessing head and neck
    • 3.4 assessing thorax and lungs
    • 3.5 assessing heart
    • 3.6 assessing abdomen
    • 3.7 assessing spine, limbs and nervous system
  • 4 laboratory examination
    • 4.1 blood, urine and feces examination
    • 4.2 liver and kidney examination
  • 5 ECG examination
    • 5.1 normal ECG
    • 5.2 abnormal ECG
  • 6 nursing diagnosis and nursing records
    • 6.1 nursing diagnosis and nursing records
jaundice


Case study

A 65 years old man had a history of liver cirrhosisfor more than 10 years. Recently, his appetite decreased significantly, andjaundice aggravated. This morning, after coughing violently, there suddenlyappeared brown liquid, the amount was about 1200ml, with black stool twice,accompanied by dizziness, blurred vision and palpitation. Then he conducted an Emergencyadmission.

Physical examination: clear mind, pale,blood pressure 80 / 60mmhg, pulse 110 beats / min.

Gastroscope: it indicates esophageal andgastric varices.

Q:

1. Please try to analyze the causes andmechanism of haematemesis and jaundice in this patient?

2.Give some key points of history taking?

3.What is the preliminary clinicaldiagnosis?