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27考研英语80攻略
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Diagnostics
第10次开课
开课时间: 2025年03月04日 ~ 2025年07月20日
学时安排: 2-3 小时每周
当前开课已结束 已有 11 人参加
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课程概述

Diagnostics is a science to make diagnoses based on medical knowledge, theories, clinical skills, and clinical reasoning. It is a significant bridge course from basic sciences to clinical sciences.

Since the 1950s, Diagnostics in China had focused on the physical examinations of the thorax and the abdomen. In the 1970s, the Diagnostics course duration is 10 weeks with a little time spent on history taking and write-up. In 1990, West China School of Medicine/West China hospital recruited excellent doctors from all clinical departments and formed the teaching group of Clinical Diagnostics, who carried on the education reform at that time. They have been working on providing better Diagnostics education for students till now.

Currently, the learning objectives of Diagnostics are basic knowledge, theories, skills, performance, and clinical reasoning. The course duration is one year (216 teaching hours) with the contents of History Taking, Physical Examination, Laboratory Tests, Exam-by-Instrument, Write-up, and Clinical Reasoning. We have used diverse teaching methods, including the big classes and small groups teaching and discussion, the Standardized Patient (SP) and role-playing assessment, the bedside, and laboratory training. Big classes and small groups learning to ensure that the students master the essential knowledge and skills. The SP and role-playing assessment help simulate the real process of history taking, physical examination, and write-up. The bedside training offers students opportunities to transfer their knowledge and skills from theory to practice. Finally, the multi-pathway test system provided a standardized and objective evaluation of students’ performance. We have also designed an early course called "Introduction to Clinical Medicine" accompanying diagnostics to prepare students better for the following clinical courses by the early clinical encounters.

The online course will focus on the basic knowledge of Diagnostics, students will learn from medical professors and practice actual skills within daily life.

After 20 years’ exploring and striving for providing better education, Diagnostics in West China School of Medicine/West China hospital demonstrates its encouraging teaching results. In nation-wide clinical skills competitions among medical students, our students with solid theoretical foundations and proficient clinical skills, have won the prizes for several years for their distinguished performance. Numerous domestic medical schools have visited and studied here, taking us as a successful reform example in Diagnostics. Our teacher(s) have served as the editor-in-chief(s) of the national level official textbook of Diagnostics in successive years.

授课目标

This course is designed for senior undergraduate medical students. The basic theory and practice skills of diagnostics are covered. The intention is that the material will provide an introductory foundation for theoretical and applied diagnostics.

课程大纲

1.Introduction

1.1 Introduction to Diagnostics

1.2 Learning Methods

2.History Taking

2.1Introduction, Chief Complaints

2.2History of present illness

2.3Past history, Review of Systems, Personal history, Menstrual period, Childbearing history, Family history, Closure, Common symptoms

2.4Skills of history taking

Unit test

3. Dyspnea

3.1 Definition and etiologies

3.2 Mechanisms and manifestations

3.3 Associated symptoms, Approach to the patient with dyspnea history

3.4 Summary

Unit test

4.Fever

Fever

Unit test

5. Hematemesis and Hematochezia

5.1 Manners of GI Bleeding

5.2 Reasons for the color change, Key points decide the bleeding manner

5.3 Description of the symptoms, Concomitant symptoms, and signs

5.4 Probable Source of GI Bleeding within the Gut, Mechanism of Bleeding

5.5 Possible diseases Cause Hematemesis

5.6 Detail of Bleeding Manner

5.7 Possible diseases Cause Hematochezia

5.8 Diagnostic Approach to GI Bleeding, Quiz

5.9 Case

unit test

6. Symptoms of Cardiovascular system

6.1 Overview, Chest pain

6.2 Syncope

unit test

Essay question

7. General Examination

7.1 General appearance 1

7.2 General appearance 2

7.3 Skin

unit test

8. Head and Neck

8.1 Head: hair, scalp, skull, eyes

8.2 ears, nose, mouth, parotic gland

8.3 Neck

unit test

9. eye

9.1 Eye Examination, Visual Acuity

9.2 Distance & Near VA Testing, Visual Field

9.3 External Eye Examination1

9.4 External Eye Examination2

9.5 Anterior Segment

9.6 Pupils, Pupillary Reaction

9.7 Fundus Examination

9.8 Direct&Indirect Ophthalmoscopy

9.9 Surgery Video

Unit test

10. Nose, pharynx and larynx

10.1 Nose 1

10.2 Nose 2

10.3 Pharynx and larynx 1

10.4 Pharynx and larynx 2

Unit test

Essay question

11. Chest

11.1 General Concepts

11.2 Physical Examination-Inspection

11.3 Physical Examination-Palpation

11.4 Physical Examination-Percussion

Essay Question

12. Cardiovascular examination

12.1 Percussion 1

12.2 Percussion 2

12.3 Auscultation-areas, Contents-heart rate, rhythm

12.4 Auscultation-Contents-Cardiac Sound 1

12.5 Auscultation-Contents-Cardiac Sound 2

12.6 Auscultation-Contents-Extra cardiac sound

12.7 Auscultation-Contents-Cardiac murmurs 1

12.8 Auscultation-Contents-Cardiac murmurs 2

12.9 Auscultation-Contents-Pericardial friction sounds

Essay question

13. Abdomen

13.1percussion

13.2palpation

13.3rectal examination

13.4review of specific symptoms 1

13.5review of specific symptoms 2

14.Neurological examination

14.1 Cranial nerves

14.2 Motor exam 1

14.3 Motor exam 2

14.4 Sensory Exam

14.5 Reflexes 1

14.6 Reflexes 2

Essay question

15.History Taking and Physical Examination in Children

15.1 History taking in children 1

15.2 History taking in children 2

15.3 Physical examination in children 1

15.4 Physical examination in children 2

15.5 Physical examination in children 3

Unit test

16. Psychiatric interview and MSE

16.1 The psychiatric interview 1

16.2 The psychiatric interview 2

16.3 The psychiatric interview 3

16.4 The mental status examination 1

16.5 The mental status examination 2

16.6 The mental status examination 3

Unit test

17. The female genital organs

17.1 The female genital organs 1

17.2 The female genital organs 2

17.3 The female genital organs 3

17.4 pelvic examination

unit test

18. Male genitalia examination

18.1 Overview and physical exam for penis

18.2 Abnormal Physical Examination Findings of Penis

18.3 Physical exam of scrotum and its contents

18.4 Abnormal Physical Examination Findings of Scrotum and its contents

unit test

19.ECG-Normal ECG

19.1 ECG-Normal ECG 1

19.2 ECG-Normal ECG 2

20.ECG Tachycardia

20.5 Tachycardia 5

20.6 Tachycardia 6

20.1 Tachycardia 1

20.2 Tachycardia 2

20.3 Tachycardia 3

20.4 Tachycardia 4

unit test

21.ECG-Heart block and ischemia

21.1 ECG-Heart block 1

21.2 ECG-Heart block 2

21.3 ECG-Heart ischemia

unit test

22. Clinical Reasoning

22.1 Clinical Reasoning 1

22.2 Clinical Reasoning 2

22.3 Clinical Reasoning 3

Unit test

展开全部
预备知识

The prerequisite of this course includes, but is not limited to, the knowledge of, anatomy, pathophysiology, pathology, pharmacology, and medical imaging. Those who are not familiar with this knowledge are encouraged to read related textbooks beforehand.

参考资料
  1. Mark H. Swartz, MD, FACP.Textbook of Physical Diagnosis, 6th Edition.Saunders.2010
  2. UPTODATE: www.uptodate.com/online
  3. Best Practice: bestpractice.bmj.com
  4. Agile Diagnosis: https://www.agilediagnosis.com/
  5. DxR Clinician: https://www.dxrgroup.com/clinician
Sichuan University
1 位授课老师
Xuehong WAN

Xuehong WAN

Professor

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