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» 首页 » Medicine I
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Objectives- Determine the patient’s chief complaint.
- Elicit a chronological account of the patient’s problem.
- Obtain and evaluate the significant aspects of the patient's prior medical history and experience.
- Elicit a personal, social and family history from the patient, including marital status, occupation, habits, and behavioral consistencies.
- Determine and record the physiologic and behavioral status of the patient.
- Perform a systemic and complete examination of the head and neck area, chest, and extremities.
- Apply all the steps listed above to access a patient with disabilities or a victim of domestic violence.
- Have knowledge of anesthetics, analgesics, antibiotics, and commonly encountered drugs.
- Learn the use of Lexi-Comp Online for evaluation of drugs.
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1. Introduction
Medicine I is the first year of the three year Medicine
Course. It is a very clinically-oriented course. Attendance is not
mandatory, but the student is completely responsible for information
provided during class and the information in the syllabus.
The art of patient examination and management can only
be learned by constant listening, learning, interacting and applying the
information appropriately -- in the preclinical setting now and in the clinical
setting later. It cannot be gained solely by cramming. This is the time when
you will develop the critical thinking skills which are so necessary for patient assessment.
2. Topics
The following topics will be discussed extensively during the course:
- Goals and objectives
- Course overview
- Introduction to patient examination
- History taking: overview and method
- Symptoms and signs associated with common medical conditions encountered and the pathophysiology associated with those disease states
- Cardiopulmonary assessment with demonstration
- Neurological assessment with demonstration
- Head and neck assessment with demonstration
- Extremities and abdomen assessment with demonstration
- Assessment of victims of violence, the disabled patient and the role of behavioral medicine in patient assessment
- Assessment of normal laboratory texts
- Medical physical examination overview and method
- Dental: History taking and intraoral examination by a General Dentist and an Oral Pathologist
- Prescription writing and endocarditis prophylaxis as recommended by the American Heart Association
- Using the Physician's Desk Reference (PDR) for evaluation of drugs
- Pharmacology: Anesthetics, analgesics and antibodies
3. Reading
Recommended reading should serve as a source of
additional information. The recommended reading is:
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A Guide to Physical Examination & History
Taking; Barbara Bates. J.B. Lippincott Co., Publishers.
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The Merck Manual of Diagnosis and Therapy;
Robert Berkow, M.D., Editor-in-Chief. Published by Merck Research
Laboratories.
3.1. Additional Suggested Reading
- Bates B: A Guide to Physical Examination and History Taking
- DeGowin E., DeGowin, R: Bedside Diagnostic Examination
- Harrison: Principles of Internal Medicine
- Kelley WN. (ed.): Textbook of Internal Medicine
- Rose L, Kaye, D: Internal Medicine for Dentistry
4. Exams and Grading
From time to time during the course, you may be randomly
examined on short test questions that will not be graded. This
will help you in judging the style of clinically oriented questions that you
should become familiar with. This in turn will help decide your best style of
learning this material.
- The Medicine Year 01 course is a two credit
course.
- There will be two exams, each contributing 50% towards the
final grade.
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