Academics

Elaborate Course: Diagnostics

精品课程：诊断学

Credits:

6.5

Total hours:

152

Lectures hours:

92

Experiment hours:

60

Grade:

3rd

Semesters:

3

Inquries to:

mmyang@seu.edu.cn



1.Course Introduction (including teaching goals andrequirements) within 300 words:

Diagnostics is a bridge course between basic medicine and clinicalmedicine, which apply the basic medical principle, knowledge and techniques forthe diagnosis of diseases. Diagnostics is the basis of the clinical medicinesubjects. Diagnostics is also important for the cultivation of the clinicaltechniques, abilities and the professional attitudes and qualifications.

Thissyllabus includes the basic principle, knowledge and techniques of Diagnosticsand the arrangement of the teaching activities of the subject.

The important contents of Diagnostics include history taking,physical examination, laboratory examination, procedure of diagnosis andmedical recording. Other parts such as pulmonary function test, endoscopyexamination and clinical application of diagnostic techniques are for self-learning.

Diagnostics are related to the clinical manifestations, so thelectures of professional knowledge should be related to the clinical practice. Tomaster the principle, knowledge and techniques of Diagnostics will facilitatethe learning of other clinical subjects and medical research.

  

2.Teaching Syllabus (including the content of chapters andsections. A sheet can be attached):

  

2.1 Introduction

  

2.2 Common Symptomsand History Taking

Chapter 1: CommonSymptoms

Fever

Headache

Edema

Mucocutaneous hemorrhage

Cough and expectoration

Hemoptysis

Cyanosis

Palpitation

Dyspnea

Chest pain

Abdominal pain

Jaundice

Hematuria

Frequent micturition, urgent micturition anddysuria

Vertigo

Tics, twitches, convulsion and seizures

Disturbance of consciousness

Chapter 2: HistoryTaking

Component of inquisition

Method and techniques of inquisition

  

2.3 PhysicalExamination

Chapter 3: Methodsand Physical Examination

Inspection

Palpation

Percussion

Auscultation

Smell

Chapter 4: VitalSigns and Anthropomorphic Data

Vital signs

Anthropomorphic data

Skin

Lymphatic system

Chapter 5: Head

Hair, scalp and skull

Eyes

Ears

Nose

Mouth and parotid gland

Chapter 6: Neck

Shape and movement

Blood vessels

Thyroid gland and trachea

Chapter 7: Chest

Superficial thoracic anatomy

Chest wall, thorax and breast

Lungs and pleura

Main symptoms and signs of common pulmonarydiseases

Heart

Blood vessels

Main symptoms and signs of commoncardiovascular diseases

Chapter 8: Abdomen

Superficial anatomy and subregion of theabdomen

Examination

Main symptoms and signs of common abdominaldiseases

Chapter 9: Anus,Rectum and Genitalia

Anus and rectum

The male genitalia and reproductive tract

The female genitalia and reproductive system

Chapter 10: Spine andExtremities

Spine

Extremities and joints

Chapter 11: TheNeurologic Examination

Mental status

Cranial nerve examination

Sensory function examination

Motor Examination

Reflexes

Chapter 12: Procedure for the Screening PhysicalExamination

Preparation

Performance

  

2.4 Instrumental Examination

Chapter 13: Electrocardiography

Basicknowledge

Measurement and normal ECG

Atrial andventricular enlargement

Myocardialischemia and changes of ST-T

Myocardialinfarction

Arrhythmias

Medicationand electrolyte effects

Clinicalinterpretation of the ECG

ECG ofstress test

Chapter 14: Pulmonary Function Test

Ventilatoryfunction

Gasexchange

Arterialblood gases and acid-base balance

2.5 Laboratory Examination

Chapter 15: Principles of Diagnostic Test Use andInterpretation

Benefits,costs, and risks

Performanceof diagnostic tests

Chapter 16: Laboratory Examination of Hematology

Blood smears

Bone marrow

Bleeding and thrombotic disorders

Chapter 17: Urinalysis and Renal Function

Urinalysis

Renal function

Chapter 18: Blood Chemistries

Liverfunction and other enzyme tests

Serum cardiac markers

Plasma proteins

Glucose

Lipids

Electrolytes

pH tests

Endocrine hormones

Chapter 19: Clinical Common Assay in Immunology

Serumimmunoglubulins tests

Cellular immunity tests

Hepatitis markers testsd

Immunologic tests of infection

Tumor markers tests

Chapter 20: Clinical Tests of Etiologic Agents

Pathogenicdiagnosis of bacterial infection

Chapter 21: Laboratory Diagosis of Genetic Diseases

Cytogeneticanalysis

Genetic diseases diagnosed by moleculartechniques

Chapter 22: Tests of Excretion, Secretion and Body Fluid

Cerebrospinalfluid

Serous membrane effusion

Feces tests


2.6 Medical Record and Diagnositic Framework

Chapter 23MedicalRecords

Significanceof medical record

Denomination, format and content of medicalrecord

Commonly used medical documentation

Chapter 24Diagnostic Framework

Procedure in diagnostic examination

Exhuastive method

3.Teaching Schedule:

3.1Lectures


Week

Lectures

Teaching  hours

Contents

Week 1

2

2

2

Introduction

Inquiry

Common symptoms 1

Week 2

2

2

2

2

Common symptoms 2

Basic examination method

ECG 1

General state examination 1

Week 3

2

2

2

2

General state examination 2

Examination of head & neck

ECG 2

Lung check1

Week 4

2

2

2

2

Lung check 2

Common signs of the lung

ECG3

Respiratory disease, lung function

Week 5

2

2

2

2

Heart examination 1

Heart examination 2

ECG 4

Heart examination 3、Blood vessel

Week 6

2

2

2

2

Circulatory disease 1

Circulatory disease 2

ECG 5

Abdomen examination 1

Week 7

2

2

2

2

Abdomen examination 2

Abdomen examination 3

ECG 6

Neurological system 1  

Week 8

2

2

2

2

Neurological system 1

Clinical common biochemistry tests, Cerebrospinal fluid

ECG 7

Liver function, feces 1

Week 9

2

2

2

Liver function, feces 2

Renal function, urine 1

Renal function, urine 2

Week 10

2

2

Renal function, urine 3（PH, electrolyte）

blood routine examination 1

Week 11

2

2

2

Blood routine examination 2

Blood routine examination 3

Bone marrow cytomorphologic examination 1

Week 12

2

2

2

Bone marrow cytomorphologic examination 2

Thrombosis and hemostatic disorder inspection

Clinical common immunology test 1

Week 13

2

2

2

Clinical common immunology test 2

Diagnostic procedures and thinking method

clinical practice and medical record writing

Week 14

2

2

2

Case Discussion 1

Case Discussion 2（Student Q & A）



3.2Experiment


Week

Experiment

Teaching  hours

Contents

Week 6

3

3

Practice1: Inquiry

Group 2

Group 1&3

3

3

3

  

ECG1:

  

Group 1

Group 2

Group 3

Week 7

3

3

Practice 2: head & neck

Group 2

Group1&3

3

3

3

  

ECG 2 :

Group 1

Group 2

Group 3

Week 8

3

3

Practice 3: normal lung

Group 2

Group1&3

3

3

3

  

ECG 3 :

Group 1

Group 2

Group 3

3

3

Practice 4: abnormal lung

Group 1&3

Group 2

Week 9

3

3

Practice 5: normal heart

Group 2

Group 1&3

3

3

3

  

ECG 4:

Group 1

Group 2

Group 3

3

3

Practice 6: abnormal heart

Group 1&3

Group 2

Week10

3

3

Practice 7: abnormal heart &lung

Group 2

Group 1&3

3

3

Practice 8: normal abdomen

Group 1&3

Group 2

Week 11

3

3

Practice 9: abnormal abdomen

Group 2

Group 1&3

3

3

Practice 10:  neurological system

Group 1&3

Group 2

Week 12

3

3

Practice 11: blood routine

Group 2

Group 1&3

3

3

Practice 12: Bone marrow

Group 1&3

Group 2

Week 13

3

3

Practice 13: Thrombosis&hemostatic disorder

Group 2

Group 1&3 

3

3

Practice 14: Feces &urine routine

Group 1&3

Group 2

Week 14

3

3

Practice 15: Case Discussion

Group 2

Group 1&3 

3

3

Practice 16: medical record

Group 1&3

Group 2


4.Assessment

Final mark = attendance+ experiment mark + final exam

Attendance: 10%

Experiment mark:20% (lab report 10％, clinical skills assessment 10％)

Final exam: 70%


Note that Electrocardiography is examined separately!

General appraisalscore= Final examination performance 100%


5.Textbooks and reference

(1)DeGowins’Diagnostic Examination by LeBlond RF,et al.:2004, Ed: 8th

(2)Pocket Guide to Diagnostic Tests by Nicoll D, etal.:2004, Ed:4th

(3)Basic Electrocardiography in Ten Days by FerryDR:2001

(4)临床诊断学（本科/双语教材）， 人民卫生出版社，万学红，2017

(5)临床诊断学实习指导（中英文对照 第2版），科学出版社，段志军等，2018

(6)临床诊断学教程（中英文对照）北京：人民医科大学中国协和医科大学联合出版社，波拉斯蒂曼主编,1995

(7)Steven McGee: Evidence-Based Physical Diagnosis.W.B. Saunders Co. Ltd., 2001

(8)Swarts MH: Textbook of Physical Diagnosis. 4thed. W.B. Saunders Co. Ltd., 英文影印本，北京：人民卫生出版社，2002

(9)Tierney LM, et al. current medical diagnosis& treatment. 39th ed. McGraw-Hill, 2000 英文，北京：人民卫生出版社，2000

(10)ECG：A Self AssessmentWorkbook by Chung EK,2000

(11)实用心电图图谱（中英文对照）,人民军医出版社, 蔡伯林,2011