MindMap Gallery pbl medical case analysis
Applicable to wmu clinical pbl mind map, the medical history section lists the patient's past disease conditions in detail, providing strong support for medical education, disease diagnosis and treatment.
Edited at 2024-10-13 17:44:08Questo è il capitolo 5 del libro dell'insegnante Zhao Zhou "Questo è abbastanza da leggere", che parla principalmente di questi aspetti: ① L'importanza dell'abilità di apprendimento ② Come aggiungere contesto alle informazioni ③ Come distinguere la conoscenza e le informazioni Non mi affretta a mettere in discussione e sfidare ⑤Come usare note appiccicose per aggiornare la capacità di apprendimento ⑥ Perché inseguire i "merci secche" uno pseudo-apprendimento?
Per aiutare tutti a usare DeepSeek in modo più efficiente, è stata compilata una raccolta di Map Mind Mind Guide DeepSeek! Questa mappa mentale riassume il contenuto principale: collegamenti correlati a Yitu, analisi del profilo DS, confronto tra rotte tecnologiche DeepSeek e Chatgpt, Guida di distribuzione del modello DeepSeek e Qwen, come fare più soldi con DeepSeek, come giocare a DeepSeek, DeepSeek Scientific Research Application Aspetta, permettendoti di cogliere rapidamente l'essenza dell'interazione AI. Che si tratti di creazione di contenuti, pianificazione del piano, generazione di codice o miglioramento dell'apprendimento, DeepSeek può aiutarti a ottenere il doppio del risultato con metà dello sforzo!
Questa è una mappa mentale sulle 30 istruzioni a livello di alimentazione di DeepSeek.
Questo è il capitolo 5 del libro dell'insegnante Zhao Zhou "Questo è abbastanza da leggere", che parla principalmente di questi aspetti: ① L'importanza dell'abilità di apprendimento ② Come aggiungere contesto alle informazioni ③ Come distinguere la conoscenza e le informazioni Non mi affretta a mettere in discussione e sfidare ⑤Come usare note appiccicose per aggiornare la capacità di apprendimento ⑥ Perché inseguire i "merci secche" uno pseudo-apprendimento?
Per aiutare tutti a usare DeepSeek in modo più efficiente, è stata compilata una raccolta di Map Mind Mind Guide DeepSeek! Questa mappa mentale riassume il contenuto principale: collegamenti correlati a Yitu, analisi del profilo DS, confronto tra rotte tecnologiche DeepSeek e Chatgpt, Guida di distribuzione del modello DeepSeek e Qwen, come fare più soldi con DeepSeek, come giocare a DeepSeek, DeepSeek Scientific Research Application Aspetta, permettendoti di cogliere rapidamente l'essenza dell'interazione AI. Che si tratti di creazione di contenuti, pianificazione del piano, generazione di codice o miglioramento dell'apprendimento, DeepSeek può aiutarti a ottenere il doppio del risultato con metà dello sforzo!
Questa è una mappa mentale sulle 30 istruzioni a livello di alimentazione di DeepSeek.
Self-employed Wang Moufu
Act 1
Basic information
self-employed
old age
Smoking history
Medical history
6 years ago
acute bronchitis
white phlegm
Lobar pneumonia?
wheeze, crackles
Airway stenosis with leakage
Thickening of lung texture on x-ray
Pulmonary arteries and veins increase and thicken
3 years ago
fever
Yellow-green thick phlegm
Pseudomonas aeruginosa
disease
chronic obstructive pulmonary disease COPD
long term smoking
Infect
Acute bronchitis is not completely treated
Infect
Bacteria (exogenous pyrogens)
EP-producing cells produce EP
hypothalamic thermoregulatory center
Body temperature set point rises
Effects of fever
front
Improve the body's ability to resist infection
Negative
Affect enzyme activity, lead to water and electrolyte disorders, and break the homeostasis of the internal environment
Prevention and control
Physical cooling, drugs to reduce fever, and anti-infectious treatment
inflammatory diseases
Common causes of cough and phlegm
Infection (acute bronchitis, pneumonia)
chronic airway disease (copd)
air pollution
Tumor (lung cancer)
Structure of lungs and respiratory tract
lung
Alveoli
bronchi, bronchial tree
interstitium
respiratory tract
nasal cavity
throat
trachea
bronchi
pulmonary ventilation
The process of moving gases in and out of the alveoli through the respiratory tract
lung ventilation
gas exchange between alveoli and pulmonary capillaries
power
Chest pressure and respiratory muscle contraction
resistance
airway diameter
Case analysis
acute face
Fever, consider bacterial infection
rising pulse
Red blood cells, hemoglobin decreased
Consider anemia
Increased white blood cell count, increased neutrophils, and increased C-reactive protein
inflammation, tumor
ph7.45, HCO3- rising
Alkalosis
Sputum bacterial culture
Pseudomonas aeruginosa
Common pneumonia pathogens
Streptococcus pneumoniae - pathogenic bacteria of acquired pulmonary disease, acute Pseudomonas aeruginosa - common in people with low immunity who have been hospitalized for a long time or who use broad-spectrum antibiotics Staphylococcus aureus - common in aspiration pneumonia or people with low immunity, bloodstream dissemination
bacterial infection
Pathogenic bacteria invade the human respiratory tract through air inhalation and blood transmission. After reaching the lower respiratory tract, they breed and multiply, causing alveolar capillary congestion and edema, fibrin exudation and cell infiltration in the alveoli. Pathogenic bacteria's own effects, toxins
blood gas analysis
pH>7.45---Alkalosis <7.35---Acidosis
Low PaO2, hypoxemia
PaCO2
HCO3-
Pulmonary function test
CT, X-ray
blood gas analysis
Sputum culture
act 2
This onset
inducement
Chronic cough, wheezing, fatigue
System involved
Respiratory system, circulatory system, urinary system, excretory nervous system diseases
diagnosis
Heart failure due to cor pulmonale (right ventricular predominance), COPD
Basic information analysis
Increased heart rate and inability to lie down - decreased heart function
Voicelessness upon chest percussion, wheezing and moist rales in both lungs - pulmonary congestion, pulmonary edema
Hepatomegaly, positive hepatojugular reflux sign, pitting edema of both lower limbs - increased afterload, venous congestion, edema
pulmonary insufficiency
Cause
Pulmonary ventilation: airway obstruction, restrictive obstructive hypoventilation
Pulmonary ventilation: diffusion disorder, reduction of alveolar area, vasoconstriction
Mechanism: airway inflammation, alveolar rupture
Influence
Dyspnea, hypoxemia, hypercapnia
treat
Oxygen therapy, mechanical ventilation, nursing
heart
pumping function
Affected by myocardial contractility, preload and postload
Left ventricle: systemic circulation
Right ventricle: pulmonary circulation
Influencing factors: before and after load, myocardial contractility
Evaluation indicators: ejection fraction, stroke volume
cardiac insufficiency
inducement
heart disease
Too much front and rear load
Vascular disease
myocarditis
clinical manifestations
Unable to lie down, difficulty breathing, edema, fatigue
treat
Cardiotonic drugs, diuretics, rest, vasodilators
What risk factors are involved in the course of systemic diseases?
Smoking, long-term fatigue, and failure to treat related diseases in time
It is necessary to have regular physical examinations, quit smoking, and avoid overexertion.
Summarize
pneumonia
Common pathogens of pneumonia
bacterial pneumonia
Streptococcus pneumoniae
Macrolide antibiotics
Haemophilus influenzae
Staphylococcus aureus
Klebsiella pneumoniae
fungal pneumonia
viral pneumonia
SARS
Pathological characteristics of pneumonia
Lobar pneumonia
Multiple unilateral lungs, rust-colored sputum
bronchial pneumonia
interstitial pneumonia
hypoxia
Type of hypoxia
hypotonic hypoxia
Low inspired oxygen partial pressure
blood hypoxia
Anemia, reduced hemoglobin amount, low oxygen-carrying capacity
circulatory hypoxia
systemic circulatory disorder
organizational hypoxia
tissue poisoning
Effect on the body
Metabolic changes
Enhanced anaerobic glycolysis
fat oxidation disorder
protein metabolism disorder
Evaluation of pulmonary ventilation function
minute ventilation
Alveolar ventilation per minute
maximum ventilation
forced vital capacity
Forced expiratory volume in one second
COPD
COPD diagnosis
Pulmonary function test
bronchodilation test
imaging chest x-ray
blood gas analysis
One second rate <0.7
Complications of COPD
cor pulmonale
respiratory failure
organ failure
spontaneous pneumothorax
Respiratory insufficiency
type 1 respiratory failure
type 2 respiratory failure
Cause
Alveolar hypoventilation
restrictive hypoventilation
obstructive hypoventilation
Ventilation dysfunction
diffusion disorder
Decreased alveolar ventilation to blood flow ratio
Insufficient alveolar blood flow
Increased anatomical shunting
Influence
tissue cell hypoxia
central nervous system damage
cardiac insufficiency
organizational structure
intima media adventitia
pericardium
valve
Cause
Pathogenesis
Decreased myocardial systolic and diastolic function
subtopic
subtopic
Influence
Insufficient cardiac output
Pulmonary circulation congestion