Importance of Inquiry Gaining clinical information and collecting case history based on systemic inquiry Base of clinical practice *60~80% diagnosis could be induced from interview between patient and physician New form: consultation by phone, in internet

Mechanism Blood velocity1 Blood vascosity Valve: narrowed or incompetent; organic or relative Abnormal connection Vibration of loose structure Diameter of vessel ^or

Definition Frequent micturition: voiding at frequent intervals, due to a sense of bladder fullness Normal: 3-5 times in the day time 0-1 time in the night 200-400ml each time

Auscultation normal breath sound vesicular breath sound bronchial breath sound bronchovesicular breath sound

Significance General condition comprehension Confirm history information Specific sign collection for the diagnosis of certain disease infers certain accessory examines Grossly preclude some certain disorders Contribute a relation between the physician and the patient

Respiratory Function Test Spirolmetry Airway resistance compliance Diffusion capacity measure CO Exercise respiratory function test

Palpation and percussion usually follow inspection in the examination of the other body systems a Following inspection, the examiner should perform auscultation of the abdomen

Definition of pain A signal of disease Unpleasant sensation localized to a part of the body Penetrating or tissue destructive process stabbing burning twisting tearing squeezing Bodily or emotional reaction

Concept A protective reflex that can be controlledconsciously Remove excessive secretion & foreignmaterial from the airway Initiated by miscellaneous stimuli or byvoluntary exertion. The most common respiratory symptom

CONTENT Definition Etiology and clinical appearance Accompanied symptoms Approach to the patient