Definition Clinically apparent increase in the interstitial (间质) fluid volume Weight gain precedes overt edema Weight loss in edematous patients before “dry weight Massive edema is called Anasarca

INTRODUCTION Palpation of the pulse Measurment of arterial blood pressure Auscultation of blood vessels

the present era of technological advances, particularly in the various imaging modalities, there is a growing conception among practicing physicians in cardiovascular medicine that bedside physical examination is unnecessary and does not provide useful information

Jaundice Definition Accumulation of yellow pigment in the skin and other tissues bilirubin)

Woman complained of tightness in abdomen associated with belching wind which did not relieve feeling. Symptoms usually began between 5 and 6 p.m. lasing several hours. Relieved by White mixture. (D=Doctor, P=Patient)

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

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

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

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

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