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Dyspnea is defined as an awareness of difficulty in breathing It is therefore a symptom, usually described by the patient as \shortness of breath,\whether the sensation is due to actual difficulty in breathing or is essentially an awareness of hyperventilation. If the symptom becomes striking, it always companies with dilatation of nares, cyanosis, use of accessory muscles of respiration and abnormalities of respiratory rate, depth or rhythm
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Definition Cyanosis refers to bluish(带蓝色的 带青色的) color of the skin and mucous membranes resulting from an increased quantity of reduced hemoglobin(亚铁血 红蛋白;还原血红蛋白),orof hemoglobin derivatives, in the small blood vessels of those areas. It is usually most marked in the lips, nail beds(甲床),ears, and malar (颧骨的;颊的) eminences
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《艺术概论》 《中国音乐史与名作赏析》 《西方音乐史与名作赏析》 《中西方文化比较》 《心理学》 《当代教育学》 《现代教育技术》 《教师职业技能及训练》 《乐理与视唱练耳》 《多声部音乐分析与写作》 《民族民间音乐》 《合唱》 《合唱指挥》 《乐器常识》 《学校音乐教育导论与教材教法》 《声乐基础理论》 《声乐 1-4》 《钢琴基础理论》 《钢琴 1-4》 《即兴伴奏》 《器乐(手风琴)》 《器乐(阮)》 《器乐(电子琴双排键)》 《器乐(电子键盘乐器演奏)》 《声乐 5-8》 《钢琴 5-8》 《舞蹈》 《音乐英语》 《电脑音乐制作基础》 《钢琴调律》 《钢琴教材教法》 《声乐教材教法》 《舞台表演实践》 《书法》 《公共美术》 《教育心理学》 《教育研究方法》 《艺术实践》 《教育见习》 《教育实习》 《毕业论文》 《创新教育》
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I. Auscultatory Valve Area 1. MV: apex, fifth left intercostal space, medial to the midclavicular line 2. PV: second left intercostal space 3. AV: second right intercostal space 4. AV,: left third intercostal space 5. TV: lower part of sternal ·6. Other part
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The writing of clinical record A patient's health record plays many important roles: It provides a view of the patient's health history/status It serves as the legal document describing the healthcare services provided to the patient It provides a method for clinical communication and care
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Physical examination It is the process of examining the patient's body to determine the presence or absence of physical problems The goal of the physical examination is to obtain valid information concerning the health of the patient The examiner must be able to identify, analyze
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Five Ways of GI Bleeding Hematemesis: vomitting of blood of altered blood coffee grounds) indicates bleeding proximal to ligament of Treitz Melena: Tarry stool. Altered (black) blood per rectum(>60ml) Hematochezia: Bright red or maroon rectal bleeding implies bleeding beyond
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Referred pain Because of this convergence and the fact that the spinal neurons are most often activated by inputs from the skin, activity evoked in spinal neurons by input from deep structures is mislocalized by the patient to a place that is roughly coextensive with the region of skin innervated by
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Intensive Study There's a Lot More to Life than a Job Para.1 It has often been remarked that the saddest thing about youth is that it is wasted on the young. Para. 2 Reading a survey report on first-year college students, I recalled the regret, \If only knew then what know now
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Teaching Objectives 1. know the background of \Middle Eastern Bazaar?\ 2. grasp the main idea and the theme of this essay 3. master the language used in a special way in the essay 4. appreciate the description writing skills in advanced level 5. conduct a series of discussing, analyzing, presenting activities related to the theme of this essay
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