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)

Definition Peptic Ulcer Disease is defined as an ulcer occurring in a region that touches gastric aci d(胃酸) and pepsin(胃蛋白酶) and usually refers to gastric ulcer(胃溃疡) or duodenal ulcer (十二指肠溃疡)

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

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

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

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

It is well known that advances in scientific medicine have occasionally threatened to displace the history and physical examination in the evaluation of the patient. However, we usually discover that technologic advances serve to make the physical examination more rational and provide new understanding or objective documentation of long- appreciated physical finding

 空间分析技术发展 ❑ 各种地图应用（英国的医学应用） ❑ 定量分析空间对象的分布模式 ❑ 地理空间本身特征、空间决策过程、时空演化过程 等 空间分析发展存在问题 ❑ 地图的直观性，忽视地图信息的解析性和复杂性， 缺少对地图应用的研究 ❑ 数字地图改变了地图的应用方式，展示了更为广阔 的应用领域和更为灵活的应用方式 ❑ 空间分析是GIS区别与其他信息系统的标志，是GIS 技术的一个主要发展方向：管理型想分析决策型转 变