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CardiologyEnglishwardroundsPPTcourseware2023-12-28目錄IntroductionCasereportCasediscussionMyocardialinfarctionisamyocardialischemicnecrosiscausedbycompleteocclusionofthecoronaryartery.KeytakeawaysCONTENTS01IntroductionCHAPTERToprovideastructuredandeffectivemeansofupdatingandinformingthemedicalteamabouttheconditionsandmanagementofpatientsToensurethatallmembersofthemedicalteamhaveaclearunderstandingofthepatient'scondition,treatmentplan,anddiagnosesToidentifyandaddressanyuncertaintiesorchallengesfacedbythemedicalteaminmanagingthepatient'sconditionToimprovecommunicationandteamworkamongthemedicalteam,ensuringamorecoordinatedandeffectiveapproachtopatientcarePurposeofwardroundsTuesdayWardroundsforpatientswithspecificcardiacconditionsMondayGeneralwardroundsforallpatientsonthewardWednesdayWardroundsforpatientswhohaverecentlyunderutilizedcardiovascularsurgeryFridayWardroundsforpatientswhoarenearingdischargefromthehospitalThursdayWardroundsforpatientswhoareatriskofdevelopingcardiovascularcomplexesScheduleofwardrounds02CasereportCHAPTERCaseselectioncriteriaItisimportanttousereallifecasesthatareauthenticandrepresentativeofactualpatientconditionstoenhancethecourse'spracticalityandreliabilityAuthenticityCasesshouldbechosenbasedontheirrelevancetothecoursewarelearningobjectives,ensuringtheyeffectivelydemonstratekeyconceptsandprinciplesRelevancetocoursewareobjectivesToenhancelearning,casesshouldrangeincomplexity,presentingavarietyofchallengesandscenariosComplexityDurationofhospitalstayIndicatethedurationofthepatient'shospitalstay,includingthelengthofthewardroundDiagnosisStatetheprimarydiagnosisforthepatient'sconditionPatientdetailsProvidebasicinformationaboutthepatient,includingage,gender,andanyknowncomorbiditiesBasicinformationofthecasePhysicalexaminationBrieflydescribethefindingsfromthephysicalexamination,highlightinganysignificantfindingsoranomaliesDiagnostictestsDiscussthediagnostictestsperformedandtheirresults,highlightinganysignificantfindingsorabnormalitiesPresentingsymptomsSummarizethemainsymptomsandcomplaintsthatledtothepatient'sadmissionanddiagnosisOverviewofcaseconditions03CasediscussionCHAPTERDiagnosisanddifferentialdiagnosisDiagnosisanddifferentialdiagnosisareimportantaspectsofcasediscussion,whichrequirecomprehensiveanalysisbasedonthepatient'smedicalhistory,physicalexamination,andauxiliaryexaminationresults.Diagnosisanddifferentialdiagnosis010203Collectacompletemedicalhistory,includingthepatient'ssymptoms,signs,familyhistory,medicationhistory,etc.Conductadetailedphysicalexamination:payattentiontothepatient'svitalsigns,heartandlungauscultation,etc.Interpretationofauxiliaryexaminationresults:Theinterpretationofexaminationresultssuchaselectrocardiogram,echocardiography,andcoronaryangiographyiscrucial.Differentialdiagnosis:Basedonthespecificconditionofthepatient,excludeotherpossiblediseasesanddeterminethemostlikelydiagnosis.TreatmentstrategiesandplansDiagnosisanddifferentialdiagnosisTreatmentstrategiesandplansareanimportantpartofcasediscussion,andpersonalizedtreatmentplansneedtobedevelopedbasedondiagnosticresultsandpatientconditions.Selectappropriatedrugsanddosesbasedonthepatient'sspecificsituation.Nonpharmacologicaltreatmentincludinginterventionaltherapy,surgicaltreatment,etc.,shouldbeselectedaccordingtothespecificsituationofthepatient.PatienteducationIntroducetreatmentmethodsandprecautionstopatientsandtheirfamiliestoimprovetheircomplianceandself-managementabilities.DrugtherapyTreatmentstrategiesandplansareanimportantpartofcasediscussion,andpersonalizedtreatmentplansneedtobedevelopedbasedondiagnosticresultsandpatientconditions.Followupplan:Developafollow-upplantoregularlyevaluatethepatient'sconditionandtreatmenteffectiveness.Prognosticassessmentandfollow-upplanPrognosticassessmentandfollow-upplanareimportantlinksincasediscussion,whichhelpstounderstandthepatient'sdiseasedevelopmenttrendandtreatmenteffectiveness.Treatmentstrategiesandplansareanimportantpartofcasediscussion,andpersonalizedtreatmentplansneedtobedevelopedbasedondiagnosticresultsandpatientconditions.FollowupplanBasedonthespecificsituationofthepatient,developapersonalizedfollow-upplanandregularlyevaluatethepatient'sconditionandtreatmenteffectiveness.PreventivemeasuresIntroducepreventivemeasurestopatientsandtheirfamiliestoreducetheriskofdiseaserecurrence.EmergencyresponseIntroduceemergencyresponsemethodstopatientsandtheirfamilies,suchasmeasuresforhandlingemergencies.Prognosticassessment:Basedonthespecificsituationofthepatient,evaluatethedevelopmenttrendofthediseaseandthetreatmentprognosis.EnglishProfessionalVocabularyandExpressionAnginaPectorisusuallyreferstostableangina,whichisatypeofmyocardialischemicandhypoxicpaincausedbycoronaryarterystenosisorspasm.CommonEnglishnamesforheartdiseasesPrognosticassessment:Basedonthespecificsituationofthepatient,evaluatethedevelopmenttrendofthediseaseandthetreatmentprognosis.04Myocardialinfarctionisamyocardialischemicnecrosiscausedbycompleteocclusionofthecoronaryartery.CHAPTERVSAtrialfibrillationisanarrhythmiacharacterizedbydisruptedelectricalsignalswithintheatrium,leadingtorapidandirregularcontractionoftheatrium.HypertensionHypertension,whichreferstosustainedbloodpressureabovethenormalrange,isoneofthemainriskfactorsforcardiovasculardisease.AtrialFibrillationHeartfailurereferstotheinabilityofthehearttoprovidesufficientbloodtomeetthebody'sneeds,resultingininsufficientperfusionofvariousorgansthroughoutthebody.CommonMedicalEnglishTerminologyECG:Electrocardiogram,anelectrocardiogramusedtomonitorchangesincardiacelectricalactivity.ChestX-ray:AchestX-rayusedtoobservethestructureoftheheartandlungs.Heartfailurereferstotheinabilityofthehearttoprovidesufficientbloodtomeetthebody'sneeds,resultingininsufficientperfusionofvariousorgansthroughoutthebody.輸入標題02010403Echocardiogramisanon-invasiveexaminationthatdisplaysthestructureandfunctionoftheheartthroughhigh-frequencysoundwaves.NuclearImaging:Nuclearmedicalimagingthatusesradioactivetracertechnologytoevaluateheartfunctionandbloodflow.TheECGshowsSTsegmentelevation,indicatingmyocardialinvasionThepatientiscomplainingofchestpain,shortnessofbreath,andfatigueCommonsensepatternsandexpressionsinmedicalEnglishwardroundsThechestX-rayreviewsmedicallywithpulmonaryedemaTheechocardiogramdemonstratesglobalhypokinesisoftheleftvesselThenuclearimagingstudyindicatesmyocardiacischemiaintheantwalloftheleftvesselSummaryandQ&ASummaryofwardroundsPurposeofwardrounds: