诊断医学技能集合 — Diagnostic Medicine PMPH 10th Edition#

基于人民卫生出版社《诊断学》第 10 版的 183 项临床诊断技能。

技能注册表#

No.SkillDescription1abdominal-mass-differential-diagnosis腹部肿块七要素鉴别诊断2abdominal-mass-differential-diagnosis-2腹部肿块来源与性质评估3abdominal-pain-mechanism-classification腹痛发生机制分类4abdominal-paracentesis-procedure-and-safety腹腔穿刺术操作规范与安全限制5abdominal-tenderness-point-assessment腹部压痛点定位与临床意义判断6abdominal-wall-vein-blood-flow-direction-examination腹壁静脉曲张血流方向检查法7abnormal-respiratory-sounds-classification-and-etiology异常呼吸音的分类与病因判断8abo-blood-typing-and-crossmatchABO血型鉴定与交叉配血操作规范9aca-clinical-interpretation抗心磷脂抗体（ACA）临床判读10access-new-form-textbook-digital-resources获取新形态教材配套数字资源11acute-appendicitis-diagnosis-logic急性阑尾炎的典型症状与体征诊断逻辑12acute-myocardial-infarction-ecg-staging急性心肌梗死心电图三阶段特征识别13afp-afp-l3-hepatocellular-carcinoma-diagnosisAFP与AFP-L3联合判读用于肝癌诊断14alp-based-jaundice-differential-diagnosis基于ALP的黄疸鉴别诊断15alveolar-ventilation-calculation肺泡通气量计算16anemia-diagnosis-and-grading贫血的诊断标准与分级17anorectal-examination-positioning肛门与直肠检查的体位选择18apoai-apob-ratio-coronary-risk-assessmentapoAI/apoB比值与冠心病风险评估19arterial-blood-gas-oxygen-assessment-and-respiratory-failure-diagnosis动脉血氧分压年龄校正与呼吸衰竭诊断20atrial-fibrillation-auscultation-diagnosis心房颤动的听诊诊断标准21axillary-lymph-node-tenderness-evaluation腋窝淋巴结压痛评估22bacterial-antibiotic-resistance-mechanisms细菌耐药机制分类与作用原理23bacterial-antimicrobial-resistance-mechanisms-and-clinical-response细菌耐药性机制与临床应对24bian-tai-fan-ying-xing-yu-zi-shen-mian-yi-xing-guan-jie-yan-jian-bie变态反应性与自身免疫性关节炎鉴别25bian-xue-ban-sui-zheng-zhuang-jian-bie-zhen-duan便血伴随症状的鉴别诊断26bilirubin-metabolism-and-jaundice-classification胆红素代谢与黄疸双重分类法27bing-cheng-ji-lu-pin-ci-yu-nei-rong病程记录频次与内容28bladder-percussion-differential-diagnosis膀胱叩诊鉴别诊断法29blood-ammonia-testing-for-hepatic-encephalopathy-diagnosis血氨检测在肝性脑病诊断中的应用30blood-specimen-collection-and-handling血液标本采集与处理规范31bone-marrow-iron-staining-interpretation-for-anemia骨髓铁染色在贫血诊断中的判读32bronchodilator-reversibility-test-interpretation支气管舒张试验阳性判断标准33bronchoscopy-preoperative-preparation-and-anesthesia支气管镜检查术前准备与麻醉规范34ch50-complement-assay-interpretationCH50补体检测结果解读35chest-abnormal-percussion-sound-interpretation胸部异常叩诊音的识别与临床意义36clinical-bacterial-antimicrobial-susceptibility-testing临床细菌药敏试验方法与判读37clinical-consultation-medical-ethics问诊中的基本医德要求38clinical-diagnostic-four-step-method临床诊断四步法39clinical-diagnostic-reasoning-principles临床诊断思维原则40clinical-hypothetico-deductive-reasoning临床假设演绎推理41clinical-immunophenotyping-by-flow-cytometry流式细胞术免疫表型分析42clinical-interview-and-communication临床问诊与医患沟通技巧43clinical-laboratory-quality-assurance-system临床实验室质量保证体系44clinical-reasoning-core-elements临床思维两大核心要素应用45comprehensive-physical-examination-protocol全身体格检查基本流程与原则46congenital-non-hemolytic-jaundice-syndromes-differentiation先天性非溶血性黄疸综合征鉴别47csf-color-and-hemorrhage-differentiation脑脊液颜色分析与出血性质鉴别48ctnt-dynamic-change-and-diagnostic-criteria-in-amicTnT在急性心肌梗死中的动态变化与诊断标准49daoniao-shu-caozuo-qian-zhunbei导尿术操作前准备50depression-core-symptoms-identification抑郁核心症状识别框架51diagnostic-medicine-core-framework诊断学核心框架与学习方法52diagnostic-textbook-revision-guidelines诊断学教材修订核心指导原则53diagnostics-10th-edition-revision-guide诊断学第10版修订指南54diarrhea-pathophysiological-classification腹泻的病理生理机制分类55distal-renal-tubular-acidosis-ammonium-chloride-test远端肾小管性酸中毒的氯化铵负荷试验诊断56drug-induced-edema-classification-and-management药物性水肿分类与处理57dynamic-ecg-lead-selection动态心电图导联系统选择58early-hepatic-injury-detection-via-coagulation-factors凝血因子检测早期肝损伤59ectopic-tachycardia-classification异位性心动过速分类与特征识别60electronic-medical-record-permission-and-archiving电子病历权限管理与归档61endocrine-metabolic-edema-differentiation内分泌代谢性水肿鉴别62er-jian-ban-xia-zhai-bing-cheng-fen-qi二尖瓣狭窄病程分期评估63fecal-microscopy-reference-interval-interpretation粪便显微镜检查参考区间判定64fibrinolysis-interpretation-fdps-d-dimer纤溶亢进的FDPs与D-二聚体联合判读65first-heart-sound-intensity-analysis第一心音强度变化分析66fobt-clinical-application-and-interpretation粪便隐血试验（FOBT）临床应用与解读67focused-history-taking-driven-by-diagnostic-hypothesis基于诊断假设的重点问诊与体格检查流程68gallop-rhythm-classification-and-clinical-interpretation奔马律的分类、机制与临床意义69ggt-elevation-pattern-interpretation-in-liver-diseaseGGT升高模式在酒精性肝病与肝癌诊断中的解读70hba1c-ga-clinical-application-comparisonHbA1c与GA临床应用对比71hbv-dna-clinical-interpretationHBV-DNA临床解读72hcv-serological-marker-dynamic-interpretationHCV血清学标志物动态解读73helicobacter-pylori-diagnosis-strategy幽门螺杆菌感染的诊断策略74hematopoietic-cell-morphological-development-patterns血细胞发育过程中形态演变的一般规律75heparin-anticoagulation-laboratory-monitoring肝素抗凝治疗的实验室监测76hyperkalemia-ecg-interpretation高血钾心电图演变规律与诊断阈值应用77interpret-serum-immunoglobulin-levels血清免疫球蛋白定量结果解读78jie-chang-jing-jian-cha-chang-dao-zhun-bei-liu-cheng结肠镜检查肠道准备标准流程79kang-ccp-kang-ti-lin-chuang-pan-du抗CCP抗体临床判读80knee-valgus-varus-clinical-identification膝外翻与膝内翻的临床识别81kuai-su-gan-huo-jian-chuan-ci-cao-zuo快速肝活检穿刺操作82laboratory-result-interpretation-three-tier-system实验诊断结果判定的三级标准体系83ldh-isoenzymes-in-acute-myocardial-infarction-diagnosisLDH同工酶在急性心肌梗死诊断中的应用84leukemoid-reaction-classification-and-diagnosis类白血病反应的分类与诊断85lipoprotein-a-atherosclerosis-risk-assessment脂蛋白(a)与动脉粥样硬化风险评估86liver-biopsy-indications-and-contraindications肝脏穿刺活检术的适应证与禁忌证判断87liver-function-test-selection-principles肝脏功能检测项目选择原则88lumbar-puncture-contraindications-and-procedure腰椎穿刺术禁忌证与关键操作规范89luo-yin-auscultation-analysis啰音听诊分析90lymph-node-aspiration-procedure淋巴结穿刺术操作流程91malnutrition-related-edema-diagnosis营养不良性水肿诊断92mcv-rdw-anemia-classification基于MCV和RDW的贫血形态学分类法93medical-record-timing-compliance病历书写时限合规性94microcytic-hypochromic-anemia-lab-differential-diagnosis小细胞低色素性贫血的实验室鉴别诊断95mitral-stenosis-grading二尖瓣狭窄分度评估96mpo-staining-interpretation-for-leukemia-classificationMPO染色判读用于急性白血病分型97murphy-sign-examinationMurphy征检查法98muscle-strength-grading-and-paralysis-classification肌力六级分级与瘫痪类型判断99mycoplasma-infection-laboratory-diagnosis支原体感染的实验室诊断100myocardial-infarction-localization-and-culprit-artery-identification心肌梗死定位诊断与相关血管判断101myocardial-ischemia-st-t-ecg-analysis心肌缺血的ST-T心电图改变分析102neutrophil-nuclear-shift-assessment中性粒细胞核左移与核右移判定103nk-cell-activity-reference-and-clinical-interpretationNK细胞活性参考区间及临床意义解读104obesity-assessment-standards肥胖的测量标准与分级105oliguria-anuria-etiology-differentiation少尿与无尿的三类病因鉴别框架106p-wave-normal-and-atrial-hypertrophy-assessmentP波正常参数判定与心房肥大心电图诊断107papilledema-measurement-and-clinical-interpretation视盘水肿的测量与临床意义108physical-examination-techniques体格检查标准化操作流程109pi-zhi-fu-he-gan-jue-jian-cha皮质复合感觉检查110pnh-flow-cytometry-diagnosisPNH流式细胞术诊断111ppd-skin-test-interpretationPPD皮肤试验判读112psa-risk-stratification-for-prostate-cancerPSA及其f/t比值在前列腺癌风险分层中的应用113pt-aptt-combined-interpretation-for-coagulation-defectsPT与APTT联合判读二期止血缺陷114qian-fan-she-jian-cha-yu-shen-jing-jie-duan-ding-wei浅反射检查与神经节段定位115renal-palpation-and-abnormality-assessment肾脏触诊与异常判断116respiratory-specimen-collection-and-quality-control呼吸道标本采集与质量控制117reticulocyte-production-index-calculation网织红细胞生成指数（RPI）计算与临床解读118rh-blood-group-antigen-antibody-analysisRh血型系统抗原抗体特性与临床分类119rh-blood-incompatibility-hemolysis-managementRh血型不合所致溶血反应机制与临床应对120rt3-thyroid-and-non-thyroid-disease-diagnosisrT₃在甲状腺功能与非甲状腺疾病中的诊断价值121s2-split-type-differentiationS₂心音分裂类型鉴别122san-duan-niao-shi-yan-xue-niao-ding-wei三段尿试验血尿定位诊断123semen-liquefaction-abnormality-diagnosis精液液化时间异常判读与病因关联124semen-sample-abstinence-protocol精液标本采集前禁欲时间规范125semen-specimen-integrity-and-transport-protocol精液标本完整性与送检规范126serum-ascites-albumin-gradient-calculation腹腔积液白蛋白梯度（SAAG）计算与解读127serum-pleural-fluid-albumin-gradient-analysis血清-胸腔积液白蛋白梯度分析128serum-protein-and-ag-ratio-clinical-interpretation血清总蛋白与白蛋白/球蛋白比值的临床解读129serum-total-bilirubin-jaundice-assessment血清总胆红素黄疸分级与病因推断130serum-transferrin-saturation-clinical-interpretation血清转铁蛋白饱和度临床判读131shao-xin-yu-fan-liu-bing-li-sheng-li-fen-xi烧心与反流病理生理分析132special-population-physical-examination-adaptation特殊人群体格检查的灵活调整策略133specific-detection-of-key-drug-resistant-pathogens特定重要耐药菌的特异性检测方法134spinal-curvature-evaluation脊柱生理性弯曲与病理性变形识别135spinal-range-of-motion-assessment脊柱活动度检查标准流程与参考值136spinal-tenderness-and-percussion-pain-examination脊柱压痛与叩击痛检查137structured-clinical-history-taking结构化临床病史采集138symptom-based-differential-diagnosis基于症状的鉴别诊断框架139syphilis-serological-testing-classification-and-application梅毒血清学检测分类与应用140systemic-disease-retinal-signs-identification全身性疾病眼底体征识别141t-lymphocyte-transformation-and-stimulation-index-interpretationT淋巴细胞转化率与刺激指数判读142tai-duan-niuzhuan-xingshi-su-zhenduan尖端扭转型室速（TDP）诊断与病因识别143thoracentesis-complication-management胸膜腔穿刺术并发症识别与处理144thoracentesis-indications-and-contraindications胸膜腔穿刺术的适应证与禁忌证判断145thoracentesis-standard-procedure胸膜腔穿刺术标准操作流程146thyroid-disease-differential-diagnosis甲状腺疾病鉴别诊断147thyroid-function-interpretation-ft4-tt4甲状腺功能评估中FT₄与TT₄的临床解读148urine-color-abnormality-differential-diagnosis尿液颜色异常的鉴别诊断149urine-microscopy-reference-interval-interpretation尿液显微镜检查参考区间判定150urine-red-blood-cell-morphology-classification尿液红细胞形态分类与临床意义解析151urine-specimen-preservation-methods尿液标本保存方法与防腐剂选用规范152urine-specimen-selection尿液标本类型选择153vaginal-cleanliness-grading-interpretation阴道清洁度分级解读154ventilatory-reserve-percentage-calculation-and-interpretation通气储备百分比计算与解读155verify-diagnostics-textbook-edition诊断学第10版教材版本验证156vertigo-classification-and-etiology-assessment眩晕分类与病因评估157vomitus-analysis-for-obstruction-localization呕吐物性质对消化道梗阻定位的诊断价值158vwd-subtype-diagnosis-by-lab-ratiosvWD分型诊断的实验室比值判读159weil-felix-reaction-diagnostic-logic肥达反应的诊断逻辑160wide-qrs-tachycardia-differential-diagnosis宽QRS波心动过速鉴别诊断161xin-ji-bing-yin-yu-fa-sheng-ji-zhi-fen-lei心悸的病因与发生机制分类162ymdd-variant-analysis-for-hbv-drug-resistanceYMDD变异与HBV耐药性关系分析163住院病历书写规范与主诉撰写住院病历书写规范与主诉撰写164侵袭性真菌病抗原检测方法选择侵袭性真菌病抗原检测方法选择165凝血因子活性检测临床应用凝血因子活性检测临床应用166嗅神经功能检查嗅神经功能检查167心脏杂音听诊分析心脏杂音听诊分析168急性心肌梗死心电图分期评估急性心肌梗死心电图分期评估169术后首次病程记录书写术后首次病程记录书写170溶血性贫血筛查指标评估溶血性贫血筛查指标评估171皮肤弹性检查与临床评估皮肤弹性检查与临床评估172空腹血糖与ogtt糖尿病诊断分级空腹血糖与OGTT糖尿病诊断分级173粪便脂肪小滴增多临床判读粪便脂肪小滴增多临床判读174红细胞形态学诊断-球形与裂红细胞识别红细胞形态学诊断-球形与裂红细胞识别175肋脊角叩击痛检查肋脊角叩击痛检查176肝脓肿超声引导穿刺抽脓术肝脓肿超声引导穿刺抽脓术177肠梗阻分类与临床演变评估肠梗阻分类与临床演变评估178胃镜检查前准备规范胃镜检查前准备规范179腹腔积液叩诊检测腹腔积液叩诊检测180营养不良与营养过度诊断营养不良与营养过度诊断181血钾异常分级诊断与机制分析血钾异常分级诊断与机制分析182运动负荷试验阳性判断运动负荷试验阳性判断183鉴别浆膜腔积液为漏出液或渗出液鉴别浆膜腔积液为漏出液或渗出液