四川大学华西医院医学课件：临床导论(英文版)
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临床医学英语幻灯Unit 12 New 精品
When performed by a bystander, CPR is designed to
support and maintain breathing and circulation until emergency medical personnel arrive and take over. When performed by healthcare personnel, it is used in conjunction with other basic and advanced life support measures.
Not Breathing Not breathing, which is also called apnea, is the lack of spontaneous breathing. It requires immediate medical attention. The victim may become limp and lifeless, have a seizure, or turn blue. Prolonged apnea is called respiratory arrest. In children, this can lead quickly to cardiac arrest in which the heart stops beating. In adults, cardiac arrest usually happens first and then respiratory arrest.
Purpose When performed quickly enough, CPR can save lives in such emergencies as loss of consciousness, heart attacks or heart "arrests," electric shock, drowning, excessive bleeding, drug overdose, and other conditions in which there is no breathing or no pulse. The purpose of CPR is to bring oxygen to the victim's lungs and to keep blood circulating so oxygen gets to every part of the body. When a person is deprived of oxygen, permanent brain damage can begin in as little as four minutes and death can follow only minutes later.
华西临床八年制解剖英文6-2 PPT课件
of radius
4) Movements
flexion extension
Particitate in rotation of the forearm
参与前臂旋前、旋后运动
4 Joints of the bones of forearm
1) Proximal radioulnar joint 2) Distal radioulnar joint Above the two joints can
It is formed by the sternal end of the clavicle and sternum and 1st costal cartilage.
2)Capsule
is attached to the margins of the articular surfaces.
1. Sternoclavicular joint
3) Articular disc (fibrous cartilage )
divides the synovial joint into the two compartments.
flexibility
4) Ligaments includes
Ant. and Post. sternoclavicular lig., and
do pronation and supination.
3) Interosseous membrane in forearm
5.Wrist joint 桡腕关节
1)The *distal end of the radius and **articular disc form the articular fossa
Joints of upper limb (P.334)
《临床医学导论》课件
临床医学基础知识
临床诊断与治疗
解释临床诊断与治疗的核心 概念和方法，以及其在医学 实践中的应用。
医学伦理与职业道德
探讨医学伦理和职业道德的 重要性，并介绍相关的法律 和道德准则。
医疗质量与安全
强调医疗质量和安全的重要 性，以及如何提高医疗保健 服务的质量和安全性。
发展趋势与挑战
当前的临床医学发展趋 势
《临床医学导论》课件
这是一门介绍临床医学基础知识和发展趋势的课程。通过本课程，你将了解 临床医学的重要性以及成为一名成功的医学专业人员所需的技能和知识。
课程介绍
课程背景
解释为何临床医学是医学领 域中至关重要的学科，并介 绍其在医疗实践中的作用。
课程目标
明确课程的主要目标并解释 学生将在本课程中学到的内 容和技能。
介绍当前临床医学领域的最 新发展趋势，包括技术创新 和疾病流行趋势。
面临的挑战与问题
讨论临床医学面临的挑战和 问题，如人口老龄化和医疗 资源分配的不平衡。
解决方案与应对策略
提出解决当前临床医学挑战 的方案和应对策略，以确保 医学专业人员和病患的最佳 利益。
案例分析与演练
典型病例
通过分析和演练典型病例，帮助学生应用临床医学知识解决实际的医疗问题。
课程内容
概述课程的组成部分，包括 临床医学的核心概念和重要 主题。
学习方法
有效的学习方法
介绍一些有效的学习技巧和 策略，帮助学生更好地掌握 和理解临床医学的知识。
建立学习计划
提供建议和指导，如何制定 和执行一个有效的学习计划， 以最大程度地提高学习成果。
复习与测试技巧
分享一些复习和测试技巧， 帮助学生提高记忆和应对考 试压力的能力。
ClinicalPharmacy临床药学英文版课件
The focus of attention moves from the drug to the single patient or population receiving drugs.
Goal
to promote the correct and appropriate use of medicinal products and devices.
These activities aim at: maximising the clinical effect of medicines minimising the risk of treatment-induced
adverse events minimising the expenditures for
Patient care
Knowledge of laboratory
and diagnostic skills
Drug Information Skills
Communication skills
Physical assessment
skills
Patient monitoring
skills
Education
How does clinical pharmacy differ from pharmacy?
The discipline of pharmacy embraces the knowledge on synthesis, chemistry and preparation of drugs
Clinical pharmacy is more oriented to the analysis of population needs with regards to medicines, ways of administration, patterns of use and drugs effects on the patients.
Goal
to promote the correct and appropriate use of medicinal products and devices.
These activities aim at: maximising the clinical effect of medicines minimising the risk of treatment-induced
adverse events minimising the expenditures for
Patient care
Knowledge of laboratory
and diagnostic skills
Drug Information Skills
Communication skills
Physical assessment
skills
Patient monitoring
skills
Education
How does clinical pharmacy differ from pharmacy?
The discipline of pharmacy embraces the knowledge on synthesis, chemistry and preparation of drugs
Clinical pharmacy is more oriented to the analysis of population needs with regards to medicines, ways of administration, patterns of use and drugs effects on the patients.
四川大学华西医院医学课件：临床导论(英文版)
Ins（内/外）刺激的Ca2+释放→Ins的分泌 （胞吐）通过InRc-IRS-1—P13K
βc
JBC 2000,275：22336
βc JBC, 2000, 275:30153
Classification of Endocrine disorders
A . Disorders originating from the endocrine
PHYSIOLOGICAL EFFECTS OF H
A . Regulate the entire processes of reproduction (gametogenesis ,sexual behavior and intercourse , fertilization , nourishment of fetus and newborn )
B . Promote the growth and development
C . Maintain the internal environment and hence facilitate the metabolic activitves of the cells by regulating the conc.of electrolytes ,pH↑, volume, BP,HR and enzymatic activities . Respond to the emergent challenge imposed by the environment (starvation, infቤተ መጻሕፍቲ ባይዱction , trauma , psychogenic stress)
Challenges to the classical concept:
A . Non-endocrine organs secrete H.
四川大学华西医学院法医临床学(Forensicclinicalmedicine)
本科课程《教学大纲》参考格式一、课程基本信息课程名称（中、英文）：法医临床学（Forensicclinicalmedicine）课程号（代码）：501022040-01课程类别：必修课学时：64学分：4二、教学目的及要求法医学临床学是运用法医学和临床医学知识及其他自然科学技术研究并解决法律上有关活体医学问题的一门学科。
其基本任务是：为刑事案件提供科学依据；为正确处理民事纠纷提供科学依据；为行政案件处理提供科学依据；为人身保险理赔提供科学依据；研究并制定法医临床学鉴定的有关法规和标准。
本门课程的教学目的是培养学生基本的法律意识、良好的思维方式、较高的职业素质；专业上要求学生掌握法医临床学的基本理论和技能，熟悉法医临床学鉴定的基本程序，能够独立解决法医临床学鉴定中的一般性问题。
三、教学内容（含各章节主要内容、学时分配，并以下划线或*等方式注明重点、难点）第一讲绪论活体鉴定原则邓振华（2学时）掌握：法医临床学鉴定的主要内容、法医临床学学科特点。
熟悉：法医临床学的法律意义。
了解：国外临床法医学工作。
第二讲损伤程度鉴定邓振华（2学时）掌握：损伤程度等级划分原则，人体损伤程度类型（重伤、轻伤、轻微伤定义），损伤程度鉴定的依据和原则。
熟悉：损伤程度标准条款的特征与规律，功能损害的基准和使用说明，人体损伤程度鉴定常用技术，人体损伤程度鉴定标准基本架构。
了解：人体损伤程度的法律意义、法律地位、技术规范。
第三讲法医临床学鉴定书书写云利兵（2学时）掌握：司法鉴定文书的基本含义及其核心组成部分，详细解读司法鉴定文书的要素熟悉：解读七类新颁布鉴定文书格式的规范及要点，适用的范围和注意事项。
了解：我国鉴定文书相关的法律规定及意义。
第四讲活体法医学鉴定见习云利兵（2学时）掌握：按照法医临床学鉴定的工作制度，全面把握司法鉴定文书的各要素的书写规范和注意事项。
熟悉：通过书写实践训练，把握鉴定文书书写中概括基本信息和医疗信息的方式和需要注意的方面。
2024版(医学课件)《临床医学概论》演示课件pptx
药物分类
根据药物的药理作用、化学结构、治疗目的等进行分类，如抗生素、抗高血压 药、降糖药等。
作用机制
药物通过不同的途径进入体内，与靶标结合，改变生理或病理过程，从而达到 治疗目的。例如，抗生素通过抑制细菌细胞壁合成、破坏细菌细胞膜等方式杀 死或抑制细菌生长。
合理用药原则及注意事项
合理用药原则
根据患者的病情、药物的性质、治疗目的等，制定合理的用药 方案，包括药物的选择、剂量、给药途径、用药时间等。
尿液检查
包括尿常规、尿沉渣镜检等，需 注意留取清洁中段尿，避免污染。
免疫学检查
包括抗原抗体检测、免疫球蛋白 测定等，需注意试剂选择、操作 方法等。
影像学检查原理及应用范围
X线检查
利用X射线的穿透性和荧光效应，对人体内部结构进行成像，适用于 骨骼、胸部等部位的检查。
CT检查
利用X射线旋转扫描和计算机重建技术，生成人体内部结构的三维图 像，适用于头部、腹部等部位的检查。
负责感知、思考、运 动和调节机体各器官 的功能。
03
内分泌系统
通过分泌激素调节机 体的代谢、生长和发 育等。
04
免疫系统
负责识别和清除外来 病原体和异常细胞， 维护机体健康。
生理调节机制与平衡
通过激素等化学物质，调节机体 的代谢、生长和发育等。
机体通过神经、体液和自身调节 机制的相互作用，维持内环境的 相对稳定，保证生命活动的正常 进行。
01
根据人群特征、疾病流行情况和危险因素，制定相应的预防策
略，如儿童免疫接种、成人慢性病管理等。
实施预防措施
02
通过疫苗接种、筛查、早期干预等手段，降低疾病发病率和死
亡率，提高人群健康水平。
监测和评估预防效果
根据药物的药理作用、化学结构、治疗目的等进行分类，如抗生素、抗高血压 药、降糖药等。
作用机制
药物通过不同的途径进入体内，与靶标结合，改变生理或病理过程，从而达到 治疗目的。例如，抗生素通过抑制细菌细胞壁合成、破坏细菌细胞膜等方式杀 死或抑制细菌生长。
合理用药原则及注意事项
合理用药原则
根据患者的病情、药物的性质、治疗目的等，制定合理的用药 方案，包括药物的选择、剂量、给药途径、用药时间等。
尿液检查
包括尿常规、尿沉渣镜检等，需 注意留取清洁中段尿，避免污染。
免疫学检查
包括抗原抗体检测、免疫球蛋白 测定等，需注意试剂选择、操作 方法等。
影像学检查原理及应用范围
X线检查
利用X射线的穿透性和荧光效应，对人体内部结构进行成像，适用于 骨骼、胸部等部位的检查。
CT检查
利用X射线旋转扫描和计算机重建技术，生成人体内部结构的三维图 像，适用于头部、腹部等部位的检查。
负责感知、思考、运 动和调节机体各器官 的功能。
03
内分泌系统
通过分泌激素调节机 体的代谢、生长和发 育等。
04
免疫系统
负责识别和清除外来 病原体和异常细胞， 维护机体健康。
生理调节机制与平衡
通过激素等化学物质，调节机体 的代谢、生长和发育等。
机体通过神经、体液和自身调节 机制的相互作用，维持内环境的 相对稳定，保证生命活动的正常 进行。
01
根据人群特征、疾病流行情况和危险因素，制定相应的预防策
略，如儿童免疫接种、成人慢性病管理等。
实施预防措施
02
通过疫苗接种、筛查、早期干预等手段，降低疾病发病率和死
亡率，提高人群健康水平。
监测和评估预防效果
华西临床八年制解剖英文6-1 PPT课件
brachioradialis (radial N) pronator teres (pronates
forearm) flexor carpi radialis palmaris longus flexor carpi ulnaris(ulnar
N) 2).intermedial layer flexor digitorum
3)Palmar aponeurosis
triangle-shaped,connecting
with tendon of palmaris longus
palm
4)Vessels and nerves
*superficial palmar arch :superficial. palmar br.of radial a. units with terminal br. of ulnar a.. Sometime it is a continuation of the ulnar a.
n.
Cubital fossa
1.It is bounded
laterally by brachioradialis
medially by pronator teres
superiorly by a line between the medial and lateral epicondyle of humerus
arch gives off 3 common palmar digital a.
*terminal br. of median n.
*superficial br of ulnan n.
palm
5)Tendon-muscels layer (1) tendons of the flexor digitorum
forearm) flexor carpi radialis palmaris longus flexor carpi ulnaris(ulnar
N) 2).intermedial layer flexor digitorum
3)Palmar aponeurosis
triangle-shaped,connecting
with tendon of palmaris longus
palm
4)Vessels and nerves
*superficial palmar arch :superficial. palmar br.of radial a. units with terminal br. of ulnar a.. Sometime it is a continuation of the ulnar a.
n.
Cubital fossa
1.It is bounded
laterally by brachioradialis
medially by pronator teres
superiorly by a line between the medial and lateral epicondyle of humerus
arch gives off 3 common palmar digital a.
*terminal br. of median n.
*superficial br of ulnan n.
palm
5)Tendon-muscels layer (1) tendons of the flexor digitorum
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C. Tumor cells secrete hormone-like
peptides(ectopic secretion ) as ectopic ACTH secrecting syndrome
HORMONE (NEW CONCEPT)
A chemical mediators secreted by a highly differentiated endocrine cell, which reaches via circulation or by direct dissemination to its target cells,and binds to its specific receptors and thereby initiates physiologic effects .
Omentin (2003)
PPARs
Vitronectin Adiponectin
Resistin
B. Local action (paracrine )
spermatogenesis enhanced by local testosterone AT2 promote proadipocyte differentiation
AN INTRODUCTION TO CLINICAL
ENDOCRINOLOGY
( Essential for Medical Students )
SCOPE OF ENDOCRINOLOGY
Endocrinology deals with the function of the endocrine organs , tissues , or cells ,and their secretory products ,i .e./hormones ,the mechanism of hormone action ,Dx and Rx of hormone dysfunction.
PHYSIOLOGICAL EFFECTS OF H
A . Regulate the entire processes of reproduction (gametogenesis ,sexual behavior and intercourse , fertilization , nourishment of fetus and newborn )
D . Energy Production , Utilization , and Storage Glycogen and fat breakdown by E and glucagon , gluconeogenesis and ketogenesis from FFA and A.A., and the oxidation of fuel by cortisol , glucagon and thyroid hormone Anabolic metabolism ,on the otherhand , is dependent on insulin , leptin and NPY etc
B . Promote the growth and development
C . Maintain the internal environment and hence facilitate the metabolic activitves of the cells by regulating the conc.of electrolytes ,pH↑, volume, BP,HR and enzymatic activities . Respond to the emergent challenge imposed by the environment (starvation, infection , trauma , psychogenic stress)
Characteristics of hormonal action :
A . Molecular Specificity
Small changes in mol structure cause drastic alterations in activity .
B . Tissue Specificity C . Amplification of H effect a small number
IL-6，（MP，LC，AC）
The mosalking
hepotic
TNF-α
↑ TG
↑lipolysis
O P
（—）
AC
IL-6↑
E2
HPA AXIS↑
（一）F （—）
↑CRP OB-low grade inflammatory state→As
Challenges to the classical concept:
A . Non-endocrine organs secrete H.
◇ Neuron(neurotransmitter) ◇ GI tract (GIH) ◇ Atrial muscle (atriopeptin) ◇ kidney (Renin,PG ,VitD, EP) ◇ Endothelial(Endothelin ,NO) ◇ neuro-endo-immune net works
HORMONE (TRADINAL CONCEPT)
A chemical substance secreted by an endocrine gland and transported via blood stream and effected to its target tissues. (traditional endocrinology deals with the glands.) H was firstly termed by Starling in 1905(Croonian Lect to Royal College“The Chemical Correlation of the Functions of the Body”)
peptides(ectopic secretion ) as ectopic ACTH secrecting syndrome
HORMONE (NEW CONCEPT)
A chemical mediators secreted by a highly differentiated endocrine cell, which reaches via circulation or by direct dissemination to its target cells,and binds to its specific receptors and thereby initiates physiologic effects .
Omentin (2003)
PPARs
Vitronectin Adiponectin
Resistin
B. Local action (paracrine )
spermatogenesis enhanced by local testosterone AT2 promote proadipocyte differentiation
AN INTRODUCTION TO CLINICAL
ENDOCRINOLOGY
( Essential for Medical Students )
SCOPE OF ENDOCRINOLOGY
Endocrinology deals with the function of the endocrine organs , tissues , or cells ,and their secretory products ,i .e./hormones ,the mechanism of hormone action ,Dx and Rx of hormone dysfunction.
PHYSIOLOGICAL EFFECTS OF H
A . Regulate the entire processes of reproduction (gametogenesis ,sexual behavior and intercourse , fertilization , nourishment of fetus and newborn )
D . Energy Production , Utilization , and Storage Glycogen and fat breakdown by E and glucagon , gluconeogenesis and ketogenesis from FFA and A.A., and the oxidation of fuel by cortisol , glucagon and thyroid hormone Anabolic metabolism ,on the otherhand , is dependent on insulin , leptin and NPY etc
B . Promote the growth and development
C . Maintain the internal environment and hence facilitate the metabolic activitves of the cells by regulating the conc.of electrolytes ,pH↑, volume, BP,HR and enzymatic activities . Respond to the emergent challenge imposed by the environment (starvation, infection , trauma , psychogenic stress)
Characteristics of hormonal action :
A . Molecular Specificity
Small changes in mol structure cause drastic alterations in activity .
B . Tissue Specificity C . Amplification of H effect a small number
IL-6，（MP，LC，AC）
The mosalking
hepotic
TNF-α
↑ TG
↑lipolysis
O P
（—）
AC
IL-6↑
E2
HPA AXIS↑
（一）F （—）
↑CRP OB-low grade inflammatory state→As
Challenges to the classical concept:
A . Non-endocrine organs secrete H.
◇ Neuron(neurotransmitter) ◇ GI tract (GIH) ◇ Atrial muscle (atriopeptin) ◇ kidney (Renin,PG ,VitD, EP) ◇ Endothelial(Endothelin ,NO) ◇ neuro-endo-immune net works
HORMONE (TRADINAL CONCEPT)
A chemical substance secreted by an endocrine gland and transported via blood stream and effected to its target tissues. (traditional endocrinology deals with the glands.) H was firstly termed by Starling in 1905(Croonian Lect to Royal College“The Chemical Correlation of the Functions of the Body”)