Diagnostics-PMPH-10edition

基于人民卫生出版社《诊断学》第10版的临床诊断技能集合 — 183 项核心诊断技能，涵盖病史采集、 体格检查、实验室检验解读、心电图与影像分析、常见症状鉴别诊断、专科操作规范及临床推理方法。

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.	Skill	Description
1	abdominal-mass-differential-diagnosis	腹部肿块七要素鉴别诊断
2	abdominal-mass-differential-diagnosis-2	腹部肿块来源与性质评估
3	abdominal-pain-mechanism-classification	腹痛发生机制分类
4	abdominal-paracentesis-procedure-and-safety	腹腔穿刺术操作规范与安全限制
5	abdominal-tenderness-point-assessment	腹部压痛点定位与临床意义判断
6	abdominal-wall-vein-blood-flow-direction-examination	腹壁静脉曲张血流方向检查法
7	abnormal-respiratory-sounds-classification-and-etiology	异常呼吸音的分类与病因判断
8	abo-blood-typing-and-crossmatch	ABO血型鉴定与交叉配血操作规范
9	aca-clinical-interpretation	抗心磷脂抗体（ACA）临床判读
10	access-new-form-textbook-digital-resources	获取新形态教材配套数字资源
11	acute-appendicitis-diagnosis-logic	急性阑尾炎的典型症状与体征诊断逻辑
12	acute-myocardial-infarction-ecg-staging	急性心肌梗死心电图三阶段特征识别
13	afp-afp-l3-hepatocellular-carcinoma-diagnosis	AFP与AFP-L3联合判读用于肝癌诊断
14	alp-based-jaundice-differential-diagnosis	基于ALP的黄疸鉴别诊断
15	alveolar-ventilation-calculation	肺泡通气量计算
16	anemia-diagnosis-and-grading	贫血的诊断标准与分级
17	anorectal-examination-positioning	肛门与直肠检查的体位选择
18	apoai-apob-ratio-coronary-risk-assessment	apoAI/apoB比值与冠心病风险评估
19	arterial-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
20	atrial-fibrillation-auscultation-diagnosis	心房颤动的听诊诊断标准
21	axillary-lymph-node-tenderness-evaluation	腋窝淋巴结压痛评估
22	bacterial-antibiotic-resistance-mechanisms	细菌耐药机制分类与作用原理
23	bacterial-antimicrobial-resistance-mechanisms-and-clinical-response	细菌耐药性机制与临床应对
24	bian-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
25	bian-xue-ban-sui-zheng-zhuang-jian-bie-zhen-duan	便血伴随症状的鉴别诊断
26	bilirubin-metabolism-and-jaundice-classification	胆红素代谢与黄疸双重分类法
27	bing-cheng-ji-lu-pin-ci-yu-nei-rong	病程记录频次与内容
28	bladder-percussion-differential-diagnosis	膀胱叩诊鉴别诊断法
29	blood-ammonia-testing-for-hepatic-encephalopathy-diagnosis	血氨检测在肝性脑病诊断中的应用
30	blood-specimen-collection-and-handling	血液标本采集与处理规范
31	bone-marrow-iron-staining-interpretation-for-anemia	骨髓铁染色在贫血诊断中的判读
32	bronchodilator-reversibility-test-interpretation	支气管舒张试验阳性判断标准
33	bronchoscopy-preoperative-preparation-and-anesthesia	支气管镜检查术前准备与麻醉规范
34	ch50-complement-assay-interpretation	CH50补体检测结果解读
35	chest-abnormal-percussion-sound-interpretation	胸部异常叩诊音的识别与临床意义
36	clinical-bacterial-antimicrobial-susceptibility-testing	临床细菌药敏试验方法与判读
37	clinical-consultation-medical-ethics	问诊中的基本医德要求
38	clinical-diagnostic-four-step-method	临床诊断四步法
39	clinical-diagnostic-reasoning-principles	临床诊断思维原则
40	clinical-hypothetico-deductive-reasoning	临床假设演绎推理
41	clinical-immunophenotyping-by-flow-cytometry	流式细胞术免疫表型分析
42	clinical-interview-and-communication	临床问诊与医患沟通技巧
43	clinical-laboratory-quality-assurance-system	临床实验室质量保证体系
44	clinical-reasoning-core-elements	临床思维两大核心要素应用
45	comprehensive-physical-examination-protocol	全身体格检查基本流程与原则
46	congenital-non-hemolytic-jaundice-syndromes-differentiation	先天性非溶血性黄疸综合征鉴别
47	csf-color-and-hemorrhage-differentiation	脑脊液颜色分析与出血性质鉴别
48	ctnt-dynamic-change-and-diagnostic-criteria-in-ami	cTnT在急性心肌梗死中的动态变化与诊断标准
49	daoniao-shu-caozuo-qian-zhunbei	导尿术操作前准备
50	depression-core-symptoms-identification	抑郁核心症状识别框架
51	diagnostic-medicine-core-framework	诊断学核心框架与学习方法
52	diagnostic-textbook-revision-guidelines	诊断学教材修订核心指导原则
53	diagnostics-10th-edition-revision-guide	诊断学第10版修订指南
54	diarrhea-pathophysiological-classification	腹泻的病理生理机制分类
55	distal-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
56	drug-induced-edema-classification-and-management	药物性水肿分类与处理
57	dynamic-ecg-lead-selection	动态心电图导联系统选择
58	early-hepatic-injury-detection-via-coagulation-factors	凝血因子检测早期肝损伤
59	ectopic-tachycardia-classification	异位性心动过速分类与特征识别
60	electronic-medical-record-permission-and-archiving	电子病历权限管理与归档
61	endocrine-metabolic-edema-differentiation	内分泌代谢性水肿鉴别
62	er-jian-ban-xia-zhai-bing-cheng-fen-qi	二尖瓣狭窄病程分期评估
63	fecal-microscopy-reference-interval-interpretation	粪便显微镜检查参考区间判定
64	fibrinolysis-interpretation-fdps-d-dimer	纤溶亢进的FDPs与D-二聚体联合判读
65	first-heart-sound-intensity-analysis	第一心音强度变化分析
66	fobt-clinical-application-and-interpretation	粪便隐血试验（FOBT）临床应用与解读
67	focused-history-taking-driven-by-diagnostic-hypothesis	基于诊断假设的重点问诊与体格检查流程
68	gallop-rhythm-classification-and-clinical-interpretation	奔马律的分类、机制与临床意义
69	ggt-elevation-pattern-interpretation-in-liver-disease	GGT升高模式在酒精性肝病与肝癌诊断中的解读
70	hba1c-ga-clinical-application-comparison	HbA1c与GA临床应用对比
71	hbv-dna-clinical-interpretation	HBV-DNA临床解读
72	hcv-serological-marker-dynamic-interpretation	HCV血清学标志物动态解读
73	helicobacter-pylori-diagnosis-strategy	幽门螺杆菌感染的诊断策略
74	hematopoietic-cell-morphological-development-patterns	血细胞发育过程中形态演变的一般规律
75	heparin-anticoagulation-laboratory-monitoring	肝素抗凝治疗的实验室监测
76	hyperkalemia-ecg-interpretation	高血钾心电图演变规律与诊断阈值应用
77	interpret-serum-immunoglobulin-levels	血清免疫球蛋白定量结果解读
78	jie-chang-jing-jian-cha-chang-dao-zhun-bei-liu-cheng	结肠镜检查肠道准备标准流程
79	kang-ccp-kang-ti-lin-chuang-pan-du	抗CCP抗体临床判读
80	knee-valgus-varus-clinical-identification	膝外翻与膝内翻的临床识别
81	kuai-su-gan-huo-jian-chuan-ci-cao-zuo	快速肝活检穿刺操作
82	laboratory-result-interpretation-three-tier-system	实验诊断结果判定的三级标准体系
83	ldh-isoenzymes-in-acute-myocardial-infarction-diagnosis	LDH同工酶在急性心肌梗死诊断中的应用
84	leukemoid-reaction-classification-and-diagnosis	类白血病反应的分类与诊断
85	lipoprotein-a-atherosclerosis-risk-assessment	脂蛋白(a)与动脉粥样硬化风险评估
86	liver-biopsy-indications-and-contraindications	肝脏穿刺活检术的适应证与禁忌证判断
87	liver-function-test-selection-principles	肝脏功能检测项目选择原则
88	lumbar-puncture-contraindications-and-procedure	腰椎穿刺术禁忌证与关键操作规范
89	luo-yin-auscultation-analysis	啰音听诊分析
90	lymph-node-aspiration-procedure	淋巴结穿刺术操作流程
91	malnutrition-related-edema-diagnosis	营养不良性水肿诊断
92	mcv-rdw-anemia-classification	基于MCV和RDW的贫血形态学分类法
93	medical-record-timing-compliance	病历书写时限合规性
94	microcytic-hypochromic-anemia-lab-differential-diagnosis	小细胞低色素性贫血的实验室鉴别诊断
95	mitral-stenosis-grading	二尖瓣狭窄分度评估
96	mpo-staining-interpretation-for-leukemia-classification	MPO染色判读用于急性白血病分型
97	murphy-sign-examination	Murphy征检查法
98	muscle-strength-grading-and-paralysis-classification	肌力六级分级与瘫痪类型判断
99	mycoplasma-infection-laboratory-diagnosis	支原体感染的实验室诊断
100	myocardial-infarction-localization-and-culprit-artery-identification	心肌梗死定位诊断与相关血管判断
101	myocardial-ischemia-st-t-ecg-analysis	心肌缺血的ST-T心电图改变分析
102	neutrophil-nuclear-shift-assessment	中性粒细胞核左移与核右移判定
103	nk-cell-activity-reference-and-clinical-interpretation	NK细胞活性参考区间及临床意义解读
104	obesity-assessment-standards	肥胖的测量标准与分级
105	oliguria-anuria-etiology-differentiation	少尿与无尿的三类病因鉴别框架
106	p-wave-normal-and-atrial-hypertrophy-assessment	P波正常参数判定与心房肥大心电图诊断
107	papilledema-measurement-and-clinical-interpretation	视盘水肿的测量与临床意义
108	physical-examination-techniques	体格检查标准化操作流程
109	pi-zhi-fu-he-gan-jue-jian-cha	皮质复合感觉检查
110	pnh-flow-cytometry-diagnosis	PNH流式细胞术诊断
111	ppd-skin-test-interpretation	PPD皮肤试验判读
112	psa-risk-stratification-for-prostate-cancer	PSA及其f/t比值在前列腺癌风险分层中的应用
113	pt-aptt-combined-interpretation-for-coagulation-defects	PT与APTT联合判读二期止血缺陷
114	qian-fan-she-jian-cha-yu-shen-jing-jie-duan-ding-wei	浅反射检查与神经节段定位
115	renal-palpation-and-abnormality-assessment	肾脏触诊与异常判断
116	respiratory-specimen-collection-and-quality-control	呼吸道标本采集与质量控制
117	reticulocyte-production-index-calculation	网织红细胞生成指数（RPI）计算与临床解读
118	rh-blood-group-antigen-antibody-analysis	Rh血型系统抗原抗体特性与临床分类
119	rh-blood-incompatibility-hemolysis-management	Rh血型不合所致溶血反应机制与临床应对
120	rt3-thyroid-and-non-thyroid-disease-diagnosis	rT₃在甲状腺功能与非甲状腺疾病中的诊断价值
121	s2-split-type-differentiation	S₂心音分裂类型鉴别
122	san-duan-niao-shi-yan-xue-niao-ding-wei	三段尿试验血尿定位诊断
123	semen-liquefaction-abnormality-diagnosis	精液液化时间异常判读与病因关联
124	semen-sample-abstinence-protocol	精液标本采集前禁欲时间规范
125	semen-specimen-integrity-and-transport-protocol	精液标本完整性与送检规范
126	serum-ascites-albumin-gradient-calculation	腹腔积液白蛋白梯度（SAAG）计算与解读
127	serum-pleural-fluid-albumin-gradient-analysis	血清-胸腔积液白蛋白梯度分析
128	serum-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
129	serum-total-bilirubin-jaundice-assessment	血清总胆红素黄疸分级与病因推断
130	serum-transferrin-saturation-clinical-interpretation	血清转铁蛋白饱和度临床判读
131	shao-xin-yu-fan-liu-bing-li-sheng-li-fen-xi	烧心与反流病理生理分析
132	special-population-physical-examination-adaptation	特殊人群体格检查的灵活调整策略
133	specific-detection-of-key-drug-resistant-pathogens	特定重要耐药菌的特异性检测方法
134	spinal-curvature-evaluation	脊柱生理性弯曲与病理性变形识别
135	spinal-range-of-motion-assessment	脊柱活动度检查标准流程与参考值
136	spinal-tenderness-and-percussion-pain-examination	脊柱压痛与叩击痛检查
137	structured-clinical-history-taking	结构化临床病史采集
138	symptom-based-differential-diagnosis	基于症状的鉴别诊断框架
139	syphilis-serological-testing-classification-and-application	梅毒血清学检测分类与应用
140	systemic-disease-retinal-signs-identification	全身性疾病眼底体征识别
141	t-lymphocyte-transformation-and-stimulation-index-interpretation	T淋巴细胞转化率与刺激指数判读
142	tai-duan-niuzhuan-xingshi-su-zhenduan	尖端扭转型室速（TDP）诊断与病因识别
143	thoracentesis-complication-management	胸膜腔穿刺术并发症识别与处理
144	thoracentesis-indications-and-contraindications	胸膜腔穿刺术的适应证与禁忌证判断
145	thoracentesis-standard-procedure	胸膜腔穿刺术标准操作流程
146	thyroid-disease-differential-diagnosis	甲状腺疾病鉴别诊断
147	thyroid-function-interpretation-ft4-tt4	甲状腺功能评估中FT₄与TT₄的临床解读
148	urine-color-abnormality-differential-diagnosis	尿液颜色异常的鉴别诊断
149	urine-microscopy-reference-interval-interpretation	尿液显微镜检查参考区间判定
150	urine-red-blood-cell-morphology-classification	尿液红细胞形态分类与临床意义解析
151	urine-specimen-preservation-methods	尿液标本保存方法与防腐剂选用规范
152	urine-specimen-selection	尿液标本类型选择
153	vaginal-cleanliness-grading-interpretation	阴道清洁度分级解读
154	ventilatory-reserve-percentage-calculation-and-interpretation	通气储备百分比计算与解读
155	verify-diagnostics-textbook-edition	诊断学第10版教材版本验证
156	vertigo-classification-and-etiology-assessment	眩晕分类与病因评估
157	vomitus-analysis-for-obstruction-localization	呕吐物性质对消化道梗阻定位的诊断价值
158	vwd-subtype-diagnosis-by-lab-ratios	vWD分型诊断的实验室比值判读
159	weil-felix-reaction-diagnostic-logic	肥达反应的诊断逻辑
160	wide-qrs-tachycardia-differential-diagnosis	宽QRS波心动过速鉴别诊断
161	xin-ji-bing-yin-yu-fa-sheng-ji-zhi-fen-lei	心悸的病因与发生机制分类
162	ymdd-variant-analysis-for-hbv-drug-resistance	YMDD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