322702 3(0-6-3)General internal Medicine Basic knowledge and clinical practice in patients with common medical problems diseases including diagnosis, patient management, referral management, rehabilitation, health promotion and disease prevention. Establish good attitude in taking care of patients by the holistic approach; not only patients but also their family and community

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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. // .. 2554 12. .. 2554 13. .. 2554 14. .. 2554 15. .. 2554 16. 17. 18. ICD 10 19.

(Skill)1. 1.1. 1.2. 1.3. 1.4. 1.5. 1.6. 1.7. 1.8. 1.9.

2. 2.1. 2.2. 2.3. 2.4. 3. 4. .. 2554 5. .. 2554 6. / .. 2554 7. 7.1. ( ..2554 3 3.4 1 )7.1.1. Advanced cardio-pulmonary resuscitation7.1.2. Aerosol bronchodilator therapy7.1.3. Arterial puncture7.1.4. Aspiration of skin subcutaneous tissue and bursa (elbow and ankle)7.1.5. Blood and blood component transfusion7.1.6. Breathing exercise7.1.7. Endotracheal intubation7.1.8. Gastric irrigation7.1.9. Injection: intradermal subcutaneous intramuscular intravenous7.1.10. Intravenous fluid infusion7.1.11. Joint aspiration knee7.1.12. Lumbar puncture7.1.13. Measurement of central venous pressure7.1.14. Nasogastric intubation7.1.15. Oxygen therapy7.1.16. Postural drainage7.1.17. Urethral catheterization7.1.18. Venesection7.2. ( ..2554 3 3.4 2 )7.2.1. Abdominal paracentesis7.2.2. Basic mechanical ventilation7.2.3. Pleural paracentesis7.2.4. Bone marrow aspiration7.2.5. Joint aspiration not knee joint7.3. / ( ..2554 4 3.4 3 )7.3.1. Peritoneal dialysis7.3.2. Pleural biopsy 8. (Attitude) 1. 2.

3. 0SDL Teaching round Service round OPD med Word work

2558 , OPD - , 2 3 round ward Progression note , CBC, urinanalysis, sputum exam (progression note ) Progression note progression note progression note

10.00 12.00 . OPD card ()

() 1. (Chief compliant)2. (Present illness)3. (Past history)4. (Family history)5. (Personal and social history)6. (Drugs and allergies)7. (Review of systems)

1. Vital signs2. General appearance3. Skin4. Head-Eye-Ear-Nose-Throat (HEENT)5. Neck6. Breast ()7. Cardiovascular system8. Respiratory system9. Alimentary system10. Genitourinary system11. Nervous system12. Musculoskeletal system13. Lymphatic system

(Problem list) (Provisional diagnosis) (Differential diagnosis) (Discussion) (Plan of management) , , positive negative findings

ICD10 DRG ** (ICD-10)** (Main condition) 1. 2. 1 3. (Co-morbidity) (Complication) 1 (Other diseases) (Operation) : ICD-9 CM (Discharge status) (Complete recovery), (Improved), (Not improved) (Dead)

: , . ICD-10 ICD-9-CM. 2543.

80 1. 50 %1.1. 20%1.2. Round ward20%1.3. Progression note10%2. 20%3. 30%3.1. Long case examination30%

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