Lynn S. Bickley Bazosess FTHANH NEN @.Wolters Kluwer Tumpbridge” = @ ta ‘nev! emo oan_nhém sdch y hoc pdt mz. Nhan xét vé ban dich “Bates’ Guide to Physical Examination and History Taking” TS. BS. Pham Nguyén Quy Khoa Ung thu N6i khoa Bnh vign Trung Uong Kyoto Miniren, Banh vign Dai hoc Kyoto Su tién bé vugt bac cila y hoc duong dai, vai su/phé bién cla nhiéu ky thuat téi tan dé gidp phat hién va mé ta nhiéu can bénh 6 thoi ky s6m hon nhiéu so vai trudc day, Cac ky thuat xét nghiém mau cé thé gitip nghi ngo/chén doan suy_ tim, thuyén tac dong mach phéi, tiéu duéng...6 glial doan khdng c6 trigu chuing. Cac ky thuat ndi soi va phuong phap_ chén dodn hinh anh khac da gidip bac st phat hién khéi ung thu 6 gial doan sém-cuc sém ma thm kham lam sang ‘thang thuéng khéng thé phst hign ra. mgt sé benh vign ti Nhst Ban, vige dua benh nhan di chyp CT/MAI néo con cho @ chén don nhanh han la ngéi che bac sithim kha thén kinht Vi nhiing ly do nay, nhiéu bac sf kh6ng cdn ty tin vao kj nang lém sng cia minh va khéng cn manh dan chi day thé he tiép theo vé tém quan trong clia thim khém trén nguéi bénh. Ong nghe khéng cén is cng cu chén dosn tin cay nla va vigc mang éng nghe dang dén té thanh biéu tuong lich strctia nghé nghiép. Khéng méy bécsicdn danh thai gian thm Khim mo t8 chi tiét hing 3c tinh cia tiéng tim nhu vi tri, cuting d, am sc, huéng lan,..d8 suy ingm, bign ludn vi siéu am c6 thé cho thay céc thong 56 r6 rang, chéc chan han vé cu tric va chile nding cla co tim. Tuy nhign, vige thm khém vn phai duige chai trong vi nhiing xét nghiém cén lar sang va khdo sat hinh anh khong thé thay thé quan sét try tiép cla bac si. e6 niu bai hoc dau long vé sai km nghiém trong xdy ra trong qua tinh chin dodn-digu tr do sy dya dm/phy thuéc qué nhiéu vdo may méc hay v8o ngudi"khdng hé dung t6i benh nha’ ‘Tigu chun chin don nhiing can bénh “kin dign’ nhu Viem ngi tam mac nhiém khuén, Viém khép dang thép,...van inhén man thong s6 lim sang cin bac sitham khdm tI mi mél phat hién duoc, Trong qué trinh thyc hanh va ging day tal Nhat Ban, tol cOn nhan ra réng di véi ben nha, vigc tham khmn lam sang la cuc ky quan trong vid la ky vong cia ho, va cing la du hiu cho thy béc si cé quan tém t6i hg. Khéng chi ip ich cho chén dodn, gidp benh nhan tiét kiém chi phi y té nheshan ché xét nghigm thi, vige “cham vao bénh inhan’ c6 gia tran di, gidp nguéi bénh an tam hon rét nhiéu, ‘Mot trong nhtig cuén sch 8 gidp t0i nhan ra nhcing gis tri ca y hoc lam sing ma dén gies ti van cdn tran guy 12 "Bates’ Gulde to Physical Examination and History Taking’. Day [& cudn sch néitiéng, dugc t&i ban nhiéu lin va duge tin ding réng rai 6 nhigu noi trén thé gid. Tai igu quy bau nay cing 3 duoc dich sang tiéng Nhat vao nam 2008 va di that su dp ting mong méi cdi thign chat lugng ging day va thyc hanh y khoa tai Nhat Ban trong nhiéu nam qua, Nghién ngm cuén sch nay qua phién ban tiéng Anh ln tiéng Nnét, toi da thém uéc mong sa0.c6 thém phién ban tiéng Vigt dé cing déng nghiép tai Viet Nam cap nhgt tirngi va kign thule c6 tinh he théing, day du, ing quy chun ‘thé gloi vé tham khdm lim sng, TO that su vul mung khi nghe BS. Nguyén Quan Vinh néi vé dy én dich sch “Bates’ Guide to Physical Examination and History Taking” sang ting Viet va han hanh doe cho xem nhing phién bn ‘au tién trong qua tinh soan thdo. Nhéiné luc khong nguing ca hon 40 dich id hop téc xuyén luc dia, bin dich && ra ddl vai dinh dang than thién nhu’bén g6c, vi nhiéu n6i dung phong pha dugc trinh bay chuyén nghigp, dé hiéw véi ngudi dang “Toi tin ing cusn sich nay sé duge chao dn tai Vigt Nam va tiép tuc te thanh tai igu"g6i dau givéng' cla nhigu thé he y bac s¥ st dung ting Vit trén todn thé gidi. Xin cm on sy tén tm cia céc dich gia va ca ban diéu phi trong inhing thdng nam qua dé ban dich dugc chao dai vei chat lueng cao trén nhiéu phuang din. Kyoto, ngay 20 thang 8 ném 2020Huéng dan hom sch y hee pat fs Lam Sang & HOI BENH SU BATES Bates’ Guide to Physical Examination and History Taking AN BAN TIENG VIET DAU TIEN 2020 BOI HELVIETMED @.Wwolters Kluwer Lynn S. Bickley, MD, FACP Clinical Professor of Internal Medicine School of Medicine University of New Mexico Albuquerque, New Mexico Peter G. Szilagyi, MD, MPH Professor of Pediatrics and Executive Vice-Chair Department of Pediatrics University of California at Los Angeles (UCLA) Los Angeles, California Guest Editor Richard M. Hoffman, MD, MPH, FACP Professor of Internal Medicine and Epidemiology Director, Division of General Internal Medicine University of lowa Carver College of Medicine Iowa City, Iowa Philadelphia - Baltimore - New York + London Buenos Aires » Hong Kong » Sydney « Tokyo_nhém sdch y hoc pdt mz. Ll TWA CHO LAN TAI BAN TIENG VIET THU NHAT NAM 2021 ‘Than chao quy ddng nghiép ‘Than chao céc ban sinh vien Nhding dong chit nay, toi xin dai dién tat cd nhimg thanh vien, bac st Helvietmed ai dén quy ban. Dé cm on quy ban d3 wn ai quyén sich Bates, d4 durge ban gin 2000 ban trong hai théng du xuan 2021. Mua sdch da quy, phé bién sch quy hon, nhung doc sch va sir dung séch lat la idu tran quy nhat vi né giip nhiing tac gia va dich gla xéc dinh v8 gid tri thurc cia kign thite nim trong quyén séch. Mt quyén sich hay gi6ng nhur mt con rng dep chwa diém nhan, Ban i mua sdch, ban da ve ring. Hay diém nhan dé ring bay. ‘Tran trong moi cic ban doc sch 46 gitip sch thang hoa. ‘Thuy $i, Xuan 2021. Bac StNguyén Quan-Vinh HELVIETMEDNha Trang, Thang Ba, 2021. ‘Than chao Bac si Nguyén Quan-Vinh, Am om anh da tang sch va ¢6 nha mdi ti trao di véi anh, quy Ang nghiép va cdc em sinh vién v8 kink nghiém sir dung va ging day quyén séch “Huéng dn kham lam sang va héi bénh sir Bates”. Toi vao Dai hoe ¥ - Durge thanh phé HO Chi Minh n&m 1994, va bat dau di thy tap nam thé 3 v8 trieu chitng hoc néi khoa tai BEnh vign nhan dan Gia Dinh nim 1996-1997. Cac Thay CO day rét hay va co ban ve céch hi bénh sirva khdm lam sang. ‘Thay Thuy da gidi thiéu va khuyén ti nén doc quyén “A guide to Physical examination and history taking” ila téc gla Barbara Bates. Téi da vao thw vién Bai hoc Y - Duoc thanh phé HS Chi Minh photocopy quyén séch, dn ban Ln thir 6 nam 1995, Liic dé gid sch la 150.000 dong, trong khi 1 chi vang cé gid 300.000 dong. Toi da doc va tip thu duoc nhGng kiGn thite vé hoi bénh str va khdm lam sang rat hiu {ch va rat gidng v6i céch cde Thay C6 trong trong day. T6i van 4p dung céc kién thitc nay trong thurc hanh lam sang méi ngay tir 6 dém nay va giang day sinh vién y khoa nam thir 6 cia trong Dai hoc Tay Nguyén dén thyc tap tai Bénh vign da khoa tinh Khanh Hoa tir nam 2010. ‘Thang 12 ndm 2020, ngoai sch anh tng, t6i cling mua 3 quy6n séch "Hwéng din khém tam sing vi hol bénh str Bates” dich tir ban géc "BATES’ Guide to Physical Examination and History Taking” n ban lin thir 12 nam 2017 do anh dai dién Héi Helvietmed chii bién cho cdc bac si trong khoa cling doc. Toi doc va nghién ngim nhiing kién thitc nay, cng doc thay cang hay. Toi da dem nhimng kién thiée trong sch cing nhw kinh nghiém lm s&ng da tich lay tir nhéng nam thang sinh vién cho 4&n khi hanh nghé y glang day cho sinh vién y khoa nam thi 6 trong Dai hoc Tay Nguyén va Dai hoc Budn Ma Thudt. Tot cing huyén khfch cdc em sinh vién mua quyén sach nay 48 doc va c6 kién thttc hdi bénh sir kham kim sng rat hay va hatu ich dé dang ap dung vao thy hanh. Hu hét sinh vién va bac si 6 Viét Nam khi hoc y khoa du mua quyén “Atlas Gidi phdu ngudi" do Bac st Frank H. Netter bién soan duoc GS.BS.Nguyén Quang Quyén dich dé hoc gidi phdu hoc vi quyén nay vé hinh gli phdu rat dep va rat quan trong khi hoc giai phdu hoc. Toi nght rang quyén “Huéng dan kham lam sang va hoi bénh sit Bates” ciing quan trong nhu quyén “Atlas Giai phau ngudi” ma mai sinh vién va béc sT-can C6 é c6 thé khhdm lam sng diing va bai ban him phat hign chan dodn bénh chinh xac. Kign thie trong sach that sy vo gia ma gid thanh sch khOng cao chi c6 629.000 ding, moi sinh vien va bac si déu c6 thé mua duoc. Tol da giéi thiéu va khuyén khich céc ban sinh vién mua sach nay doc 48 cing c6 Jai kién thite va dp dung vao thyc hanh lém sing. ‘Toi thanh that giri1di cm on dén anh, Hi Helvietmed cing céc Thay C6, dng nghiép va cdc ban sinh vin 4 day cng tham gia dich va bién tap quyén sach, mot tai lieu rat hay va quy gid cho sinh vien va bc si c6 thé cp nhat duroc mhiing kién thiéc hitu fch, méi nhat cia y hoc nh&m nang cao trinh dd khém chita bénh phyc vy bénh nhan ngay cng t6t hon, 86 la diéu mong mun cia tat ca sinh vin y khoa va bac si tai Vier Nam, Kinh chic anh, quy déng nghiép trong Helvietmed site khée, hanh phic, thanh céng hon nifa trén bude wong truyén tai kign thite y khoa, ‘Toi hi vong trong twong lai HOt Helvietmed sé tiép tuc t6 chite dich nhting ti ligu y khoa httu {ch cho sinh, va bc st Viét Nam, ‘Tran trong. Bac si Mac Vin Hoa ‘Truong khoa Noi Cén b6 Bénh vign da khoa Tinh Khanh Hoa. HUGNG DAN KHAMLAM SANG VA HOI 8ENH SU BATES —nhém sdch y hee pat mz. _ TEN BO MIEN TRU TRACH NHIEM ‘Dy la bin dich tng Vigt du tién cla nguyén tic. ‘Bates’ Guide to Physical Examination and History Taking, 12th Edition Copyright® 2017 Wolters Kluwer Copyright® 2013, 2009 by Wolters Kluwer Health/Lippincott Williams & Wilkins. Copyright© 2007, 2003, 1999 by Lippincott Williams& Wilkins, Copyright© 1995, 1991, 1987, 1983, 1979, 1974 by J.B. Lippincott Company. All rights reserved. This bbookis protected by copyright. No part ofthis hook may be reproduced ortransmitted ‘nany formorby any means, including as photocopies or scanned-in orother electronic copies, oF utilized by any information storage and retrieval system without written, permission from the copyright owner. ‘Xudt ban theo théa thudn voi ‘Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, USA, ‘Wolters Kluwer Health id not participate in the translation ofthis tide and therefore it does not take any responsibilty for the inaccuracy or errors of this translation. (Cac dich gid da tn luc dién gid, chuyén tai nOl dung mét cfc trung the nhit, Tuy ‘ohién, cdc djch gia va nha xudt ban HELVIETMED: © Tr ch6i tat c8 céc béo dam, v8 tinh chinh xc, tinh toan didn cita ni ddung téc phim nay. © Khong cung cp loi khuyén hodic huéng din y té; yeu cau cc doc gid coi tic phm la mot tal ligu tham khao thufn tiy, va tham khao cdc ngudn khée a6 di chiéu. © KhOng chju bat iy) tréch nhi@m nao d6i v6i bat ky thuong tch, thigt hal ndo di véi ngudi hodc tai san, san sinh tir tham chiéu hoac sir dung ndi dung ban dich. HUONG DAN KHAM LAM SANG VA HOI BENHSU BATESnhém sdch y hee pat ‘Swiss-Vietnamese Medical Association HELVIETMED Boulevard de Pérolles 10 1700 Fribourg Switzerland, Intps:/Phelvietmed org/ Di ding ky bin quyen. Cun sich nay duge bdo ve b61 ban quyén. Khong c6 pn nao cia cub sich ny c6 thé ngs sao chép, truyn tai dui ty hinh thie, phurong tign ndo, KE cd du dang ban sao chyp, bin scan (hay hinh tite kha), hoc deve si dung b6i bt ky he thong hu tr va truy ust thong tin nio ma khdng c6 sw cho pgp bing van bin cia chi sé hiuban quyén,ngoat tri eée trich din ngdn gon trong cic bal béo va dh gt quan trong. Disclaimer from the original English version: ‘This work is provided “as is" and the pulisher disclaims any and all warranties, express or Implied, including any warranties as to accuracy, comprehensiveness, oF currency of the content ofthis work. ‘This work Is no substitute for individual patient assessment based upon healthcare professional’ examination of each patient and consideration of, among other things, age, ‘eight, gender current or prior medical conditions, medications history laboratory data and other factors unique tothe patient. The pusher doesnot provce medical advice or guidance and this work is merely a reference tool, Healthcare professionals, and not the pusher, ae solely responsible for the use of this work including all medial judgments and for any resulting dlagnosis and treatments ven continuous, rapid advances in medical science and health infomations, independent professional verfication of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatments options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product infomation sheet (the manufacturer's package insert) accompanying each the drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly ifthe medication to be administored Is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsiblity Is assumed by the pulisher far any injury and/or damage to persons or property, as a matter of products lability, negligence law or otherwise, or from any reference to or use by any person of this work. VI HUONG DAN KHAM LAM SANG VA HOI BENH SU BATES._nhém sdch y hoc pdt mz. PREFACE TO THE FIRST VIETNAMESE EDITION ‘Bates’ physical examination and history taking” is a well-known and widely used book in the USA and many parts of the world, Since its first edition in 11974, this work has been edited twelve times with the last version dating in 2017. The copyright holder was Lippincott, Williams, and Wilkins (1974, 1979, 1983, 1987, 1991, 1995, 1999, 2003 and 2007. Since 2009, the right holder is Wolters Klugers (2009, 2013, 2017), Translations have repeatedly been undertaken into several languages, of which Fronch (10th and 11th American edition) in 2010, 2014 and, Spanish in 2013 (11th American edition). In our knowledge, @ systematic and complete guide is not available in Vietnamese. Some partial translation of books with similar content may exist, but not in conformity with the copyright regulations so that widespread and official use is not possible. As practicing physicians and medical teachers, we all acknowledge the foremost importance of careful history taking and thorough physical examination as the basis of any interaction with the patients. Mastering these abilities should, therefore, be acquired as early as possible and refined as often as one can. Bates, asa standard book, provesitselfasan excellent candidate to provide our students with these skills. From a Vietnamese point of view and with the tendency to introducing more English in Vietnamese Medical schools, some may argue that medical students should learn the content directly in English so that a translation may not be necessary. Another argument that may be raised against translating medical books is that the translated version may rapidly lose its value due to quickly changing medical knowledge. As physicians and researchers, we are, however of the opinion that the fundamental, basic knowledge contained in “Bates” is quite solid and had withstood the test of time, Adaptations have been regularly adopted, but it seems that most of the changes concerned the layout, the restructuration, the rearrangement of the chapters for didactical reasons. The content was hardly affected. So once correctly performed, the translated version may remain valid for several years, maybe more than 15-20 years. Another argument is, at least for the next ten years to come, the English level of the medical students {in Vietnam is not expected to improve abruptly. Their teachers should first be trained, HUONG DAN KHAM LAM SANGVAHOIBENH SU ATES VILnhém sdch y hee pat mz. ‘The translation of “Bates” is also a response to a need, the one to know that the medical content taught in Vietnam has the same international standard. Mastering “Bates” may help increase self-confidence for Vietnamese Physicians in their daly activities while treating English speaking patients and when they ‘are moving on an international dance floor. ‘The Swiss-Vietnamese Medical Association (HELVIETMED) is composed of physicians versed both in English and Vietnamese, besides their competences/ expertise in several medical flelds. They were willing to launch and to tund the translation project. Their availability in time was limited, This disadvantage, however, could be overcome by including other experienced Vietnamese physicians with solid English knowledge from different medical faculties and hospitals in Vietnam, from the USA, Canada, Australia, and Japan. Close collaboration with the School of Medicine of the Vietnam National University at Ho Chi Minh City allowed us to recruit a first competent staff to cover ‘most of the chapters of the book. The additional staff could be enrolled from other faculties in Saigon for practical reasons. We preferred one junior first- translator and one sentior-reviewer for each chapter. To promote young talent, we also involved outstanding advanced students from medical faculties. ‘The participation of numerous members ofthe Vietmamese Medical Community {san outstanding aspect of this project. We have been able to demonstrate that knowledge and commitment can be mobilized; a robust network can be built up in preparation for other meaningful projects in the future. Vill HUONGDAN KHAM LAM SANG VA HO! BENH SU BATES_nhém sdch y hoc pdt mz. ACKNOWLEDGMENTS On behalf of the Swiss-Vietnamese Medical Association, I would like to thank all the translators for their commitment, | also would like to emphasize the critical role of the coordination committee composed of Dr: Nguyen An Binh, Dr: Nguyen Minh Dung, Dr. Le Khac Tien. With significant contributions from Dr, Nguyen Huu Thanh, Mr. Nguyen Dinh Thuong (Medical Student), and Mr. Do Thanh Binh (professional designer) - they have assured the coherence of the project, the technical quality of the book. i / Ag > ce SCMB MEDICALE Sequiiee Helvietmed is thankful to our colleagues from the Société Médicale de Beaulieu, Geneva, who, besides granting scholarships to many medical students in Vietnam for years, has financially contributed to the printing ofthe book. Lastly, but most importantly, we would like to thank you, dear readers, and users for your welcoming the book as a source of meaningful and delightful knowledge. For Helvietmed Dr. Quan-Vinh Nguyen, president HUONG DAN KHAM LAM SANGVAHOIBENH SUBATES IXnhém sdch y hee pat ok LOI NGI DAU - LOI TRI AN Loi néi dau “Bates’ physicai examination and history taking” i& cudn séch n6i tiéng, duge sir dung rong rai 6 Hoa Ky vA nhiéu not tron thé gid. K6 tir phién bin du tién nam 1974, téc phim may d& duge tal ban mudi hal | an v6i phién bin My cuéi cimg vao nm 2017. Sé hifu ban quyén la nha xut ban Lippincott, Williams, va Wilkins (1974, 1979, 1983, 1987, 1991, 1995, 1999, 2003 va 2007) va tir ném 2009 la Wolters Klugers (2009, 2013, 2017). Cac ban dich 4a duege thyc hign nhiu ln qua nhiéu ngon ngG trong d6 c6 tiéng Phap (phién ban My-10 va 11 ) vao nim 2010, 2014 va cé tiéng Tay Ban Nha vao nam 2013 (phién bin MY 11), ‘Theo thign kién, ching ta khéng c6 mot quyén sch tuong tu, day dii va c6 hé théng viét bang tiéng Viet Oi tde gli Viet. C6 thé thn tal mOt sO ban dich cla ning sch cling n6i dung, nhung hoe khong hoan hao, hodc thiéu higu dink, Iai khong tuan thi cdc quy dink v8 ban quyén nén nhdmg ban dich 46 khong thé sik dung rong rai va chinh thtte. La nhiing bac slam sing hodc c6 trach nhigm do tao sinh vién trong thuc hanh lam sang, tat ching ta du y thite va cong nbn tim quan trong hang dau cia nghé thudt hol va khém bénh trong moi tong tae ‘v6i bénh nhan. Nhiing ky nang lién hé, do 46, nén dat dugc cdng sém cing t6t trong qué trinh dao tao bac sj, va nén duoc tinh Juyén thurémg xuyén, Bates, mot cudn sch tiéu chun, theo chting to! 14 mt chon Iwa t6t dé cung cp cho sinh vién eda ching ‘ta ning ky nang nay. Vii xu hung sir dung tiéng Anh nhiéu hon trong cdc truvyng ¥ 5 Vigt Nam, mit s6 ding nghigp trong Y giéi cé thé cho rang sinh vign y khoa nén hoc true tiép n6i dung bang tiéng Anh ma khéng cn phai dich, Mét lap lun khéc c6 thé durgc néu ra la phién ban dich e6 thé nhanh chéng mat gid tri d6 kign tite y hoc thay d6i khong nging. Tuy nhién, véi tu céch la béc st va nha nghién cfu , ching ti cho ring kin thite nén tang, co ban trong “Bates” la kha vimg chéc va da kinh qué thir thach cia thoi gian. Séch Bates da duge tai ban nhiéu lan, nhung durimg nhwr hu hét céc thay Ai trong nhtng phién ban méi, lién quan nhiéu hon aén b6 cuc, su tai cu tric, sp xép lai cae chuong dé tang higu qua chuyén {8i,truyn dat. NOI dung khong b] Anh hurdng. Vi vay, mot ban dich hoan chinh cé thé bao tn gid tri trong nhidu nim, c6 IS hon 15-20 nam, Ching tai ctingmgo mudi nghi ring, trong mudi nam téi, trinh a} tiéng Anh cia sinh vién y Khoa tai Nam sé khong ¢6 tién bé 46¢ bign. True dé, trinh d6 cia cdc gling vién phai duoc cai thin déng ke. Ban dich “Bates” ciing dap tmg mt nhu clu: dge gid hoan toan e6 thé chéc chan rang n6i dung duoc ging day phi hop vér tiéu chudin quéc té . Thanh thgo “Bates” c6 thé giip tang cuémg sy tyr tin cho cac bic st Vigt Nam trong céc hoat dong diéu trj hang ngay cho bénh nhan néi tigng Anh va trén cdc dign dan khoa hoc quéc té. X HUONG ON KHAM LAM SANG VA HOI BENH SU Baresnhém sdch y hee pat mz. Higp hi Bac si Thuy ST-Viét Nam (HELVIETMED) cé nhiéu thanh vien thong thao tigng Anh va tigng Viét ¥-khoa, ngoai nang luc chuyén mdn trong nhiu Iinh vycy t8. Ho sfin sang tai tre va tham gia try tifp trong dyr én dich ‘thugtmay. Tuy nhién, sy tham ga cia cde bac si Viet gidi ting Anh tirnhigu chuyén khoa khéc nhau tiv Vigt Nam ‘va hai ngoai g6p phn nang cao tinh than cng déng cla due 4n va eita Helvietmed. Su hgp tc mat thiét véi Khoa ¥, Bai hoc Quéc gia Thanh ph6 H Chi Minh cho phép chting t6i chon durgc nhiéu ‘ch gid phy tréch cho nhiéu chong cita cuén s&ch. Cée dich gid khac dén tir MY, Canada, Ue, Nhat va tir céc dai hhgc khac 6 Sai gon. Chiing t6i theo nguyén téc: m6t dich gia va mt chuyén gia higu dinh cho m6i chuong, voi mot vai ngoat Ié. Bé c6 vi tai ning tra, ching t61 cing tao didu kién cho cée sinh vin tal ning tham dy. Sw tham gia dong dao clia céc thanh vién cla Cong dng Y khoa Vigt Nam la mét dc diém, mét trong nhiing digm sng cia dr én nay. Ching t0i da chémng minh rng kin thée va tinh than cing hin c6 thé huy déng duoc ‘ir cng dng, Mot mang luéi tri thite viing trai da duoc xAy dyng trong qua trinh hgp tic: tién a6 cho céc dy An 6 nghla khac trong trong lai. Lai Tri An ‘Thay mat Higp héi Bac si Thuy Si-Vigt Nam, ti xin cdm on sy tan tam cita céc dich gia. Tai efing xin nh&n manh vai trd quan trong cia ban digu phéi bao gdm Tién si Nguyén An Binh, Bac si Nguyén Minh Diing, Bac si Lé Khac Tién, Thém vao su déng gép ding ké cia Bac si Nguyén Hiru Thanh, anh Nguyén Dinh Thuong (sinh vin y kthoa), va anh BS Thanh Binh (thiét ké sach) - ban diéu phéi da dam bao durge tién dé cia dy an, chat hong ky thuat va su thm mj cita cud séch, Helvietmed xin tri an nhiing ding nghiép tir Higp hoi Société Médicale de Beaulieu, Geneva, Ngoai vige cap hoc ‘b6ng cho nhiéu sinh vién y khoa nghéo tai Viét Nam trong nhiéu ném qua, Société Médicale de Beaulieu da déng, 6p tai chfnh vao viéc in &n cia cuén sch. Cu6i cing, nhung quan trong nhat, ching ti xin cam on nhiing dc gid: digu dwong, ky thuat vién, sinh vien Y kkhoa, béc si, giang vien... Hy vong, cong dng Y khoa Viét Nam sé chao d6n cuén séch nhu mét ngudn kién tire ‘i nghfa va thi vi. ‘Thuy Si, Bau thu 2020 Bac SiNguyén Quan-Vinh_ HELVIETMED Boulera is Pune 10 [Ly Too Fibowp suse | | | HUONG OAN KHAM LAM SANGVAHOI BENH SU GATES XI_nhém sdch y hoc pdt DANH SACH DICH GIA THEO THU TU Nguydn Huynh Kim Ngan © Sinh vién, Nign khéa ¥ 2016-2022, Khoa , Bai hoe ‘Qué gia Thanh phé H6 Chi Minh, Vigt Nam Tin si Nguyén An Binh © "TWenghigp nganih Duce si (2008, Bai hoc Otago, Dunedin, New Zealand) © “Teenghip Tén (2012, 831 hoc Otago, Dunedin, New Zealand) © Giang vién, al hoc Qué gia Thanh phS HS Chi Minh, ‘viet Nam Bécsi Nguyén Thanh Cong © ‘Teenghigp Bic siBa khoa (2015, 841 hoc Y Duge, “Thanh ph Hé Chi Minh Viét Nam) © Ot nahiep Tin sTY Khoa (du dinh 2021, Bai hoc hoa Shiga, Nhat Bin} ‘Tién si- Bae si Nguyén Quan-Vinh "© Tétnghigp Béc ST (1991, University of Bern, Switzerland) ‘© Tin STY Khos (2001, University of Ber, Switzerland) "© Chuyén Khoa Ngi T6ng qust (2001), Noi Than (2003), HOI Bac sIThuy STEMH © Chargé denseignement clinique, Institut de Médecine de Famille, Université de Fribourg, Suisse © Médecin agréé © Centre deTransplantation cforganes, Hopital ‘universitae du Canton de Vaud, Suisse Service de Néphrologie et Dialyse, Hopital Fribourgenis Fribourg, Suisse rcTuan V. Nguyen "FAH | Senior Pincipl Research alow * Laboratory Head, Genet Epidemiology of Osteoporosis Garvan, Institute of Medical Research + Professor Stvincent's nial Senoo, UNSW Medicine UNSW Syinay + Professorof Predictive Medicine, University of Technology, Sey (UTS) ‘Mal Van Hig © Tet nghigp Bie s1®a khoa (2017, Khoa ¥, Bai hoc Qué ‘gla Thanh phé H6 Chi Minh, Viét Nam) * Gling vin bé mon Sinh hod -SHPT, Khoa Y, Bal hoe ‘Quéc gla Thanh ph H6 Chi Minh, Vigt Nam © Nagin cu sinh Tién sf (Metabolomics ~Khoa Duge, Bal hoc Qucgia Seoul Han Quéc) Xi HUGNG DAN KHAM LAM SANG VA HO BENH SU BATES CAC CHUONG SACH (Ban Tiéng Vigt Bau Tién 2020) Béc si Nguyén Binh Vén "© Tétnghigp ai hoc ¥ Dug, Thanh phé Hé Chi Minh, viet Nam (1980) © Tetnghigp Chuyeén Khoa Gay Me H6i Sie (1987) © Tetnghiép Chuyén vign May Tho va Gay Me (Wanier College, Montreal, 1995) © Tétnghigp Biéu duong dai hoc (University of Onawa, 2000) Béc si Tr6n Didm Nghi © TBtnghigp Bac st Ba khos (2017, Khoa Y, Dat hoc Quéc gia Thanh phd H6 Chi Minh, Vigt Nam) + Sinh vign Thae Si nganh Khoa hoc Tada Kinh (2019-2021, Pohang University of Science and Technology, South Korea) Bécsi Doan Thanh Huy © Tet nghigp Bac sta khos (2020, Khoa Y Bai hoc Qube sia Thanh phd H6 Chi Minh, Vietnam) [Béc s1Trén Thuy Huang Quynh © Tétnghigp Béc sta khoa (2019, Khoa, Bat hoc Quéc gia Thanh pho H6 Chi Minh Vigt Nam) © Nghign ctu sinh Tin s'(03/2020-nay, Bai hoc Ykhoa kensai, Nhat Bn) Béc s1Trén Duy Tam © Tot nghigp Béc st (1993, Bal hoc Dugc, Thanh ehé HO ChiMinh, Viet Nam) © Bécsichdc danh NOI trdTém thin (1997, Bai hoc Hene Poincaré, Nancy |, Phép} © Bac chuyén Khoa Tamm Thén (2001, Bai hoc Duge, Thanh phd H6 Chi Minh, idt Narn) © Bécsichuyen khoa Tam Thén (2013, BalhocY Hud © Bée si trugig phdng Ké hoach Téng hgp (2007, bénh vign Tarn Tha, Thanh ph H6 Chi Minh) Bac si Duong Hal © Toenghiep Béc s1Ba khoa (2018, Khoa Y, Bai hecQuée dla Thanh phd H6 Chi inh, Vigt Nam) © Gling vién 86 mén ¥ Hoc Cong Béng -Dich TE Hoc, ‘Koa, Bal hoc Quéc gla Thanh pho H6 Chi Minh, viet Nam (2018 nay) Dr. Wynn Huynh Tran, MD, DPD, MSe. © Assistant Professor of Medicine and Pharmacy at Western Universityand California Northstate University © Residency Program Director, Advanced Clinical Pharmacist Practitioner © Consultant at Methodist Hospital of Souther Calfornia © Rheumatologstand Dermatologist at Wyn Medical Center_nhém sdch y hoc pdt Béc s Nguyn Minh Nhyt © T6tnghigp Bic s1 Ba khoa (2020, Khoa ¥, Bai hgc Qué gi “Thanh phé H6 Chi Min, Vigt Nar) Bécsi Nguyén Hu Thanh * Tétnghiep Bée s'Ba khoa (2020, Khoa Y, Bal hoc Quéc als ‘Thanh phé H6 Chi Minh, ide Nam) Prof. Trén Phan Chung Thiy, MD; PhD © President of Vietnamese ENT Society * Vice President of Vietnamese Society Sleep Medicine «© Head ENT department, Fecuity of Medicine, Vietnam National Unversity: Ho Chi Minh ity Bac siLy Minh Ting "© Tétnghigp Béc sia khoa (2008, Bai hoc Y Duge, Thanh [ph6 HS Chr Minh, Vige Narn) © ThacsfY koa, chuyn ngnh Ngoal khoa (2011, Bal hoc Y Dye, Thanh phé Hé Chi Minh, Vigt Nara) "= Chuyén khoa 2 Ngoal khoa (2019, 831 hocY khoa Pham Ngoc Thach, Thanh phé H6 Chi Minh, ibt Nar) ‘Thacst- Bac si #6 Hoang Phuong © Tet nghigp Béc sf (2001, Bal hoc Y Duge, Thanh phs H6 Chi ‘Minh, vit Nam) ‘= FFIbénh vign Saint Antoine, Bal hoc Pars VI, 2007 © Tétnghiép Thac s1Ykhoa (2008, Bal hocY Duge, Thanh phd H6 Chi Minh, Vigt Nam) © Giang vién Bai hoc Duge, Thanh phé H6 Chi Minh Viet ‘Nam (2002-2020) © Trung khoa Chin Godin Hinh anh - Bénh vign Cép ety Trung Vuong Thanh ph HS Chi Minh (2009-2015) © Phé Truéing khoa Chén dod Hinh anh -Bénh vien Bai hoc "YDugeThanh ph6 H6 Chi Minh - Co s82 (2017-2020) © Gldmm dé Trung tam Chin dod Hinh anh -Benh vign Tam ‘Anh Thanh phi H6 Chi Minh (2020), Nguyén Binh Thuong "© Sinh vign, Nien kha ¥ 2016-2022, Khoa , Bal hoc Quée gia Thanh pho Hé Chi Minh, Vigt Nam BécsiLé Minh Hing © Tét nghigp Béc sa khoa (2020, Bai hoc ¥ Duge, Thanh phd H6 ChiMinh, Vige Nam} Gido sut-Tién s1-Béc si Ding Van Phuée © Trung khoa Y, Bal hoc Quéc gia Thanh phé Hé Chi Minh, Vitam © Chiltich Hi dng Gido su NginhY © Chi tich Ho! Tim Mach Viet Nam BSc siLai Khanh Van © Tétnghigp Bac si Ba khoa (2016, Dai hoc khoa Pham. age Thach, Thanh ph Hé Chi Minh, Vigt Nar) © Tetnghigp Bac s NGI trd ngnh Sén phy khoa (2016-2019, Bai hoc ¥ Duc, Thanh phd H6 Chi Minh, vet Nam} © Tétnghiép Thac s'V hoc nganh Sn phy khoa (2017-2019, Bai hoc Dug Thanh phé H6 Chi Minh, Viet Nam) Ph6 Gio su-Tidn s'-Béc s'LAVan Quang * Giang vien Cao cép, be mén Ngos tng quit, Bai hoc Y Dug, Thanh phS HE Chi in, vigt Nam * Pho Trung khoa ¥, Bai hoc Quée gia Thanh ph6 H6 Chi Min, viet Nam © Nguyen Pho Ting khoaY, Bai hpcY Dug Than phé HG.Chi Min, Vie Nam ‘Thac si Bac si Nguyén Long-Quéc © Tét nghiep Béc sa khoa (2007, Bai hoc ¥ Duge Can Tha, viet Nam) © Thac STY Khoa Chuyén Khoa N6\Téng quét (2017, Bai hoc YDuge Cin Tha, Vidt Nam) © Chuyén Khoa Huyét hoc (2014, Centre Universitaire Hspltaler Vaudois- CHUY, theo chuong tinh FM, Thuy S Bac si Nguyén Hai Nam © Téinghiép Bac si 8a khoa (2012, Bai hec¥ Bulge, Thanh pph6 H6 Chi Minh, Vigt Narn) © Tetnghlp Bie siNOi wd BEnh vign Chuyén nganh Ngoai khoa (2016, Bai hoc ¥ Dugc, Thanh ph6 H6 Chi Minh, Vist Nam) "© Nghién cau sinh Tén sIY hoe, chuygn nganh Phu thugt Gan Nigt Tuy va Ghép Tang, Dai hoc Kyoto, Nhat Ban, BécstT Dong Kha © Tot nghip Bac st da khoa (2019, Khoa Y, Bal hoc Qué gia ‘Thanh phé H6 Chi Minh, Vigt Nam) © Chuyén vign phong Khoa hoc cong nghé va Quan he ‘que té, Khoa ¥, Bat hoc Qu aia Thanh phé H6 Chi Minh, vit Nam (2019 nay) © Bact, khoa Ngoai Chén hung chinh hinh, benh vign ‘Théng Nhat, anh phd Hé Chi Minh (2019 nay) (DRIG Tiep Dis MC, PRD: PACS: ASCAL * Assistant Professor at University of Medicine and Pharmacy of Ho Chi Minh City © President, Vietnam Society of Cardiovascular Intervention * Director, Cardiovascular Center, Thong Nhat Hospital, Ho Chi Minh City © Cardiac Interventionist at Emergent and Interventional Cardiology Department ‘ThacsI- Bac si Duong Cao TH © Tet nghip Béc "Ba khoa (2016, Khos Y, Dal hoc Quée gia ‘ThEnh phé H6 Chi Minh, Vigt Nar) Tat nghigp Thac s1V khoa (2019, Bai hocY Duge, Thanh phSH6 Chi Minh, Vigt Nar Bac siLe VOTAn © Tot nghiép Béc st Da khoa (2008, Bal hoc khoa Pham [Ngge Thach, Thanh phé Hé Chi Minh, Vigt Nam) “© Tet nghiep noi tr Ngoal Nigu, Bal hoc Y Dige, Thanh ph HO CChi Minh, Vigt Nam (2013) © Bac siciéu tr ta khoa Nam Hoc, Bénh vign Binh Din, “Thanh ph6 H6 Chi Minh, Vgt Nam (2013-2018) "© Tet nghisp fellowship chuyén nganh Nam Khos ti Dai hhoc ¥khoa Tulane, Lousiana, Hoa kj (gido suWayne Hellstrom (2018-2019) “© Bécs iu tr tal Khoa Nam Hoc, Benh vign Binh Dan, “Thanh ph H6 Chi Min, Vigt Nam (2019) HUGNG DAN KHAM LAM SANGVA HOI BENH SU BATES XIInhém sdch y hee pat Nguyén Thi Huynh Nhu © Sinh vién, Nitn khod Y 2015-2021, Khoa ¥, Bal hoc Qué Gla Thanh pt6 H Chi Minh, Vigt Nam Giso su-Tién si-BSe si Nguyén Thi Ngoc Phugng © T6tnghigp Ykhoa Bal hocY Khoa Sai Gon (1970) © Tt nghibp sau Dai hoc vé San Phy khnoa Saigon University, Grorgla Univesity 1971-1974) © Gldm déc Benh vign Tu Du (01/01/1990-25/11/2005) © Chi nhigm Bd mdn Sin. Bal hoc Y Duge. Thanh phé H6 CChi Minh, Viet Nam (1990-2006) © Chi nhigm 83 mén Sc kho# Phu ni 1993-2007, © Professeur Associé de [Université de Nice Sophia Antipolis (depuis 199) © Ph6 Chiitich H6i Phy Sn Vigt Nam (es 1995) Phan Héo Quynh © Sink vién, Nitn khéa ¥ 2019-2024, University of California, Fiverside - School of Medicine Bac si Nguyén Minh Ding © T6inghitp Bic s1 Ba khoa (2017, Khoa Y, Bai hge Quéc gia ‘Thanh ph6 K6 Chr Minh, Vet Nam) © Chuang tinh husn luyén phBu thugt cn thueng chiah hinh 2018-2020 Bac si Nguyén Van Quang NO td ede BEnh vign Sai Gon (1968) © Tunghigp te Phap vé chinh hinh (1990), ti Thuy Sivé két hop xutong AO (1994) va Hoa Kj véY Hoc ThE Thao (1996) © Thy thude ws ws (2001) “© Nguyén Trung khoa Chi dud Trung tim Cha Thuang Chin Hinh,“hanh ph6 H6 Chi Minh (1985-2005) © Nguyén Cha Nhigm b6 mén¥ Hoc Thé Thao, Bal hoc koa Pham Nage Thach, Thanh phé H6 Chi Minn, Viet Nam (1998-2017, © Nguyén Phé Cha tch Hi Chan Thuong Chinh Hin - “Thanh ph HE Chi Minh "© Chittich hor Hye Thé Thao Thanh pho H6 Chi Minh Bact Phiing Trung Hing * Chuyén knoe NEI Thin Knh va Duge I hoe ‘Thac si Bac si Hé Quang Minh Phic ' Tétnghigp Bic s Da khoa (2016, Khoa Y; Bal hoc Quéc gla Thanh phé H6 Chi Minh Viet Nam) ‘© T6tnghigp Thac si Nhi Khoa (2019, Bai hee Duge, Thanh ph6H8 Chi Minh, Vidt Nam) "© Gidng vien 65 mén Nhi, Khoa ¥, Bal hge Qué gia Thanh PhSH6 Chi Minh, Viet Nam (2019), XIV. HUONG DAN KHAM LAM SANG VA HOI BENH SU BATES Phé Gio su-Tidn st- Bac I Nguyén Anh Tus ‘= Tet nghigp Bac si (1986, Bai hoc Dug Thanh phé H6 Chi ‘Minh viet Ram) '* Tétnghiép Noite Nhi (2000, 891 hocY Due, Thanh phé H6 Chi Minh, Vigt Nam) ‘= Thac s1Y Khoa (2005, Bai hoc Tokyo, Nhat Bin} '» Tién sIY Khoa (2008, Bai hoe Tokyo, Nhdt Bin) ‘= Ph6 Giso su (2015, Bal hae ¥ Duge, Thanh phé HS Ch Minh Vigt Nam) '» Bécstchuyén khoa Nhl (Bénh vidn Ni-®4ng 1, ThEnh phS H8 Chi Minh, Vigt Nam) Bae siL8 KhdcTién "Tet nghiép Bac si Ba khoa (2017, Khoa , Bal hoc Quéc la ‘Thanh ph6 H6 Chi Minh, igt Nam) ‘= Bécs Sin phy khoa -Bénh vién Da khoa My Bde "© Chung chi Hé tro sinh sin -Vign Ba0 t20¥ coe An Sin Prof. Tran Thj Loi, MD. PhD "> Head of 08/GYN Department Vietnam National University, Ho Chi Minh City, Vietnam Nguyén Thi Phuang Sin vién, Nien khéa ¥ 2016-2022, Bal hoc Y Duge, Thanh [phé H6 Chi Minh, Vigt Nam Gléo su-Tién sf- Bac si Nguyn Bite Cong ‘Tot nghigp Bac si (Hoc vign Quan y, Vigt Nam, 1982) ‘Thy tap sinh Not khnos tal Bal hoc khos Oe, Nhat Ban (1993-1995), “Tién s'¥khoa nm (Bai hoc kha Oita Nhat Ban, 1999), ‘Ph Gido st (Hoc vin Qusn¥, 2008) * Gido su2015 (Bai hoc ¥ Dug, Thanh phd HS Chi Minh; Dal hhocy khoa Pham Ngoc Thach, Bai hoc Quée ola Thanh ph6 Hé chy Minh) ‘+ Chi nig B@ mn Léo khoa, Bat hoe Y khea Pham Ngoe “Tach, Thanh phSHé Chi Min, Vigt Nam ‘= Phé Cha nhigm B6 mén Léo Khoa, Bai hoc ¥ Due. Thanh bh6 Hé Chi tinh Vie Nam ‘© Pho Chit ahigm 86 mén Néi, Khoa, Bai hoc Quéc gla “Thanh ph6 H6 Chi Minh, Vigt Nam ‘Pho Chitch Hoi Lao khoa, H6i NOI Khoa Vigt Nam ‘= Phé Chattch HOITim mach -Thanh phé HOChi Minh Nguyen Glam dé Bénh vign Théng Nhat, nguyen Chuyén vin Tim Hach 86 Quéc phongnhém sdch y hee pat FACULTY REVIEWERS J.D. Bartleson Jt MD ‘Amit Garg, MD, FAAD Associate Professor of Neurology ‘Associate Professor and Founding Chair Mayo Clinic Department of Dermatology Rochester, Minnesota Hotstra Northwell School of Medicine Northwell Health John D. Bartlett, MD Manhasset, New York Assistant Clinical Professor of Ophthalmology Jiles Stein Eye Insitute Catherine F. Gracey, MD David Geffen School of Medicine Associate Professor Los Angeles, California Department of Medicine School of Medicine andl Dentistry ‘Amy E. Blatt, MD. University of Rochester Medical Center Assistant Professor Rochester, New York Department of Medicine School of Medicine and Dentistry Carla Herman, MD, MPH University of Rochester Medical Center Chief Rochester, New York Division of Geriatrics and Paliative Medicine Professor ‘eam(brediey; MD) Department of internal Medicine Associate Professor School of Medicine Medical Director, Geriatric Psychiatry Services Department of Pychiatry and Behavioral Sciences School of Medicine University of New Mexico Psychlattc Center 4& Sandoval Regional Medical Center University of New Mexico ‘Albuquerque, New Mexico Mark Landig, OD Division of Cataract & Refractive Surgery AIRGRER sNews Jules Stein Eye institute David Getfen School of Medi ‘Thomas M. Carroll, MD, PhD peep eet erate Assistant Professor alco Department of Medicine and Palliative Care School of Medicine and Dentistry picscldatvans ania PGYS Resident in Urology School of Medicine and Dentistry University of Rochester Medical Center University of Rochester Medical Center Rochester, New York Adam J. Doyle, MD Rochester New York Assistant Professor Department of Surgery Patrick McCleskey, MD Schoo! of Medicine and Dentistry Dermatologist Kaiser Permanente Oakland Medical Conter ‘skland, California University of Rochester Medical Center Rochester, New York HUGNG DAN KHAM LAM SANG VA HOI BENHSU BATES XVnhém sdch y hee pat Jeanne H.S. O'Brien, MD. Associate Professer Department of Urology School of Medicine and Dentistry University of Rochester Medical Center Rochester, New York Alec B. O'Connor, MD, MPH Ditecto,Intarnal Medicine Residency Associate Professor Department of Medicine School of Medicine and Dentistry University of Rochester Medical Center Rochester, New York A. Andrew Rudmann, MD Associate Professor Department of Medicine ‘School of Medicine and Dentistry University of Rochester Medical Center Rochester, New York Moira A. Szilagyi, MD, PhD Professor af Pediaties University of Califenia at Los Angeles (UCLA) Los Angeles, California Loralei Lacina Thornburg, MD Associate Professor Department of Obstetrics and Gynecology ‘School of Medicine and Dentistry University of Rochester Medical Center Rochester, New York XVI__-HUGNG DAN KHAM LAM SANG VA HO1 BENH SU BATES Scott A. Vogelgesang, MD Director, Division of Immunology Clinical Professor Department of internal Medicine-mmunology University of lowa Carver College of Medicine owe Cy, lowa Brian P. Watkins, MD, MS, FACS Partner Genesee Surgical Associates Rochester, New York Paula Zozzaro-Smith, DO Fellow of Maternal-etal Medicine Department of Obstetrics and Gynecology University of Rochester Medical Center Rochester, New York ‘STUDENT REVIEWERS ‘Ayala Danzig University of Rochester School of Medicine and Dertisty Benjamin Edmonds University of Central Florida College of Medicine Nicholas PN Goldstein University of Rochester School of Medicine and Dentistrynhém sdch y hee pat mz. HUONG DAN SU DUNG SACH Huéng dan Kham lam sang va héi bénh sii BATES An ban lin thé mui hai ela séch Hueéng dn Khém dm sang vd hét bénh sit BATES 18 hug dn toan, ign gidip ban thyc hanh mot céch e6 higu qua ky nang phéng van site kde va tham kham lam sng, Phin nay cia séch gi6i thigu cdc hinh anh vv cong eu hoc tap gidp thyc hanh tot dn gié sire khde, thm Ichdm theo ving va lam vige vi nhGing bénh nhan dc biet. Bat dau mdi chwong, ban sé thay danh sich céc ngudn tham khao khac bé sung cho cuén séch thém day dui, muc dich git ban cing cb ‘ign thée va ty tin thyc hanh ky nang thm khaim va hoi bénh sik, Sach Hweéng déin Khdm lam sang va hi bénh ste BATES phat hanh, kém theo hon 8 gli hoc trong ede ndi dung video va céc ky thuat tham kivim lam sang theo hé co quan (systemsbased) hay theo ving tir dau téi chin (head-to-toe). Sit ‘dung chting kém véi cudn sch nay 1a :métgiai phap hoc tp toan dién gidp ban sn sang di dign voi hoi ding cham thi ciing nhl bénh nan, Gid tri [am sang - MGI! Hay chfc chan ring ban sé tap trung vao nlting, ‘gid tri lam sang duge in mau xanh dong. Phan nay cung cp cdc nhan xét c6 gia tr] trén lam sang hd trg ban trong viéc hiu céc kj thuat thaim khdm. HUONG DAN KHAMLAM SANGVAHONBENH SU BATES XVInhém sdch y hee pat Vi du vé cae bat thudng ae sess M@t in nita, séch Haring dén Khdm lém sing va hoi SiMe ae SSS bénh sik BATES teinh bay 2 cOt dé dé theo doi voi sore rseaceneee ee eae cée Kj thudtthim kham timg buée 6 cot trai va cine Sees ‘hing bat tring cfing nhur chin don phan bigt BiStesome nee vowsmt See eae 6 ct pha, Khi cdc KV nang ca ban phat triém. ‘them, vigc hocnhiéu vi dy bat thurdmg khée nhau eda mot két qué tham khm trong cOt Vi du v8 ofc bat thudng mau dé giip tang 46 higu su cdc inh trang bénh ly trn lam sang. ‘Bé luy@n tap thém tinh nhay bén lam sang, ban cin xem phn cud mbi chuong Béng ve ede bét thuéng cho phép ban so sénh eéc tinh ‘trang bénh ly khéc nhau trén lam sang dug ‘trinh bay bang bang mét céch thud tign, HUONS DAN KHAM LAM SANG VA HO BENH SUT BATES xvnhém sdch y hee pat ok Cae Kj thuat tham kham Phin Ciéc ky thud thm khém ta ché ban c6 thé hoc duge nhiéu ky easnitnncisan nding tham khém can ros thiét va quan trong ma ban van Iuén thire han hing ngay. Phan bé sung Céc Ay thud lic bigt cung cp cic ‘ky thut thaim khan cho mhiing bénh ly it phé bién hon va nhéing hhoan anh de bigt. Phan mé ta gdm céc hin anh, hin vé va nhimg bigu dd day a0 mau séc, chi tigt; mét s6 dugc tao méi hode durge trich dan ‘tiengudn khée nhm muc dich mé td them cho cée ‘n6i dung quan trong da duge trinh bay. Dibu nay Jam tang kha ndng hoc higu cia ban do théng tin durgc trinh bay thuc té va chinh xac hom. Va mdi hinh du duoc keene anh s6 va mot m6 td ken theo gitip d& higu va d& ‘tim kiém hon, HUGNG DAN KHAM LAM SANG VA HOI BENH SU BATES XIXnhém sdch y hee pat mz. Ghi nhan két qua ‘M@t bénh n lm sang t6t phai trinh bay r rang che thong tin lam sing quan trong cing nh phan I lugn va lén ké hoach digu tri cia ban. Ban s€ hoc durgc kf nang nay va céc tir vung ‘gid m6 ta két qua tham khdm & phn Ghi nhgn ‘két qué thim khém eta mi chuong, ‘en ann Tai ligu tham khao arecmanot at ‘autumn Kem Tar ligu tham Kido @B1aM —— motes te sdu thém kign thite cia ban. Thoi + Suen erntenanso quen tham khdo y vin sé mang » Team cae Iailgifch cho ban cing nh bgnh =| nhdn trong sudt qué trinh hanh : oy nghé ciiaminh, = * eee a XX HUONG DAN KHAM LAM SANGVA HOI BENH SU BATESTuydn B6 Midn THU Tech Whig v, Preface To The Firs Vietnamese Edition va Acknowledgments % LOENSI DAU LOITH An x anh Sach Dich Gié Theo ThuTy Cée Chutong Sch x Faculty Reviewers xv Hung Dan St’ Dung Sach » HuGing din Khém Lim Sing Va Hai Bénh Si BATES: (iguyén Huynh Kim Ngan -Nuyn An Binh) xv CHU BE 1 NHONG NEN TANG BE BANH GIA SOC KHOE 1 Chong 1: unGhe CO Sd DE DANH Gi Lim SANG HIEU QUA 3 (Nguyén Thanh Cong - Nguyén Quan-Vinh) ‘DANH GIA GENH NHAN: TOAN DIEN VA KHUTRO 5 Xéc inh pham vi nh ois 5 Thing tin hdc quan hay chi quan 6 BENH SU NGUOI LON TOAN DIEN 7 Banh srnguel lan totn dién- Gi eh eh tt bos ® HAM BENHTOAN DIEN 4 Trad ki khdm ben: chun bl phngkhém va dngcs 14 Kam beh" dul chin? 21 BIEN LUAN LAM SANG, DANH GIA VALEN KEHOACHDIEUTR! 24 Bin adn lim sing va dan gis 25 Ding ce qu inh chung len Kéhowch du t 2» VI.DY MOT BENH AN LAM SANG CHAT LUGNG TOT: BENH NHAN 2» ‘Tam quan trong cilia vige vidt ra danh séch céc vain dé 37 GHINHAN KET QUA 38 ‘Tailigu tham khao a nhém sdch y hee pat mz. NOI DUNG Chugng 2 LUUNG Gti BANG CHONG Lim SANE 45 {Nguyén Thanh Cong - Nguyén Van Tun) HO1BENH SUVA KHAM LAM SANG NHU MOT TEST CHAN DOAN 46 LUONG GIA CACTEST CHAN DOAN a Glee a Tin higu qua 53 NANG CAO SUCKHOE 55 ANH GIAY VAN 58 Hiuv8 cS sai lich 56 Kétqua 37 kd ndng dng dung rong ra 59 Kkhuyén cdo 59 CAC CHUONG KETIEP so Tail tham khdo 64 Chutong 3: PHONG VEN VA KHAI THAC BENH SU (#01 BENH) 65 {Nouyén Binh Thang - Mal an Higu-Nguyén Bin Van} ‘CACLOAI BENH SU KHAC NHAU 7 NHONG NEN TANG CUA PHONG VAN BENH SU CHUVEN NGHIEP cy TIENTRINH VA NOI DUNG CUA CUOCPHONGVAN 73 Chun bj ” “Tién tnhvedacuge phéng vn 75 Noi dung vin hos ei cue phng vm 2 PHONG VANNANG CAO 86 ‘Thach thuckhl phéng vén nguel bah 85 Chis@& nhay chm © 93 BUC VATINH CHUYEN NGHIEP 100 Tail tham kno 108, HUONG DIN KHAMLAMSANGVAHOIEENHSU BATES XI