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

:



1.

2.


1
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3.

4.

5.

6.


7.

8.

9.



10.

11.

//

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 ..
2554
12.

.. 2554
13.

.. 2554
14.

.. 2554
15.

.. 2554

3
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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.
4

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2.2.

2.3.

2.4.

3.

4.

.. 2554

5.


.. 2554

6. /

.. 2554

7.

7.1.

..2554 3

5
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 3.4 1
)
7.1.1. Advanced cardio-pulmonary resuscitation
7.1.2. Aerosol bronchodilator therapy
7.1.3. Arterial puncture
7.1.4. Aspiration of skin subcutaneous tissue
and bursa (elbow and ankle)
7.1.5. Blood and blood component transfusion
7.1.6. Breathing exercise
7.1.7. Endotracheal intubation
7.1.8. Gastric irrigation
7.1.9. Injection: intradermal subcutaneous
intramuscular intravenous
7.1.10.
Intravenous fluid infusion
7.1.11.
Joint aspiration knee
7.1.12.
Lumbar puncture
7.1.13.
Measurement of central venous
pressure
7.1.14.
Nasogastric intubation
7.1.15.
Oxygen therapy
7.1.16.
Postural drainage
7.1.17.
Urethral catheterization
7.1.18.
Venesection
7.2. (

..2554
3
3.4 2

)
7.2.1. Abdominal paracentesis
7.2.2. Basic mechanical ventilation
7.2.3. Pleural paracentesis
6

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7.2.4. Bone marrow aspiration

7.2.5. Joint aspiration not knee joint
7.3. / (

..2554
4

3.4 3
)
7.3.1. Peritoneal dialysis
7.3.2. Pleural biopsy
8.

(Attitude)

1.







2.


7
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3.

SDL
-

- Teaching round

- Service round

- OPD med

- Word work

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2558

, OPD -
,

2 3
round ward

Progression note

,

CBC, urinanalysis, sputum exam

(progression note )

9
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Progression note

progression note

progression note

10

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10.00 12.00 .


-

-

OPD card
()

(
)
11
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-
-
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 signs
2. General appearance
3. Skin
4. Head-Eye-Ear-Nose-Throat (HEENT)
5. Neck
6. Breast ()
7. Cardiovascular system
8. Respiratory system
9. Alimentary system
10.
Genitourinary system
11.
Nervous system
12.
Musculoskeletal system
13.
Lymphatic system
-
- (Problem list)
- (Provisional
diagnosis) (Differential
diagnosis)
12

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- (Discussion)

- (Plan of management)
, ,
-

positive negative findings

13
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 ICD10
DRG

**
(ICD-10)**
(Main condition)
1.

2. 1


3.

(Co-morbidity)

(Complication)

1
(Other diseases)

14

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 (Operation) :

ICD-9 CM
(Discharge status)
(Complete recovery), (Improved),
(Not improved) (Dead)

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

15
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80


1.

50 %

1.1.

20%

1.2.

Round ward

20%

1.3.

Progression note

10%

2.
3.
3.1. Long case examination

16

20%
30%
30%

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