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Diagnostics-PMPH-10edition

作者 xllstudio · GitHub ↗ · v1.0.0 · MIT-0
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功能描述
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。
使用说明 (SKILL.md)

\r \r

诊断医学技能集合 — Diagnostic Medicine PMPH 10th Edition\r

\r 基于人民卫生出版社《诊断学》第 10 版的 183 项临床诊断技能。\r \r

技能注册表\r

\r | No. | Skill | Description |\r |-----|-------|-------------|\r | 1 | abdominal-mass-differential-diagnosis | 腹部肿块七要素鉴别诊断 |\r | 2 | abdominal-mass-differential-diagnosis-2 | 腹部肿块来源与性质评估 |\r | 3 | abdominal-pain-mechanism-classification | 腹痛发生机制分类 |\r | 4 | abdominal-paracentesis-procedure-and-safety | 腹腔穿刺术操作规范与安全限制 |\r | 5 | abdominal-tenderness-point-assessment | 腹部压痛点定位与临床意义判断 |\r | 6 | abdominal-wall-vein-blood-flow-direction-examination | 腹壁静脉曲张血流方向检查法 |\r | 7 | abnormal-respiratory-sounds-classification-and-etiology | 异常呼吸音的分类与病因判断 |\r | 8 | abo-blood-typing-and-crossmatch | ABO血型鉴定与交叉配血操作规范 |\r | 9 | aca-clinical-interpretation | 抗心磷脂抗体(ACA)临床判读 |\r | 10 | access-new-form-textbook-digital-resources | 获取新形态教材配套数字资源 |\r | 11 | acute-appendicitis-diagnosis-logic | 急性阑尾炎的典型症状与体征诊断逻辑 |\r | 12 | acute-myocardial-infarction-ecg-staging | 急性心肌梗死心电图三阶段特征识别 |\r | 13 | afp-afp-l3-hepatocellular-carcinoma-diagnosis | AFP与AFP-L3联合判读用于肝癌诊断 |\r | 14 | alp-based-jaundice-differential-diagnosis | 基于ALP的黄疸鉴别诊断 |\r | 15 | alveolar-ventilation-calculation | 肺泡通气量计算 |\r | 16 | anemia-diagnosis-and-grading | 贫血的诊断标准与分级 |\r | 17 | anorectal-examination-positioning | 肛门与直肠检查的体位选择 |\r | 18 | apoai-apob-ratio-coronary-risk-assessment | apoAI/apoB比值与冠心病风险评估 |\r | 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 |\r | 20 | atrial-fibrillation-auscultation-diagnosis | 心房颤动的听诊诊断标准 |\r | 21 | axillary-lymph-node-tenderness-evaluation | 腋窝淋巴结压痛评估 |\r | 22 | bacterial-antibiotic-resistance-mechanisms | 细菌耐药机制分类与作用原理 |\r | 23 | bacterial-antimicrobial-resistance-mechanisms-and-clinical-response | 细菌耐药性机制与临床应对 |\r | 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 |\r | 25 | bian-xue-ban-sui-zheng-zhuang-jian-bie-zhen-duan | 便血伴随症状的鉴别诊断 |\r | 26 | bilirubin-metabolism-and-jaundice-classification | 胆红素代谢与黄疸双重分类法 |\r | 27 | bing-cheng-ji-lu-pin-ci-yu-nei-rong | 病程记录频次与内容 |\r | 28 | bladder-percussion-differential-diagnosis | 膀胱叩诊鉴别诊断法 |\r | 29 | blood-ammonia-testing-for-hepatic-encephalopathy-diagnosis | 血氨检测在肝性脑病诊断中的应用 |\r | 30 | blood-specimen-collection-and-handling | 血液标本采集与处理规范 |\r | 31 | bone-marrow-iron-staining-interpretation-for-anemia | 骨髓铁染色在贫血诊断中的判读 |\r | 32 | bronchodilator-reversibility-test-interpretation | 支气管舒张试验阳性判断标准 |\r | 33 | bronchoscopy-preoperative-preparation-and-anesthesia | 支气管镜检查术前准备与麻醉规范 |\r | 34 | ch50-complement-assay-interpretation | CH50补体检测结果解读 |\r | 35 | chest-abnormal-percussion-sound-interpretation | 胸部异常叩诊音的识别与临床意义 |\r | 36 | clinical-bacterial-antimicrobial-susceptibility-testing | 临床细菌药敏试验方法与判读 |\r | 37 | clinical-consultation-medical-ethics | 问诊中的基本医德要求 |\r | 38 | clinical-diagnostic-four-step-method | 临床诊断四步法 |\r | 39 | clinical-diagnostic-reasoning-principles | 临床诊断思维原则 |\r | 40 | clinical-hypothetico-deductive-reasoning | 临床假设演绎推理 |\r | 41 | clinical-immunophenotyping-by-flow-cytometry | 流式细胞术免疫表型分析 |\r | 42 | clinical-interview-and-communication | 临床问诊与医患沟通技巧 |\r | 43 | clinical-laboratory-quality-assurance-system | 临床实验室质量保证体系 |\r | 44 | clinical-reasoning-core-elements | 临床思维两大核心要素应用 |\r | 45 | comprehensive-physical-examination-protocol | 全身体格检查基本流程与原则 |\r | 46 | congenital-non-hemolytic-jaundice-syndromes-differentiation | 先天性非溶血性黄疸综合征鉴别 |\r | 47 | csf-color-and-hemorrhage-differentiation | 脑脊液颜色分析与出血性质鉴别 |\r | 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 |\r | 49 | daoniao-shu-caozuo-qian-zhunbei | 导尿术操作前准备 |\r | 50 | depression-core-symptoms-identification | 抑郁核心症状识别框架 |\r | 51 | diagnostic-medicine-core-framework | 诊断学核心框架与学习方法 |\r | 52 | diagnostic-textbook-revision-guidelines | 诊断学教材修订核心指导原则 |\r | 53 | diagnostics-10th-edition-revision-guide | 诊断学第10版修订指南 |\r | 54 | diarrhea-pathophysiological-classification | 腹泻的病理生理机制分类 |\r | 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 |\r | 56 | drug-induced-edema-classification-and-management | 药物性水肿分类与处理 |\r | 57 | dynamic-ecg-lead-selection | 动态心电图导联系统选择 |\r | 58 | early-hepatic-injury-detection-via-coagulation-factors | 凝血因子检测早期肝损伤 |\r | 59 | ectopic-tachycardia-classification | 异位性心动过速分类与特征识别 |\r | 60 | electronic-medical-record-permission-and-archiving | 电子病历权限管理与归档 |\r | 61 | endocrine-metabolic-edema-differentiation | 内分泌代谢性水肿鉴别 |\r | 62 | er-jian-ban-xia-zhai-bing-cheng-fen-qi | 二尖瓣狭窄病程分期评估 |\r | 63 | fecal-microscopy-reference-interval-interpretation | 粪便显微镜检查参考区间判定 |\r | 64 | fibrinolysis-interpretation-fdps-d-dimer | 纤溶亢进的FDPs与D-二聚体联合判读 |\r | 65 | first-heart-sound-intensity-analysis | 第一心音强度变化分析 |\r | 66 | fobt-clinical-application-and-interpretation | 粪便隐血试验(FOBT)临床应用与解读 |\r | 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 |\r | 68 | gallop-rhythm-classification-and-clinical-interpretation | 奔马律的分类、机制与临床意义 |\r | 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 |\r | 70 | hba1c-ga-clinical-application-comparison | HbA1c与GA临床应用对比 |\r | 71 | hbv-dna-clinical-interpretation | HBV-DNA临床解读 |\r | 72 | hcv-serological-marker-dynamic-interpretation | HCV血清学标志物动态解读 |\r | 73 | helicobacter-pylori-diagnosis-strategy | 幽门螺杆菌感染的诊断策略 |\r | 74 | hematopoietic-cell-morphological-development-patterns | 血细胞发育过程中形态演变的一般规律 |\r | 75 | heparin-anticoagulation-laboratory-monitoring | 肝素抗凝治疗的实验室监测 |\r | 76 | hyperkalemia-ecg-interpretation | 高血钾心电图演变规律与诊断阈值应用 |\r | 77 | interpret-serum-immunoglobulin-levels | 血清免疫球蛋白定量结果解读 |\r | 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 |\r | 79 | kang-ccp-kang-ti-lin-chuang-pan-du | 抗CCP抗体临床判读 |\r | 80 | knee-valgus-varus-clinical-identification | 膝外翻与膝内翻的临床识别 |\r | 81 | kuai-su-gan-huo-jian-chuan-ci-cao-zuo | 快速肝活检穿刺操作 |\r | 82 | laboratory-result-interpretation-three-tier-system | 实验诊断结果判定的三级标准体系 |\r | 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 |\r | 84 | leukemoid-reaction-classification-and-diagnosis | 类白血病反应的分类与诊断 |\r | 85 | lipoprotein-a-atherosclerosis-risk-assessment | 脂蛋白(a)与动脉粥样硬化风险评估 |\r | 86 | liver-biopsy-indications-and-contraindications | 肝脏穿刺活检术的适应证与禁忌证判断 |\r | 87 | liver-function-test-selection-principles | 肝脏功能检测项目选择原则 |\r | 88 | lumbar-puncture-contraindications-and-procedure | 腰椎穿刺术禁忌证与关键操作规范 |\r | 89 | luo-yin-auscultation-analysis | 啰音听诊分析 |\r | 90 | lymph-node-aspiration-procedure | 淋巴结穿刺术操作流程 |\r | 91 | malnutrition-related-edema-diagnosis | 营养不良性水肿诊断 |\r | 92 | mcv-rdw-anemia-classification | 基于MCV和RDW的贫血形态学分类法 |\r | 93 | medical-record-timing-compliance | 病历书写时限合规性 |\r | 94 | microcytic-hypochromic-anemia-lab-differential-diagnosis | 小细胞低色素性贫血的实验室鉴别诊断 |\r | 95 | mitral-stenosis-grading | 二尖瓣狭窄分度评估 |\r | 96 | mpo-staining-interpretation-for-leukemia-classification | MPO染色判读用于急性白血病分型 |\r | 97 | murphy-sign-examination | Murphy征检查法 |\r | 98 | muscle-strength-grading-and-paralysis-classification | 肌力六级分级与瘫痪类型判断 |\r | 99 | mycoplasma-infection-laboratory-diagnosis | 支原体感染的实验室诊断 |\r | 100 | myocardial-infarction-localization-and-culprit-artery-identification | 心肌梗死定位诊断与相关血管判断 |\r | 101 | myocardial-ischemia-st-t-ecg-analysis | 心肌缺血的ST-T心电图改变分析 |\r | 102 | neutrophil-nuclear-shift-assessment | 中性粒细胞核左移与核右移判定 |\r | 103 | nk-cell-activity-reference-and-clinical-interpretation | NK细胞活性参考区间及临床意义解读 |\r | 104 | obesity-assessment-standards | 肥胖的测量标准与分级 |\r | 105 | oliguria-anuria-etiology-differentiation | 少尿与无尿的三类病因鉴别框架 |\r | 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 |\r | 107 | papilledema-measurement-and-clinical-interpretation | 视盘水肿的测量与临床意义 |\r | 108 | physical-examination-techniques | 体格检查标准化操作流程 |\r | 109 | pi-zhi-fu-he-gan-jue-jian-cha | 皮质复合感觉检查 |\r | 110 | pnh-flow-cytometry-diagnosis | PNH流式细胞术诊断 |\r | 111 | ppd-skin-test-interpretation | PPD皮肤试验判读 |\r | 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 |\r | 113 | pt-aptt-combined-interpretation-for-coagulation-defects | PT与APTT联合判读二期止血缺陷 |\r | 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 |\r | 115 | renal-palpation-and-abnormality-assessment | 肾脏触诊与异常判断 |\r | 116 | respiratory-specimen-collection-and-quality-control | 呼吸道标本采集与质量控制 |\r | 117 | reticulocyte-production-index-calculation | 网织红细胞生成指数(RPI)计算与临床解读 |\r | 118 | rh-blood-group-antigen-antibody-analysis | Rh血型系统抗原抗体特性与临床分类 |\r | 119 | rh-blood-incompatibility-hemolysis-management | Rh血型不合所致溶血反应机制与临床应对 |\r | 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 |\r | 121 | s2-split-type-differentiation | S₂心音分裂类型鉴别 |\r | 122 | san-duan-niao-shi-yan-xue-niao-ding-wei | 三段尿试验血尿定位诊断 |\r | 123 | semen-liquefaction-abnormality-diagnosis | 精液液化时间异常判读与病因关联 |\r | 124 | semen-sample-abstinence-protocol | 精液标本采集前禁欲时间规范 |\r | 125 | semen-specimen-integrity-and-transport-protocol | 精液标本完整性与送检规范 |\r | 126 | serum-ascites-albumin-gradient-calculation | 腹腔积液白蛋白梯度(SAAG)计算与解读 |\r | 127 | serum-pleural-fluid-albumin-gradient-analysis | 血清-胸腔积液白蛋白梯度分析 |\r | 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 |\r | 129 | serum-total-bilirubin-jaundice-assessment | 血清总胆红素黄疸分级与病因推断 |\r | 130 | serum-transferrin-saturation-clinical-interpretation | 血清转铁蛋白饱和度临床判读 |\r | 131 | shao-xin-yu-fan-liu-bing-li-sheng-li-fen-xi | 烧心与反流病理生理分析 |\r | 132 | special-population-physical-examination-adaptation | 特殊人群体格检查的灵活调整策略 |\r | 133 | specific-detection-of-key-drug-resistant-pathogens | 特定重要耐药菌的特异性检测方法 |\r | 134 | spinal-curvature-evaluation | 脊柱生理性弯曲与病理性变形识别 |\r | 135 | spinal-range-of-motion-assessment | 脊柱活动度检查标准流程与参考值 |\r | 136 | spinal-tenderness-and-percussion-pain-examination | 脊柱压痛与叩击痛检查 |\r | 137 | structured-clinical-history-taking | 结构化临床病史采集 |\r | 138 | symptom-based-differential-diagnosis | 基于症状的鉴别诊断框架 |\r | 139 | syphilis-serological-testing-classification-and-application | 梅毒血清学检测分类与应用 |\r | 140 | systemic-disease-retinal-signs-identification | 全身性疾病眼底体征识别 |\r | 141 | t-lymphocyte-transformation-and-stimulation-index-interpretation | T淋巴细胞转化率与刺激指数判读 |\r | 142 | tai-duan-niuzhuan-xingshi-su-zhenduan | 尖端扭转型室速(TDP)诊断与病因识别 |\r | 143 | thoracentesis-complication-management | 胸膜腔穿刺术并发症识别与处理 |\r | 144 | thoracentesis-indications-and-contraindications | 胸膜腔穿刺术的适应证与禁忌证判断 |\r | 145 | thoracentesis-standard-procedure | 胸膜腔穿刺术标准操作流程 |\r | 146 | thyroid-disease-differential-diagnosis | 甲状腺疾病鉴别诊断 |\r | 147 | thyroid-function-interpretation-ft4-tt4 | 甲状腺功能评估中FT₄与TT₄的临床解读 |\r | 148 | urine-color-abnormality-differential-diagnosis | 尿液颜色异常的鉴别诊断 |\r | 149 | urine-microscopy-reference-interval-interpretation | 尿液显微镜检查参考区间判定 |\r | 150 | urine-red-blood-cell-morphology-classification | 尿液红细胞形态分类与临床意义解析 |\r | 151 | urine-specimen-preservation-methods | 尿液标本保存方法与防腐剂选用规范 |\r | 152 | urine-specimen-selection | 尿液标本类型选择 |\r | 153 | vaginal-cleanliness-grading-interpretation | 阴道清洁度分级解读 |\r | 154 | ventilatory-reserve-percentage-calculation-and-interpretation | 通气储备百分比计算与解读 |\r | 155 | verify-diagnostics-textbook-edition | 诊断学第10版教材版本验证 |\r | 156 | vertigo-classification-and-etiology-assessment | 眩晕分类与病因评估 |\r | 157 | vomitus-analysis-for-obstruction-localization | 呕吐物性质对消化道梗阻定位的诊断价值 |\r | 158 | vwd-subtype-diagnosis-by-lab-ratios | vWD分型诊断的实验室比值判读 |\r | 159 | weil-felix-reaction-diagnostic-logic | 肥达反应的诊断逻辑 |\r | 160 | wide-qrs-tachycardia-differential-diagnosis | 宽QRS波心动过速鉴别诊断 |\r | 161 | xin-ji-bing-yin-yu-fa-sheng-ji-zhi-fen-lei | 心悸的病因与发生机制分类 |\r | 162 | ymdd-variant-analysis-for-hbv-drug-resistance | YMDD变异与HBV耐药性关系分析 |\r | 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 |\r | 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 |\r | 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 |\r | 166 | 嗅神经功能检查 | 嗅神经功能检查 |\r | 167 | 心脏杂音听诊分析 | 心脏杂音听诊分析 |\r | 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 |\r | 169 | 术后首次病程记录书写 | 术后首次病程记录书写 |\r | 170 | 溶血性贫血筛查指标评估 | 溶血性贫血筛查指标评估 |\r | 171 | 皮肤弹性检查与临床评估 | 皮肤弹性检查与临床评估 |\r | 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 |\r | 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 |\r | 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 |\r | 175 | 肋脊角叩击痛检查 | 肋脊角叩击痛检查 |\r | 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 |\r | 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 |\r | 178 | 胃镜检查前准备规范 | 胃镜检查前准备规范 |\r | 179 | 腹腔积液叩诊检测 | 腹腔积液叩诊检测 |\r | 180 | 营养不良与营养过度诊断 | 营养不良与营养过度诊断 |\r | 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 |\r | 182 | 运动负荷试验阳性判断 | 运动负荷试验阳性判断 |\r | 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 |\r

安全使用建议
Review this skill before enabling it broadly. It is best treated as a clinician-supervised education/reference collection, not a patient self-care tool or autonomous clinical decision system. Pay particular attention to subskills covering invasive procedures, sedatives/anesthesia, anticoagulation, emergency ECG or kidney-failure handling, and tuberculosis interpretation; require qualified clinician oversight, current local guidelines, and clear escalation rules before use.
能力评估
Purpose & Capability
The stated purpose is a diagnostics textbook skill set, and the medical content is broadly coherent with that purpose, but the artifacts include operational invasive procedures, sedation/anesthesia, anticoagulation adjustment, emergency triage, and treatment-direction content that can affect patient safety.
Instruction Scope
Several subskills give directive steps such as immediate treatment, dose adjustment, biopsy or aspiration technique, and procedure execution without consistent per-skill clinician-only gating, local-protocol deference, emergency escalation language, or confirmation requirements.
Install Mechanism
The package is markdown-only in the inspected workspace, declares no env vars, binaries, install commands, API keys, executable scripts, or dependency packages, and VirusTotal telemetry was clean.
Credentials
The README discloses educational and clinical-training use and warns against replacing professional judgment, but the detailed subskill instructions are high-stakes enough that install/use should be limited to qualified clinical or supervised educational environments with current local protocols.
Persistence & Privilege
No artifact-backed persistence, credential access, background execution, privilege escalation, local indexing, or data exfiltration behavior was found.
如何使用
  1. 确保已安装 OpenClaw(本地或 Docker 部署)
  2. 在对话框中输入安装命令:/install diagnostics-pmph-10edition
  3. 安装完成后,直接呼叫该 Skill 的名称或使用 /diagnostics-pmph-10edition 触发
  4. 根据 Skill 的参数说明提供必要输入,即可获得结构化输出
版本历史
v1.0.0
Initial release of Diagnostic-Medicine-PMPH-10edition skill collection. - Covers 183 core clinical diagnostic skills based on the 10th edition of the PMPH Diagnostics textbook. - Skills include medical history taking, physical exam, lab interpretation, ECG and imaging analysis, differential diagnosis, clinical reasoning, and specialty procedures. - Provides structured skill registration table in both Chinese and English. - Each skill links to detailed protocols or decision frameworks. - Designed as a comprehensive digital reference for clinical diagnostics learning and practice.
元数据
Slug diagnostics-pmph-10edition
版本 1.0.0
许可证 MIT-0
累计安装 0
当前安装数 0
历史版本数 1
常见问题

Diagnostics-PMPH-10edition 是什么?

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。 它是一个面向 Claude Code / OpenClaw 的 AI Agent Skill 插件,目前累计下载 44 次。

如何安装 Diagnostics-PMPH-10edition?

在 OpenClaw 或 Claude Code 对话框中运行命令「/install diagnostics-pmph-10edition」即可一键安装,无需额外配置。

Diagnostics-PMPH-10edition 是免费的吗?

是的,Diagnostics-PMPH-10edition 完全免费,采用 MIT-0 许可证,可自由下载、安装和使用。

Diagnostics-PMPH-10edition 支持哪些平台?

Diagnostics-PMPH-10edition 跨平台运行,可在任意部署了 OpenClaw / Claude Code 的环境中使用(cross-platform)。

谁开发了 Diagnostics-PMPH-10edition?

由 xllstudio(@xllgreen)开发并维护,当前版本 v1.0.0。

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