kasallik tarixi forma

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санкт-петербургская государственная медицинская академия имени и o’zbekiston respublikasi sog’liqni saqlash vazirligi toshkent davlat tibbiyot universiteti fakultet: kafedra: fan: kasallik tarixi bajardi:_____________________________________________ qabul qildi:_____________________________________________ toshkent- 2025 i. pasportga oid ma’lumotlar: 1. bemorning familiyasi, ismi, otasining ismi __________________________________________ 2. yoshi __________ 3. ma’lumoti _______________________________________________________________________ 4. ish joyi _________________________________________________________________________ 5. millati _________________________________________________________________________ 6. turar joyi _______________________________________________________________________ 7. bemorning yo'llanmadagi diagnozi ____________________________________________________ _____________________________________________________________________________________ 8. dastlabki diagnoz _________________________________________________________________ _____________________________________________________________________________________ 9. kelgan vaqti – ________20_____, ketgan vaqti – ________20_____ ii. bemorning kasalxonaga tushgandagi shikoyatlari: asosiy shikoyatlar: ___________________________________________________________________ _____________________________________________________________________________________ ikkinchi darajali shikoyatlar: _________________________________________________________ _____________________________________________________________________________________ iii. anamnesis morbi: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________ iv. anamnesis vitae: 1. go’daklik, bolalik va o’smirlik davri:________________________________________________ __________________________________________________________________________________________________________________________________________________________________________ 2. jinsiy va oilaviy xayoti:___________________________________________________________ _____________________________________________________________________________________ 3. turmush sharoiti: uy sharoiti: ___________________________________________________________________ __________________________________________________________________________________ moddiy sharoiti: _______________________________________________________________ ovqatlanishi:____________________________________________________________________________________________________________________________________________________ 4. mexnat faoliyati: _________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5. zararli odatlari: _________________________________________________________________ 6. bemorning boshidan kechirgan kasalliklari: __________________________________________ ___________________

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__________________________________________________________________ nasliy ma’lumotlar: ____________________________________________________________ __________________________________________________________________________________ 7. allergologik anamnez:______________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 8. epidemiologik anamnez: _____________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ v. status praesens: · bemorning umumiy axvoli __________________________________________________________ · bemorning xushi va psixikasi _______________________________________________________ · bemorning xolati _________________________________________________________________ · bemorning yuz ifodasi _____________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ · bemorning gavda tuzilishi ____________________ bo’yi_____sm, og’irligi _____kg · bemorning konstitutsiyasi __________________________________________________________ · bemorning tana xarorati ____________ c0.(kelgandagi), kuratsiya davomida ____________co · bemorning terisi va ko’rinadigan

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shilliq qavatlar______________________ terida_______________________________teri namligi_________________________________ teri osti yog’ kletchatkasi ___________________________________________________________ shilliq kavatlar __________________________________________________________________ _____________________________________________________________________________________ · bemorning tirnoq va sochlarining rangi, xolati _______________________________________ _____________________________________________________________________________________ · bemorda oyoqlarida_________________________________________________________________ · bemorning mushaklari______________________________________________________________ _____________________________________________________________________________________ · bemorning suyak va bo’g’imlari _______________________________________________________ __________________________________________________________________________________ _____________________________________________________________________________________ · bemorning limfa tugunlarining xolati ______________________________________________ __________________________________________________________________________________________________________________________________________________________________________ vi. nafas olish sistemasi: bemorning shikoyatlari: __________________________________________________________ _____________________________________________________________________________________ bemorning ko’krak qafasini ko’zdan kechirilganda: _____________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ bemorning ko’krak qafasining palpatsiyasida: · og’rik sezuvchi nuqtalar_____________________________________________________________ · ko’krak qafasining qarshiligi_______________________________________________________ · ovoz dirillashi___________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________ · epigastral burchak _____ga teng. bemorning ko’krak qafasining perkussiyasi: 1. taqqoslama perkussiya:_________________________________________________________ ________________________________________________________________________________________________________________________________________________________________ topografik perkussiya: a) o’pkalarning yuqorigi chegaralari: · oldindan chap o’pkaning cho’qqisi _________________________________________ · oldindan o’ng o’pkaning cho’qqisi _________________________________________ · orqadan chap o’pkaning cho’qqisi _________________________________________ · orqadan o’ng o’pkaning cho’qqisi __________________________________________ · chap o’pkaning krening maydoni ________sm. · o’ng o’pkaning krening maydoni ________sm. b) o’pkalarning pastki chegaralari: perkussiya o’rni o’ng o’pka chap o’pka linea parasternalis linea mediaclavicularis linea axillaris anterior linea axillaris media linea axillaris posterior linea scapularis linea paravertebralis v) o’pkalarning pastki chegaralarining xarakatchanligi jadvali: topografik chiziklar o’ng o’pka chap o’pka n/o n/ch jami n/o n/ch jami linea clavicularis media linea axillaris media linea scapularis bemorning ko’krak

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санкт-петербургская государственная медицинская академия имени и o’zbekiston respublikasi sog’liqni saqlash vazirligi toshkent davlat tibbiyot universiteti fakultet: kafedra: fan: kasallik tarixi bajardi:_____________________________________________ qabul qildi:_____________________________________________ toshkent- 2025 i. pasportga oid ma’lumotlar: 1. bemorning familiyasi, ismi, otasining ismi __________________________________________ 2. yoshi __________ 3. ma’lumoti _______________________________________________________________________ 4. ish joyi _________________________________________________________________________ 5. millati _________________________________________________________________________ 6. turar joyi ____________________________________________________________________...

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