case studies

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case studies the task number 1 patient 46 years old, was admitted with complaints of sharp pain in the heart of compressive nature, weakness, cold sweat. last 5 years suffers hypertension admax 180/100 mm hg, "working" - 140/80 mm hg smokes 1 pack a day. earlier attacks of pain in the heart is not disturbed. on examination: heart sounds muffled, heart rate 88 per minute, blood pressure of 110/70 mm hg ecg: pvcs, in i, ii, v1-4 - qs and domed rise st. in the 14 th blood leukocytosis, esr 5 mm / hour, ck-mb level 161 iu (10 iu). 1. your diagnosis: 2. your medical tactic: 3. what antiarrhythmic drug indicated for patients: 4. what group of drugs significantly reduces mortality from acute myocardial infarction: 5. which drug is contraindicated in acute myocardial infarction: the task number 2 45 years old patient with significant physical exertion bother attacks of …

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3. which drug you are sure to assign the patient: 4. which of antianginal drugs has nephroprotective action: 5. what factors increase the risk of progression of coronary artery disease in sick and requires correction: task number 4 patient 62 years diagnosed: coronary artery disease, stable angina fc iii-iv, pix, znk iib art. nitroglycerin relieves for 1-2 minutes angina but causes severe arching headaches. on examination: heart rate 52 per minute, rhythmic, blood pressure 120/70 mm hg, the ecg interval pq 0.25 seconds, the blockade of the right branch of the bundle of his, scarring in zadneperegorodochnoy area of the left ventricle. no changes in ekg for several years, except for the interval pq, which lengthens the appointment of cardiac glycosides. 1. it is shown that the repeal of nitrates in this case: 2. your tactics? 3. what group of drugs significantly reduces mortality after acute myocardial infarction: 4. appointment …

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fter waking up in the cold wind. ill for six months. a history of chronic obstructive bronchitis. objective: muted tones serce, pulse 80 per minute, rhythmic, blood pressure 140/80 mm hg .. the lungs weakened vesicular breathing, dry whistling and buzzing rattles, more on the exhale. blood cholesterol 8.8 mmol / l. ecg at rest without pathology. 1. formulate a clinical diagnosis: 2. what tactics of treatment you choose: 3. which drug you assign to the patient: 4. his dosing regimen: 5. possible side effects of the therapy: the task number 7 patient 55 years, receiving propranolol 160 mg / day over the attacks of stable angina class ii, there was a general weakness, dizziness, drowsiness, headache, dizziness, swelling in the legs. objective: pale skin, dry. in the lungs, vesicular breathing. npv 22 min. cardiac sounds are muffled, rhythmic accent ii tone of the aorta, heart rate 50 per minute, …

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case studies the task number 1 patient 46 years old, was admitted with complaints of sharp pain in the heart of compressive nature, weakness, cold sweat. last 5 years suffers hypertension admax 180/100 mm hg, "working" - 140/80 mm hg smokes 1 pack a day. earlier attacks of pain in the heart is not disturbed. on examination: heart sounds muffled, heart rate 88 per minute, blood pressure of 110/70 mm hg ecg: pvcs, in i, ii, v1-4 - qs and domed rise st. in the 14 th blood leukocytosis, esr 5 mm / hour, ck-mb level 161 iu (10 iu). 1. your diagnosis: 2. your medical tactic: 3. what antiarrhythmic drug indicated for patients: 4. what group of drugs significantly …

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