case - technology

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ministry of health of uzbekistan tashkent medical academy department of phthisiology case - technology for education on "destructive pulmonary tuberculosis" tashkent – 2013 ministry of health of uzbekistan tashkent medical academy department of phthisiology "approved" vice rector for studies tma, professor teshaev o.r. __________________________ "_____" ____________ 2013. case - technology for education on "destructive pulmonary tuberculosis" tashkent – 2013 compiled by: associate professor of tb tma, khodjaeva m.i. the assistant to chair of phthisiology tma, massavirov sh.sh. reviewed by: head of chair tb tiame, md mukhtarov d.z. head of chair the faculty and hospital care tma prof. rizamuhamedova m.z. case technology approved at a meeting of the central methodical commission tma protocol № ______ from "_____" ______________ 201 case - technology solves the problem of tactics gp the syndrome of "destructive pulmonary tuberculosis" and is designed to train students in the departments of medical schools tb pedagogical annotation the subject: …

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y observation; - the timely identification of the need and nature of the surgery. for the successful resolution of the case study student should know: - etiology, epidemiology and ct, fct and ct of the lungs; - pathogenesis and immunologic mechanisms of ct, fct and ct of the lungs; - diagnose major clinical types of ct, fct and ct of the lungs; - to analyze the results of the laboratory, instrumental and radiological findings of research; - formulate and final clinical diagnosis of patients with ct, fct and ct of the lungs; - assess step, form, version, severity, and phase currents, complications ct, fct and ct of the lungs; - to determine the need for timely surgical treatment and dispensary observation conditions; - assign a rational complex antibacterial chemotherapy in patients with different clinical variants of ct, fct and ct of the lungs; - methods of recording and monitoring of …

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of pulmonary tuberculosis" moscow, 1996 17. order № 160 min.health of uzbekistan. "on improvement of tb services in the republic of uzbekistan", tashkent, 2003. characteristics of case study according to typological features this case is classified as a cabinet, scene. he volume, structured. this case - issue. for didactic purposes case training, stimulating thinking in the real world in a hovercraft and gwp. case can be used in the disciplines: therapy, surgery, infectious disease, and oncology. i case introduction any form of tuberculosis may be complicated by the melting of caseation, allocation cheesy masses through the bronchi and the formation of the cavity, ie, the transition process in the destructive form. shaped cavity wall structure is characterized by three layers: the inner layer of caseous-necrotic, layer-specific granulation containing macrophages, epithelioid cells, giant and lymphoid cells of piragov- langhans, fibrous outer layer, which borders the surrounding lung tissue, consisting of connective …

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e healing process of the cavity drain bronchial lumen may obliterated, and in this case, in place of the cavity formed by the encapsulated type hearth caseation tuberculoma. the process is long, and in the walls of these cavities may persist for a long time, specific areas of granulation tissue. with the development of the healing processes in the cavity is of great importance of the blood and lymph circulation, especially in the microcirculation system - as in the walls of the cavity and the surrounding lung tissue. when delimitation cavity stabilization of the pathological process (especially when using anti-tb drugs) polymorphic, pneumonic areas around the cavern dissipate, growing fibroid of change, "stretching" of the fibrous layer of the wall of the cavity in the surrounding lung tissue. in such a cavity is usually detected a large number of different sizes of lymphocyte clusters and nodules ranging between conjunctive tissue …

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previous clinical pulmonary tuberculosis leading to disintegration and the formation of degradation. • clinical, laboratory, radiographic manifestations of destructive forms of pulmonary tuberculosis. • features of the differential diagnosis and monitoring of conditions in the health center patients with destructive pulmonary tuberculosis. • the necessary preventive measures in the hearth of patients with destructive pulmonary tuberculosis. situation. a patient 40 years. during the 4-month complained of general weakness, body temperature 380s, weight loss, cough paroxysmal character with expectoration. in a week marked blood in the sputum. from history revealed that the patient in the last 3-4 months, frequent acute respiratory disease with prolonged cough with sputum. for several years, was not working. the patient is in contact with tb father. prior medical history: • from an illness - frequent colds; • an allergy is not marked; • grow and develop a healthy child; • blood products not received; • injection …

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ministry of health of uzbekistan tashkent medical academy department of phthisiology case - technology for education on "destructive pulmonary tuberculosis" tashkent – 2013 ministry of health of uzbekistan tashkent medical academy department of phthisiology "approved" vice rector for studies tma, professor teshaev o.r. __________________________ "_____" ____________ 2013. case - technology for education on "destructive pulmonary tuberculosis" tashkent – 2013 compiled by: associate professor of tb tma, khodjaeva m.i. the assistant to chair of phthisiology tma, massavirov sh.sh. reviewed by: head of chair tb tiame, md mukhtarov d.z. head of chair the faculty and hospital care tma prof. rizamuhamedova m.z. case technology approved at a meeting of the central methodical commission tma protocol...

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