vizov vop na dom

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bilet №1 dlya prepodavatelya student_______________________________gruppa_______fakultet_______________ vizov vop na dom k rebenku s.,2 let s jalobami na visokuyu temperaturu – 38,8 s, nasmork, chixanie, golovnie boli, na osiplost golosa, pokrasnenie i otek vek, boyazn sveta, kon'yunktivit, kashel. dopolnitelnie svedeniya: anamnez: so slov materi rebenok bil v kontakte s rodstvennikom, bolnim prostudoy2 dnya nazad. visheukazannie jalobi vtoroy den, nachalis s nedomoganiya, povisheniya temperaturi tela, kataralnix yavleniy, suxogo kashlya. ob'ektivno: ob'ektivno: obshee sostoyanie patsienta v moment osmotra sredney tyajesti, otmechaetsya odutlovatost litsa, pripuxlost glaz, nosa i gub, limfouzli ne uvelicheni. rebenok kaprizniy, plaksiviy. pri perkussii serdtsa – toni serdtsa priglusheni, v polojenii leja sistolicheskiy shum, v polojenii stoya - ischezaet. granitsi ne uvelicheni. v legkix perkutorno - legochnoy zvuk, auskultativno – jestkoe dixanie. yazik oblojen. jivot myagkiy, bezboleznenniy. pechen ne uvelichena. nevrologicheskiy status – golovnie boli, bessonnitsa, kapriznost, plaksivost. ves-12 kg, rost 80 sm, chss-110. svedeniya voprosi/otveti ball ball 1. dlya kakogo zabolevaniya …

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$davno bespokoyat eti jalobi? - skolko dney temperaturit? - kakimi preparatami doma lechili? -s chem svyazivaete bolezn? obshiy osmotr 10 ballov 1 1 1 1 6 3. predvaritelniy diagnoz: osnovnoy: ostraya respiratornaya infektsiya soput: anemiya 1 st 30 ballov 15 15 oak:gem – 102 g/l;erit– 5,0 x10*12/l;tsp – 0,8, leyk– 7x10*9/l- pya –12%; sya–56%; eoz 5%;bazofili –1%limf-5%;mon- 4%; soe –6 mm/chas. obshiy analiz mochi: 100ml. kislaya, jeltogo tsveta. belok-0,003, eritrotsiti-0-1, leykotsiti-1-2 ekg- metabolicheskie izmeneniya v miokarde rentgen enerenet-bez patologii 4. laboratorno instrumentalnie issledovaniya oak, oam, ekg, rentgenografiya gr. kletki 20 ballov 5 5 5 5 5.opredelite plan lecheniya profilaktika i dispanserizatsiya. –obilnoe pite, fitoterapiya, protivovospalitelnie preparati (ibuprofen 10-15 mg\kg, paratsetamol 10 mg/kg), protivokashlevie preparati,simptomaticheskaya terapiya, protivovirusnie preparati. gruppa d ii «a» osmotr vop; obuchenie navikam zdorovogo obraza jizni; ustranenie faktorov riska; fizioterapiya i lfk v otdelenii vosstanovitelnogo lecheniya; 20 ballov 2 4 4 4 2 2 2 100 ballov podpis …$

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palpatsii vo vsex otdelax, bezboleznenniy. pechen u kraya rebernoy dugi. pochki ne palpiruyutsya, simptom pokalachivaniya otritsatelniy s obeix storon. sutochniy diurez 700-800 ml, mocha krasnogo tsveta. ves-21 kg, rost 100 sm, chss-80. voprosi ball ball 1. dlya kakogo zabolevaniya xarakterni eti simptomi: · ostriy glomerulonefrit · ostriy pielonefrit · dmn · xronicheskiy glomerulonefrit max. ballov 20 5 5 5 5 2.kakie voprosi zadadite materi rebenka? - kak davno bespokoyat eti jalobi? - nablyudalos li eto ranee? - kakimi preparatami doma lechili? -s chem svyazivaete nastoyashuyu bolezn ob'ektivniy osmotr 10 ballov 1 1 1 1 6 3. predvaritelniy diagnoz: osnovnoy: ostriy glomerulonefrit, s nefriticheskim sindromom, period nachalnix proyavleniy. soputstvuyushiy: xronicheskiy tonzillit subkompensirovannaya st. defitsitnaya anemiya i st. 30 ballov 15 10 5 4. vasha taktika. instrumentalnie issledovaniya oak, oam, ekg -mochevina, sutochniy diurez, nechiporenko, svertivaemost krovi, uzi pochek oak.gemoglobin – 95g/l; eritrotsiti – 3,0 x10*12/l; tsp – 0,8, leykotsiti – 9x10*9/l- …

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mes. dalee - 1 raz v 3 mes. 2. uzkie spetsialisti: nefrolog: i- god - 1 raz v 3 mes., zatem 1-2 raza v god. stomatolog: 1 raz v 6 mes. lor -1-2 raza v god. 20 ballov 4 4 4 4 4 100 ballov podpis prepodovatelya________________ bilet №3 dlya prepodavatelya student_____________________________________gruppa_______fakultet__________ na prieme vop bolnoy 8 let. jalobi na oteki litsa, nijnix konechnostey, uvelichenie razmerov jivota, obshuyu slabost, nedomoganie. so slov materi bolen 7 dney. zabolevanie nachalos postepenno. 3 nedeli nazad perenes anginu. gepatit a v 4 goda. pri osmotre: sostoyanie tyajeloe. virajeni simptomi obshey intoksikatsii, rasprostranennie oteki. koja i slizistie chistie. zev giperemirovan, mindalini gipertrofirovani. v legkix vezikulyarnoe dixanie. granitsi serdtsa ne izmeneni, toni priglusheni,aktsent 2 tona na legochnoy arterii. ad-150/100. chss – 100, chdd- 24. jivot uvelichen v ob'eme, astsit, okrujnost jivota 75 sm. mochitsya malo, sutochniy diurez 300 ml. mocha mutnaya, penistaya. svedeniya voprosi/otveti ball ball …

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, leykotsiti – 7x10*9/l- palochkoyadernie –12%; segmentoyadernie – 56%;eozinofili – 5%;- bazofili –1%limfotsiti-35%;monotsiti – 4%; soe –16 mm/chas. obshiy analiz mochi: 100ml. kislaya, jeltogo tsveta. belok-1,32, eritrotsiti-5-6, leykotsiti-10-11 mochevina 6, kreatinin0,05, sd-300 ml, uzi-uvelichenie exogennosti pochek, glaznoe dno-bez patologii 4. vasha taktika. laboratorno instrumentalnie issledovaniya - oak, oam, ekg - bioximiya krovi, koagulogramma, sutochniy diurez, skf, uzi pochek, oftalmoskopiya maks 20 ballov 2 2 2 2 4 4 4 5. lechenie. profilaktika i dispanserizatsiya. -kortikosteroidi; antibiotiki; desensibiliziruyushie, protivovospalitelnie preparati; immunodepressanti, mochegonnie, ingibitori apf, vitamini. d -iii osmotr vop: i –god - pervie 3 mes - 2 raza v mes. s 3 po 12 mes. - 1 raz v mes. dalee - 1 raz v 3 mes. 2. uzkie spetsialisti: nefrolog: i- god - 1 raz v 3 mes., zatem 1-2 raza v god. stomatolog: 1 raz v 6 mes. lor -1-2 raza v god. maks 20 ballov 4 4 4 …

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bilet №1 dlya prepodavatelya student_______________________________gruppa_______fakultet_______________ vizov vop na dom k rebenku s.,2 let s jalobami na visokuyu temperaturu – 38,8 s, nasmork, chixanie, golovnie boli, na osiplost golosa, pokrasnenie i otek vek, boyazn sveta, kon'yunktivit, kashel. dopolnitelnie svedeniya: anamnez: so slov materi rebenok bil v kontakte s rodstvennikom, bolnim prostudoy2 dnya nazad. visheukazannie jalobi vtoroy den, nachalis s nedomoganiya, povisheniya temperaturi tela, kataralnix yavleniy, suxogo kashlya. ob'ektivno: ob'ektivno: obshee sostoyanie patsienta v moment osmotra sredney tyajesti, otmechaetsya odutlovatost litsa, pripuxlost glaz, nosa i gub, limfouzli ne uvelicheni. rebenok kaprizniy, plaksiviy. pri perkussii serdtsa – toni serdtsa priglusheni, v...

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