Tolerance Decrease To Physical Activities With The Expressed

Tolerance decrease to physical activities with the expressed weariness and its repeated strengthenings. Chronic cough and superfluous manufacture of a saliva. Life deterioration (QoL). : FEV1/FVC <0.70 and 30 % © FEV1 <50 % from settlement, after application . IV As much as possible expressed Serious restriction of streams of air at breath. Chronic , it is possible with Cor pulmonale. Frequent strengthenings which can be menacing for a life. Obvious deterioration of a life. : FEV1/FVC <0.70 and FEV1 <30 % settlement or FEV1 <50 % settlement + . Differential diagnosis COPD and a bronchial asthma also is important enough that identification of a condition and treatment could be more effective. Table 2. Criteria of allocation of a bronchial asthma and COPD Characteristics Bronchial asthma C O P D The beginning Usually a youth or, often, in The childhood To thicket in lives The general symptoms Distantnye rattles Night cough Night awakenings because of signs of infringement of breath Episodes a thorax Relapses of difficulties with breath Deterioration of breath in the presence of trigger factors (for example animals, etc.

This Reduction Of Speed Of The Response By

This reduction of speed of the response by tests Also it is observed and at relatives of these patients that allows To believe that genetic predisposition to the alveolar Hypoventilation exists. These patients always have the reduced Respiratory volumes of lungs, high frequency of breath and changed Heterogeneity of breath which conducts to increased VD/VT to a parity. Such patients not seldom can have infringements of function of a diaphragm against Secondary muscular weariness or at other frustration. Patients can To worry and complain of a short wind at the minimum physical Loadings. As hypoventilation degree progresses, at patients The proof short wind and in rest develops. At a number of patients it is broken Recurrence of a dream also develops day drowsiness. Then appear and clinical displays type and The signs connected with , for example inadequate behaviour. The hypoventilation increase results further To proof increase PaCO2; the anxiety of the patient can To progress to a delirium condition.

Will Pay Special Attention That Congenital Anomalies Auricle

will pay special attention that congenital anomalies Auricle forms can be often enough connected with the anatomic Defects of kidneys, heart and large courts. Thus nephritic anomalies not Seldom have defects with an auricle. - Check up a skin in deepenings of a bowl of an ear on Presence superfluous , including solar or others Potentially harmful indicators of damage of a skin. For example, chronic The crust on ulcer formation of a skin of a bowl of an ear forces Attentively to search . -- Unilateral painful a rash in The bottom part of a bowl of an ear assumes presence a herpes zoster, The trigeminal nerve localised in a nerve ganglion (syndrome Ramsay Hunt'a). -- a rash in the form of the multi-coloured to 4 mm in diameter located it is more on the ear Bowls, round eyes, nose wings. Similar changes it is frequent Are present and on mucous cheeks and gums. Such rash demands ( The histologic diagnosis) syndrome exceptions (illness) Koudena (1963 ) - Unilateral reddening and presence of a hypostasis of an ear assumes an external otitis.

* Relation FEV1 To FEV3 Can Be Low

* Relation FEV1 to FEV3 can be low because of initially reduced . * FEV1-to-FVC and FEV3 - to-FVC can be normal or even increased. * FEF (25-75 %) often lower than due. Investigating the relation of the measured indicator to Due in lungs, it is possible to estimate gravity process in Lungs. VC (Vital capacity of a lung) Interpretation > = 81 % from the due Norm 66 - 80 % from due Minimum 51 - 65 % from due Average <= 50 % from the due Expressed TLC (the General capacity of a lung) > = 81 % from the due Norm 66 - 80 % from due Minimum 51 - 65 % from due Average <= 50 % from the due Expressed Where: the forced vital capacity of lungs (FVC) as consider some, is equivalent to vital capacity Lungs (VC). Murray J, Nadel J. Textbook of Respiratory Medicine, 2nd edition. W. B. Saunders Company. 1994. 871 pg One of variants of the short scheme of the differential diagnosis at a syndrome to superfluous lightness (emphysema) of lungs. The DIAGNOSIS: Possible signs EMPHYSEMAS *- usually the middle of a life, * progress slowly, * disease and smoking history.

Sometimes At Revealing Of Asymmetry Of The Form

Sometimes at revealing of asymmetry of the form of a nose, Infectious illnesses, traumas in the anamnesis, new growths are assumed or Leprosy. Will pay special attention on area of a redness, and skin damages, presence Crusts, , roughnesses and visible vascular drawing. It is necessary to pay attention to any changes Nostril at breath. Superfluous movements of wings of a nose - the important sign Respiratory infringements. It is sometimes more appreciable, for example, at Inflammatory processes in the top floors of a belly cavity. Excessive point of the form of a nose, at presence Or presence of other signs, can be an early sign of a meningitis (Sign Lafora'). Deepenings and elements with the lifted surface possibility assumes Vegenera. It is more convenient to investigate a nose after an estimation Conditions of ears, using the same reflector. For this purpose incline Head of the patient slightly back. Ask the patient to hold the breath in Current of several seconds. Place a reflector in a nostril ( Avoiding contact to a nose partition).