Saturday, July 21, 2007

). - TH Quality Of Gathering Of The Anamnesis

). - TH quality of gathering of the anamnesis most strongly influence Sequence of interrogation, resource of time of the doctor and intellectual Level of the patient. It is necessary to remember that qualitatively collected anamnesis Gives 80 % of the information to the exact diagnosis. 2.7 Minimum volume of the information which should be received about the patient at primary survey and the Anamnesis 1. .2. All about illness (syndrome).3. Data on a life: - the childhood, Youth; - a trade; - bad habits; - a family tree (=); -allergologichesky the anamnesis. The objective data - Survey. both measurements. and measurements. and the description. Measurement the HELL and pulse. Anamnesis gathering should be systematised, active, full enough. It is necessary to remember that patients through the household details, deformed Representation about state of health and to a number of other reasons can "spoil" and To impose to the doctor the, sometimes erroneous, representation about illness, Syndrome.

Cavity Syndrome In A Lung. Symptom Of Vintriha

Cavity syndrome in a lung. Symptom of Vintriha - high a sound at an open mouth of the patient and low at closed at Patients with the big abscess or a cavity more often) a lung. Syndrome of the raised lightness of a pulmonary fabric. Symptom of the Sokolov - increase () spaces at an emphysema of lungs. Symptom of Hammana - crackling, synchronous to a warm rhythm (more often ) noise at patients with an emphysema of lungs. Syndrome of a congestion of air in a pleural cavity (= ). http://www.mercksource.com/pp/us/cns/cns_hl_adam.jspzQzpgzEzzSzppdocszSzuszSzcnszSzcontentzSzadamzSzencyzSzarticlezSz000087zPzhtm 4. Tool researches bronho - pulmonary system * Terms, reductions, specifications and formulas of settlement sizes for an estimation of functions of breath * Standards of indicators of function of lungs (the Description Estimation schemes , measurement of convertibility of the obstructive Syndrome, additional special researches with the help ) * Estimation of ventilating indicators Bronho-pulmonary system (PFT) and signs legochno-warm Insufficiency (revealing of a syndrome of hypoventilation of lungs, bases , etc.

Thursday, July 19, 2007

- There Is No Of Following Three Criteria:

- There is no of following three Criteria: (a) - a smoothness of a curve of increase volume-stream (there is no plateau At least in the second part); (b) - if the test is unable To show an exhalation plateau in a current of 15 seconds; or (c) - when the patient not Can or should not continue the test for an exhalation estimation on the medical To indications. At patients who have, considerable loss Elasticity of a lung, for example, a pulmonary emphysema, sometimes Can show "negative dependence of effort compulsory Exhalation. "This indicator is measured as an extensibility of lungs (=compliance). In other words, effort which should have most The high peak on an exhalation, can be shown low FEV1 because of the dynamic Compression of great volumes of air in easy and air lines. Thus Record with the highest indicator FEV1, made with not the full By the maximum effort it should not be considered. Therefore it is applied Following rule of selection - only efforts which have time Achievements of a maximum a stream (TPEF) less than or are set off equal 0.

Wednesday, July 18, 2007

The Menacing Diagnosis Can Be It Is Made

The menacing diagnosis can be It is made on the basis of a clinical triad: low blood pressure, the bulked up veins of a neck and the muffled warm tones. More in detail sm Pericarditis Aorta diseases (aortic dissection) The majority of cases aorta aneurysms Occurs as long-term consequences badly operated and not Correctly a high pressure of blood at youngish Patients. Other reasons resulting and connected with aneurysms Include: the Syndrome of Marfana Marfan's syndrome; the Trauma; Pregnancy and postoperational complications at operations on an open thorax. Pain at an aorta aneurysm Arises always suddenly and it is often described as intensive or breaking off. As a rule this pain a constant and Its intensity can be connected with deep breath. Of this kind Pains not seldom confuse to pains at heart attacks, sharp or . Basic criteria of the diagnosis is based on Disease stories, consideration of risk factors, Research and the clinical differential diagnosis. Research can reveal unilateral loss or a pulse delay on wrists or feet.

Monday, July 16, 2007

12 Seconds As Correct And Sufficient. It Is Necessary

12 seconds as correct and sufficient. It is necessary to remember that 2 greatest in the test Volume for FVC and 2 greatest of volume for FEV1 in one test Should change no more than on 0.15 L (or on 0.1 L, if most Great volume <1 L). Recent research of problems of errors in the beginning Testings PFT (measurement FEV1) has shown that the relative Prevalence ordinary does not exceed 2 % in the same row, and frequency Problems of errors increase to 61-84 % by the end of the period of carrying out of test (measurement FVC). Survey of curves volume-stream in the test report Help to identify excessively early end of an exhalation and to estimate Presence (or absence) a plateau on an exhalation (illustration sm). And absence of a plateau on an exhalation from 12 to 15 Seconds of time of an exhalation are guaranteed by sufficient quality of record FVC. At survey of the beginning of a loop volume-stream it is possible To identify as the unstable beginning of record which is possible To accept as is false low beginning of a line at estimation FEV1.

New Research Has Shown That The Person Unconsciously

New research Has shown that the person unconsciously divides associates into the and Strangers, in detail remembering persons only representatives of the first Categories. As representatives of the group the person perceives those, with Whom it should face in a usual life - members more often Families, fellow workers, people with similar interests and the same colour Skin Often enough it is possible to hear “I Russian","I The Armenian "," I the Jew ”and . However it is necessary to notice that Aryan, Semitic races are not present and never existed. Is only Language groups - , including languages a Hebrew, Arabian and a number Languages of Ethiopia; Aryan (indo-Iranian), including languages Osset, Kurdish, Persian, Tadjik and so-called Aryan languages Northern Hindustan - a Hindi, , and others. German Languages are not included into this group, and, besides, it is easy to notice that among The people speaking in specified languages, blue-eyed blondes (type "Aryan" on terminology of Hitlerite racists) practically not Meet.

Quite Often Conditions At Patients Arise In Connection

Quite often conditions at patients Arise in connection with hypertrophic , aortas, , a pulmonary artery, Stenosis and pulmonary hypertensia. The following reason conditions is illness. Consciousness loss can occur during so-called vertebro-baziljarnogo process (TIA), to development of dysfunction of cranial - brain nerves (for example, , infringement of swallowing or ), or . The most general reasons also include: Spasms, dream infringements, casual falling and some mental Conditions, (for example, a panic, anxieties, serious hyperventilation, And hysterical reactions, etc.). In the list of the reasons include Problems and the diseases of a middle ear often causing attacks Dizzinesses. Initial procedure of an estimation of a condition of the patient with suspicion on a condition: Primary estimation of a condition of the individuals, suspected that they had an episode syncope Begins with cautious finding-out of history of a life and illnesses with accent On chances of loss of consciousness.