Insufficient Completeness Of Interrogation Thus Will Come To

Insufficient completeness of interrogation thus will come to light and can To be demanded the additional information. Patients quite often try to explain occurrence Illnesses (symptoms) the family (situational) reasons, include in Answers to questions of the doctor a large quantity of household details, Errors, prejudices and so forth In and m and and ! It is important Psychological barrier to the doctor. During these moments it is necessary to keep To the logician of the scheme of interrogation not to allow to "withdraw and"confuse"itself, but not Interrupting the patient and without breaking logic of an explanation the patient of the reasons of the Illnesses. Enough in the anamnesis the information is valuable About surrounding conditions and state of health of the patient right at the beginning Diseases. It is necessary to specify high lights: when, as (suddenly, Gradually), in what pose to reveal tolerance to physical activity Etc. the Information on a disease current should be enough full and To include dynamics as subjective, and objective symptoms and Signs.

A Mukotselljuljarnyj Road Clearance (production 1-1,5 L A

A mukotselljuljarnyj road clearance (production 1-1,5 l a day). Production begins with alveoluses (, ), further its basic source-bokalovidnye Cages mucous and bronchial tubes. Allocation : in norm - is not present; Small quantity - to 30 ml/days; average quantity - 30-100 Ml/days; a considerable quantity - 100 ml/days and more. can be: 1. - mucous (to 5 % Dense substances); 2. - purulent (6-10 % of dense substances); 3. - (More than 11 % of dense substances); 4. - watery, foamy, , Multilayered etc. the Structure is defined by its place Origins, influence on glands mucous or , Quality and in defeat volume systems, age The patient, an accompanying pathology and other factors. The basic integrated (= uniting) the general sign of the normal - vjazkost=150-600 (voda=0,01-0,05 ). Viscosity is connected With the maintenance in neutral , , DNA-enzymes and slime. A thickness of slime at level of bronchial tubes I, II order Makes usually 5-10 microns. Such layer can move particles in weight To 10-12 mg with a speed of 0,1 mm for 1 (6 mm a minute).

After Attentive Survey Of Appearance Of The Ear

After attentive survey of appearance of the ear Bowls, softly displace auricles upwards and downwards and ask the patient About possible morbidity this small movings of auricles. Auricle palpation: * to the top part of an auricle can offer illness of Addisona; * Thus rigidity of a lobe of an ear and a bowl cartilage Can testify to others infringements, type , , a diabetes and . * if the auricle of the patient is painful and at , pay attention on potentially serious Problem in the presence of a diabetes or conditions because of The raised risk to possible involving of a parietal bone and occurrence (named a malignant external otitis). At the such Patients it is checked a shoot and Triangle MacEwen'a which is in area approximately as 11 Hours on the right ear and 13 hours on the left ear. These areas most Are sensitive to pressure fingers when there are signs . Further use and, slightly having pulled an ear Upwards and it is a little back, insert a nouse into the external acoustical Pass.

Not Seldom And A Trauma, Especially From A

Not Seldom and a trauma, especially from a car steering wheel at the unfortunate Cases in autofailures as can cause . The pain at is characterised as Intensive, sharp, tending to amplify at the horizontal Position of the patient and to decrease at inclinations forward. The pain can be Intensive and serious with in hands or a neck and to strengthen Short wind that sometimes is accepted for an attack, pulmonary () or to an aorta aneurysm. The case record is always useful to creation The diagnosis and questions on transferred recently virus illness often can To help to reveal the virus nature . Attentive Inspection of the patient can reveal signs of noise of a friction of a pericardium at Auscultation of warm tones. The electrocardiogram can show Changes it is frequent at . Echocardiography Echocardiogram is useful to diagnosis specification if there is liquid enough in a cavity of the inflamed pericardium. Not rare complication considers hearts. Pressure of surplus of a liquid in a pericardium cavity can To accrue and become so big that stops blood return In the right auricle of heart.

2. Interrogations About Results The Previous Inspections Usually

2. Interrogations about results the previous inspections usually Give the information confirming defeats of lungs or heart. Symptoms Can be absent in rest and appear only at the physical To loading. 3. Research of a condition of functions of external breath (). Defeats Lungs seldom cause breath frustration. If indicators of tests on Obstruction presence (1, 1/) or () are not lowered (<80 % from due), diseases of lungs can be doubtful. 4 estimation of function hearts. Emission fraction ( ) Left at diseases of lungs in rest and-or during time Loadings as a rule it is lowered. At ultrasonic heart scanning should be Are calculated pressure in a cavity right and the estimation is spent Conditions the device. Especially these researches are important at Accompanying pulmonary hypertension. Additional references under schemes Interrogation of patients - Nasal congestion; Chest pain; Cough; Difficulty swallowing; Shortness of breath. Cough and its versions. Cough (-786.2) concerns the most frequent signs of disease of lungs.

The Brightest Sign Of An Obstructive Syndrome The

The brightest sign of an obstructive syndrome The emphysema of lungs. "emphysema" (from is. mphysae - To blow, inflate) pathological processes in lungs are designated, Characterised by the raised maintenance of air in a pulmonary fabric. Distinguish set of kinds - primary, secondary, central and kinds of emphysemas of lungs. The most frequent form in practice Therapists the emphysema developing, usually, is secondary Following and together with chronic obstructive diseases of lungs ( Chronic obstructive bronchitis, bronchial asthma, illness and ). Exists also a primary emphysema of lungs, where Hereditary factors, including deficiency have crucial importance Alpha-1-antitripsina [3.5] But most frequent of secondary emphysemas, Alveolar the emphysema, is a consequence of the chronic Obstructive diseases of lungs. Elasticity loss, inflammatory, fibrous Changes of a pulmonary fabric, a bronchospasm lead to diffusion infringement Gases through - capillary membranes (alveoljarno-capillary The block) with development arterial and .

CODP1). The Scheme Description An Obstructive Syndrome Of

CODP1). The scheme description an obstructive syndrome of lungs COPD - artful and continuously progressing Condition (a syndrome, illness) which at early stages does not show Any characteristic signs; in later stages, signs Are shown partially, but by this moment they are already reversible not completely. COPD it is usually shown to the middle of a life of the patient after the long Imperceptible influence harmful to particles or gases ( and ), when normal protective and regenerative functions Lungs are destroyed or function not optimum. In all cases Smoking and automobile exhausts of gases continue be leaders Reasons COPD. It is known that the obstructive syndrome is connected with Provoking factors and components, where the cascade negative for Organism of events finally conducts to damage of fabrics. Various kinds of an inflammation of a respiratory path at patients with COPD Is the major provoking factor. Influence of several thus affects Provoking factors and markers, including C-jet fiber, an alpha The factor tumours, interlejkiny - (IL)-8, IL-6 and hemoattraktivnyj-1 Fiber.

At Performance Of Stages Individual PR Programs, Patients

At performance of stages individual PR Programs, patients receive training on methods of an estimation of the respiratory Maneuvers and physiotherapy, including effective methods of cough, ways Blows on a thorax, vibration and poses a drainage. Installation of the correct Breath for patients, a training for a new profession nasal and with use of receptions reducing work of the breath, improving Transport of oxygen and management of a short wind. Psithosotsiologichesky Support and training to relaxations are used to operate Depression and the anxiety connected with illness. In a general view it is possible to present components of pulmonary rehabilitation as follows: Formation on illness developments, including Anatomy and illness physiology, explanation of pulmonary function, tests PFT and Estimation of influence of illness on an individual Breath reinstallation, including oral and nasal Breath, use of a diaphragm and relaxation methods. Realisation Special exercises and strengthenings for the control over a short wind The technician of calculation of volumes , including The drainage irritating cough, positive pressure on an exhalation (PEP) and Use of the special valve (Scandipharm; Birmingham, the USA), Therapies and hydrations.