Use Various Radioactive Elements Gives The Chance To

Use Various radioactive elements gives the chance to allocate the wide Range of pathologies with very high permission of a total picture in 2 And 3 projections. imaging techniques Still the big diagnostic possibilities opens MRI, allowing To reveal vascular both metabolic and other defects in fabrics. In Last years more and more wide application are found by practice , allowing to reconstruct the diagnosis, especially in area Gastroenterologies, cardiology, pulmonology and a number of other general Conditions. endoscopy Many of these researches extremely expensive and, that the exact diagnosis has been as much as possible balanced in the relation The price \quality for effective decision-making on treatment, are necessary Special standards, researches and algorithms. Aspiration to guess the diagnosis before inspection (no Time, reactants, equipment and .) - the most frequent reason of errors Directed by the diagnosis and, accordingly, in schemes of treatment of patients. (1) For example, the local doctor within a year meets probability of 95 % In total with 16 diseases: 350-400 times are a flu or (), 40-50 Time - an arterial hypertensia, 20-30 times - or a neurasthenia, 5-10 Time - , 3-5 times - a stroke and .

Dlmed.net.ru/standart.pdf Section 1. Broad-brush Observations To Classification Of Illnesses

dlmed.net.ru/standart.pdf Section 1. Broad-brush observations to classification of illnesses and signs 1.1 Terms the diagnosis and syndromes 1.2 Rather and . 1.2.0 Semiotics. Kinds of signs, them Sensitivity, specificity, diagnostic value and them The predictive importance. 1.2.1 Key rules of a choice of methods of research and an estimation of results. 1.3 Features of activity of the general practitioner. 1.4 Symptoms and the syndromes included in - 10 (the separate program). Section 2. A scheme breadboard model researches of patients. 2.0. Feature of psychology of patients (examples of questionnaires of interrogation). 2.1. Finding-out of the official data and definition of a leading syndrome. 2.2. Complaints of the patient their sorting and measurement of a syndrome of a pain. 2.3. History of development of the basic disease. 2.4. Interrogation on separate systems, (<questionnaires> an index of quality of a life). 2.5. The preliminary forecast of a condition. 2.6. The general rules of gathering of the anamnesis and dialogue with the patient.

Each 5 Years There Is An Updated Variant

Each 5 years there is an updated variant of edition In cost nearby 200$. In this connection I try to fill up mine Electronic editions new references and illustrations. www.proqolid.org/public/SIP.html Section 2 the Breadboard model of the description of the scheme of primary inspection of patients 2.0 Features of psychology of patients Experts on confirm: anything So does not change feature of character and the person of the person, as Chronic illnesses. Illnesses of kidneys always cause the general Organism intoxication. It conducts behind itself slackness, decrease in attention, Weariness, desire that all have left alone. The nephritic patient it is difficult To concentrate, force itself to work. The feverish are shown Mood swings, tearfulness. Aggravation of urolithic illness or chronic Pyelonephritises creates one more very discomfortable condition, about which And not to all relatives you will tell, - frequent desires in a toilet. It creates The general nervousness and even . Happens that the person at all Dares to leave the house, without having run some times "in a small way".

Tests On AAT Deficiency Should Be Considered Necessarily

Tests on AAT deficiency should be considered Necessarily at persons with signs COPD is younger 45. Table 1 Key parametres of classification COPD on the basis of criteria GOLD 2007* Stage DEGREE SYMPTOMS and SPIROGRAFICHESKY CRITERIA I The minimum The patient does not realise insufficiency of function of lungs. Chronic cough and superfluous production Saliva are present not always. Episodes or unstable type of a short wind. Moderate restrictions of a stream of air in bronchial tubes. : FEV1/FVC <0.70; FEV1 ™ 80 % from settlement, after application . II The moderated Chronic cough and saliva overproduction are present not always. A short wind at physical activity. Signs of chronic respiratory insufficiency () or strengthening , compelling the patient to search for medical aid. : FEV1/FVC <0.70 and 50 % © FEV1 <80 % from settlement, after application . III The expressed Obvious, with deterioration, restrictions of streams of air at breath. The expressed short wind at any physical activity.

* Always Should Consult With Experts In Palliative

* always should consult with Experts in palliative medicine, when necessary, that To help with the decision of palliative situations out of level of competence of the doctor. Concrete practical recommendations and conditions The palliative help for adults and children with serious illnesses The respiratory treatise and critical conditions include the following: * and short wind treatment (dyspnea) Demands consideration of features of the basic illness, and as syndromes Or conditions of type of an anaemia, a pleurisy, warm insufficiency, Time obstruction of an air line of bronchial tubes, , compressions Or a barrier in one of the main bronchial tubes. Important as to consider Condition social factors, - mental infringements, kind changes Activity of the patient, behavioural factors and the general respiratory Strategy of anxieties, including therapy by energizers or a combination Preparations for depression treatment. * and the expressed short wind should be treated in Combination to other receptions of restoration of functions of lungs, including Training to special exercises, psycho-social support, Rational dietary therapy and the self-help organisation rather Breath strategy.

). The SHORT VARIANT Of SURVEY: The General Scheme

). The SHORT VARIANT of SURVEY: the General scheme of inspection of patients is possible and in position sitting following systems should be considered: Skin. The open both closed sites and skin areas (the size and the form of any damages is estimated). lines (C.R.Langer, 1819-1887), - conditional lines on a surface of a skin, Specifying a direction of the maximum extensibility; correspond To arrangement of bunches of collagenic fibres. Age changes in a skin - Age changes in a skin consist of group of the general signs. Wrinkles - As a sign of a growing old skin; skin, colour change, occurrence Additional stains, a grey hair, etc. Though the skin has many layers, but more often Allocate three main layers. The external layer (=) contains cages Skin and a pigment on an albuminous basis. The centre (=) contains Blood vessels, nerves, bulbs of hair, and sebaceous glands. provides deliveries of nutrients to . A fabric layer Under (= the layer) contains as glands separate Hair bulbs, blood vessels and fat.

Section 3. Syndromes And Symptoms At Diseases Of

Section 3. Syndromes and symptoms at diseases of bronho-pulmonary system. 3.1 Structure and system of protection of the bronho-pulmonary device. 3.1.0 Origin and structure . 3.1.1 Examples of questionnaires on revealing of diseases of respiratory organs. 3.1.2 Syndrome of a pain at breath. 3.1.3 Coughs and individual questions to the patients, complaining of cough. 3.1.4 Short wind and the reasons of infringements of frequency and depth of breath. 3.1.5 Syndrome and its versions. 3.1.6 Auscultations of a thorax, respiratory noise. 3.1.7 Symptoms and syndromes at diseases of bronho-pulmonary system. 3.2 Examples of some diseases of bronho-pulmonary system. 3.2.0 Pneumonia and basic signs of a pneumonia. 3.2.1 Basic signs of a pleurisy. 3.2.2 Chronic bronchitis. 3.2.4 Obstructive . 3.3 Additional methods of research of bronho-pulmonary system. Section 4. Syndromes and symptoms at illnesses of cardiovascular system. 4.0. The importance of the general syndromes at illnesses warmly - vascular system.

Circumstantial Evidences Of That, That One Million Years

Circumstantial evidences of that, That one million years ago at the Western Europe there were people, already Were available, however absolutely exact certificate is revealed only now. "At last we have received anatomic proofs of presence on Territories of the Western Europe , capable to produce tools" - Cannot hide José Maria Bermjude's excitement Castro, one of Scientists participating in excavation. Castro has declared that a tooth Belonged to the individual which age equal to 20-25 years. Intermediate The analysis gives the grounds to assume that, most likely, it was any The ancestor Homo antecessor, living in Europe almost 800 thousand years Back and showing a surprising mix of signs modern and Ancient people. "There are no doubts that the found tooth belonged most The ancient European found till now ", - was declared by the scientist. Archeologists, the truth, makes a reservation that it is a question of the Western Europe. "Oldest" on all continent deservedly It is considered , whose remains have been found in territory of Georgia, Jari Excavation near to the medieval city of Dmanisi in eight-ten Kilometres from Tbilisi.

). - 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.

- 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.

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.

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.