Sogo Rinsho. 1971; 20: 2500-2504. Other Variant Of

Sogo Rinsho. 1971; 20: 2500-2504. Other variant of an estimation of gravity of illness Allows to estimate roughly the clinical status of the patient with an asthma during 6 monthly periods. This way allows to use the subjective The clinical information in a floor to a quantitative manner. The forecast Gravity of illness usually well correlates with indicators Reactance of an air line of lungs. INDICATORS VALUE POINTS 1. Number of asthmatic attacks for 6 , demanding treatment of the doctor No 0-1 Seldom or points on number of attacks 2-3-4-5 and more 2. Frequency of occurrence rattles or in a breast (on the average for 1 day) No 0-1 Seldom or points on number of attacks 2-3-4-5 and more 3. Frequency of attacks of rattles i-or breasts which have occurred within night Dream in night 1 One awakening for a night 2 Two awakenings for a night 3 Hourly awakening 5 4. Cough on the average for 1 day or night No 1 Seldom also does not disturb 2 Often, but only at attacks 3 Often and constantly 4 The most part of days, day and night 5 5.

The Short Wind Is Caused Also By Poisonings

The short wind is caused also by poisonings (intoxication) A number of toxic substances (carbonic gas, nitrates, Connections, etc.). In rest the adult healthy person breathes with Frequency of 16-20 respiratory movements in a minute (men - 16-18, women - 18-20). Examples of types of infringements of frequency and breath rhythm: Increase in frequency of breath (=); frequency reduction Breath (=); infringement of frequency of breath (heterogeneity Amplitudes of breath, for example standing/sitting);) breath of Chejn-Stoksa; breath Biothat (more often the brain reason at young); breath of Kussmaulja. Some reasons of occurrence of infringements of frequency of breath: -- * - physical activity, intoxications, Blood circulation infringement in the big and small circle etc.; * - Usually a sign of gross infringements of nervous system or a poisoning Any strong means (, and Other). The concept is connected With frequency of breath "Paradoxical pulse". Consider that one respiratory cycle is interfaced with 5-6 mm hg arterial pressure.

And The Repentance Pours Out In The New

And the repentance pours out in the new Claims and insults. Their depressions often have character of embitternment on All world. More in detail sm-http://www.chcr.brown.edu/;http://www.atsqol.org/mymop.asp Psychologists - http://zoom.cnews.ru/ru/publication/index.php?art_id80=1288 are by this time invented and are used , allowing to define and treat some kinds of pressure and stressful conditions. The majority of doctors adhere to the following scheme of inspection of patients: 2.1 Complaints at survey and them Sorting (one question = one symptom + a series of explanatories from 5-7 questions Under qualitative characteristics of a symptom). the cores Subjective complaints at the moment of survey and accompanying complaints. Important It is correct to reveal special habits, phobias, tastes of the patient. Obligatory For a mark in the history of illness of a theme - appetite, quality of a dream, Regularity of a chair, feature . In the most simple way of the semiquantitative Measurements of intensity of a pain at patients with different diseases It is considered definition on a ten-mark scale.

Types And Quantity Of A Saliva: The Thickness

Types and quantity of a saliva: the Thickness of slime at level Bronchial tubes I, II order-5-10 a micron. Such layer can move particles In weight to 10-12 mg with speed 0, 1 mm for 1 second Approximate structure at the healthy: Alveolar - 80 %; - 10 %; - 10 %). The basic integrated sign of the normal - vjazkost=150-600 (voda=0,01-0,05 ). Viscosity is connected With the maintenance in neutral , , Enzymes and slime. 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. Smelling as a dirt usually It is connected with an infection, including with and a pneumonia. Thus often there is a symptom "the plentiful One-stage "allocation . Superfluous allocation and Exhausting cough - frequent signs a cancer (=). Foamy with a pink shade, - a hypostasis sign Lungs, with rusty inclusions, - the certificate Pneumonia. Other characteristics of cough - a cough Sound Low tone it is usually connected with the basic changes of the main things air Lines-throats, a trachea and the main bronchial tubes.

I Result One Of Popular Questionnaires By An

I result one of popular questionnaires by an estimation Qualities of a life of patients with diseases of bronho-pulmonary system - (Guyatt's Chronic Respiratory Disease Questionnaire = SF-36). As a result of a wide experience of use of questionnaires On revealing of symptoms of bronho-pulmonary diseases, it has been noticed that Such frequent symptom as cough can appear at various times (the early In the morning, at liftings from bed), in the beginning day to progress during Day, but seldom happens completely night. Chronic cough, usually Productive, it is often underestimated as a symptom, as It is considered as an expected consequence of smoking. Besides It is noticed that at an estimation of huge quantity of questionnaires on studying Chronic cough, doctors not seldom pass a syndrome at patients or crises of edges in connection with cough. at diseases of bronchial tubes on To the questionnaire data in great volumes departs in the morning, though and later Also separates during the day.

The ANAMNESIS And Basic Syndromes In An Estimation

The ANAMNESIS and basic syndromes in an estimation of a condition of the patient Some councils of the general property about rules of dialogue with patients: Speak accessible sick of language. Do not promise the impossible. Do not abuse terms. Give clear instructions and questions. Avoid ambiguous questions. Check, whether the patient has correctly understood you. Do not hesitate to repeat the important questions if see that the patient has not understood you. You should be assured that at the patient does not remain not resolved questions. Resolve members of a family and friends to participate in discussion of questions. Describe the scheme of diagnostic and medical problems of the patient in accessible terms. Offer the patient some variants of inspection and treatment. Induce the patient to the self-help, and relatives To the help, including to kinds of therapy and the rehabilitation, supplementing The traditional. Most simple of numerous, in my opinion, The test defining about quick-wittedness at elderly patients is Subtraction process (for example, on 7) from 100.

After Specifications Of Complaints And Careful Estimation Of

After Specifications of complaints and careful estimation of the anamnesis, including risk factors, In the presence of basic symptoms conduct additional researches of an electrocardiogram And blood analyses. (electrocardiograms). Additional researches, for example level Warm and other tests are spent depending on history Illnesses of the patient: Stress tests; Echocardiography; Computerized cardiac angiography CT scan Coronary catheterization is more detailed than sm - Angina Heart Attack Chest pains at Heart is included in leaves. Precisely As well as at a pleurisy, pericardium leaves can undergo To inflammation and to cause a pain. This pain is more often felt as sharp because of The signs of an inflammation of leaves of a pericardium rubbing about an external surface Cardiac muscle. The most frequent reason is connected or With virus disease or it is unknown (). Inflammatory The illness nature ( an arthritis rheumatoid arthritis, system red ), nephritic insufficiency kidney failure And cancer process - conditions which can cause .

4.0.0 Research Of Cardiovascular System Of The Adult

4.0.0 Research of cardiovascular system of the adult patient. 4.0.1 Pulse and concept about "deficiency of pulse". 4.0.2 Approximate estimation possible on pulse. 4.0.3 Questionnaires of an estimation of quality of a life at . 4.0.4 Estimation of a symptom of a pain in a thorax. 4.1 Perkussija of heart. 4.1.0 Contours of a cardiovascular shade and other methods. 4.1.1 Reasons . 4.1.2 Rules of inspection of the patient with . 4.2 Auskultatsija of heart. 4.2.1 Noise of heart and their characteristic. 4.3 Research of vessels. 4.4 Syndrome of a short wind. 4.5 Tsianoz and its kinds. 4.6 Hypostases and . 4.6.0 Problems at revealing of hypostases. 4.6.1 Reasons and ways of its revealing. 4.7 Technicians of measurement of arterial pressure on a humeral artery. 4.7.0 Syndrome of an arterial hypertension. 4.7.1 Critical conditions arising in connection with high arterial pressure. 4.7.2 Plan of the minimum inspection of the patient at for the first time found out . 4.8 Signs of chronic insufficiency of blood circulation ().

Any Disease Of Lungs, Bronchial Tubes And A

Any disease of lungs, bronchial tubes and a pleura can To cause reduction of this difference. The most frequent reason of reduction Scope of excursions of a thorax - an emphysema of lungs (=COPD). Such Patients have very much a thorax and its limited Ability to expansions during the breath certificate. Research of symmetry of a thorax. The patient put a back to the vertical stand ( It is possible with a sheet of paper). Put two long pencils (felt-tip pen) Symmetrically in the beginning at level 7-8 edges ask the patient As much as possible to inhale and exhale. Pencils at the stand should note Scope of movements of a thorax at level 7-8 edges. Then repeat This reception having put pencils in both axillary hollows. Observe at It symmetry of movement of a thorax at quiet and it is any The strengthened breath. Simultaneously it is possible size Intercostal intervals in the top and bottom part of a thorax and Possible muscles. Further place your hands over the chest Cages in area of tops of a lung also repeat record process Symmetry of movements on a breath and an exhalation.

The Textbook Is Of Interest For Students And

The textbook is of interest for students and doctors, which Aspire to raise the individual diagnostic skill. In the concentrated Kind basic criteria of the major therapeutic syndromes are stated. In To the book a lot of a useful digital and comparative material, from the new Positions some features positive are considered and Negative dynamics in a current of some diseases. Such representation Clinical data it is especially useful for doctors of the general Experts>>. The academician of the Russian Academy of Medical Science, professor Nikitin Jury Petrovich (PHOTO 4) THE APPROXIMATE MAINTENANCE The list of all sections of the edition 1. The general section 2. A breadboard model of the scheme of research of patients 3. Diagnostics of syndromes and illnesses of bronho-pulmonary system 4. Diagnostics of syndromes and illnesses of cardiovascular system 5. Diagnostics of syndromes and illnesses of a gastroenteric path 6. Separate syndromes at illnesses of kidneys and ways Corresponds http://www.

A Maximum At Appointment Formoterol'a It Is Reached

A maximum at appointment formoterol'a it is reached through 60-120 Minutes after application also proceeds more than 12 hours. Application Preparation has shown that treatment with formoterol' considerably reduces Barrier to air stream in bronchial tubes, reduces frequency of use SABA And distinctly improves quality of a life (QoL) patients with COPD in comparison With which patients treated ipratropium' or tablets theophyllin'. Action salmeterol'a more slowly at first Effect, than at formoterol'a (the effect beginning cherez10-15 minutes, against <5 minutes at formoterol'a), and peak are reached in Limits of 2 hours after application. Treatment beta-2-adrenergicheskimi antagonists and long action (LABAs) It is well transferred by patients. Adverse reactions more often Are connected with doses and occur at a drug intake through a mouth, than at Application of preparations of inhalation action. Adverse reactions On preparations can include a tachycardia, feeling of trembling in breasts, forms , trembling, dream infringements (more often at Use LABA), and reactions of a skin of type Hypersensitivity (for example , hypostases, and a bronchospasm!).

Patients Use The Various The Lexicon At The

Patients use the various The lexicon at the description of a pain and to the doctor often happens not simply To specify localisation and character of a pain. Questions concerning connected with Pain of signs - sm under references shortness of breath Fever Cough Nausea vomiting Questions concerning risk factors of the patient Risk factors for cardiovascular illnesses (smoking Smoking, a blood high pressure - High blood pressure, cholesterol level - High cholesterol, a diabetes - Diabetes, a family tree-Family history, etc.) Especially it is necessary to allocate risk factors a pulmonary artery! Long confinement to bed and . Recent surgical operation. Crises of bones (Fractures). Contraceptive preparations (Birth control pill) Cancer diseases (Cancer) Risk factors for occurrence aorta aneurysms High arterial pressure of blood Syndrome of Marfana (Marfan syndrome) Syndrome of Ejlersa-Danlosa (Ehlers-Danlos syndrome) kidneys (Polycystic kidney disease) Cocaine consumption (Cocaine use) Pregnancy (Pregnancy) Fizikalnoe research of patients Supplements the basic signs and allows to spend more precisely The differential diagnosis.

And If Drops Out More Than 200 Hair

And if Drops out more than 200 hair a day, means it is necessary to address to the doctor Or it is necessary to give of itself in charge dermatologa-trihologa. It is necessary to remember And a family tree and to look to (learn) density of hair and their speed Losses at the father and mother. Some words about a smell of the person - It is known that at the person in a skin approximately 2 million glands. The average adult person with each milliliter of sweat loses nearby 540 Calories. Men sweat approximately on 40 % more than women. The basic function - drainage. 2 One million glands a day allocate from 300 to 800 ml of a secret, and in To heat and to one and a half litres! Thus, the organism regulates the Temperature and, partially, gets rid of toxins. However, babies never smell then as for them work only glands located on all surface of a body, and Toxins at them still are not present in a considerable quantity. Concentration glands At the person above in the field of a forehead, palms and feet, and in the sexual Maturing start to work and glands located in body parts, especially armpits and in areas.

Indexes And Apnii - (AHI = Also It

Indexes and apnii - (AHI = also it is known as a respiratory index of excitement) Can be quantitatively calculated separately, including total Attacks or AHI for all time of a dream. AHI it is estimated as Pathological at frequency more in 5 at an o'clock, and values AHI 6-15 Are considered as moderate infringements of breath. Alveolar component of a syndrome of hypoventilation Can be registered presence (PaCO2> 45 mm Hg). Level PaO2 should be necessarily measured and estimated, because is the frequent companion various The nature. Maintenance H2CO3 in blood and pH as should be measured, To define presence and level sharp or chronic and Degrees of its indemnification. 5. Basic symptoms criteria of syndromes and diseases of lungs * Chronic obstructive diseases of lungs * Tracheitis and types of a bronchitis * Bronchial asthma * Emphysema of lungs and risk of cancer diseases * Estimation of signs of legochno-warm insufficiency * Syndrome . * Syndrome and rules in clips. * Rules in clips and the basic indicators of diseases under the analysis of a pleural liquid.

Sweat, Made In These Parts, It Is Easily

Sweat, Made in these parts, it is easily occupied by bacteria - from here and Smell. By the way, at mammals glands provide allocation Special odorous substances - , Promoting sexual recognition, mutual relation of a cub and Mothers and so on. It is necessary to notice that full value and a role glands at the person it is studied poorly. The smell of a body of any person is strictly individual, It is coded in genes and remains dominating on all life. With the years This smell amplifies and changes a little. Some change The body smell can achieve by means of a diet, but more often the dominating The individual smell of the person remains. Some kinds of infringements of a metabolism, For example a syndrome , shown to a thicket at adults at Women and accompanied by the expressed dysfunction of the enzyme destroying Amino acid . A smell of a body and breath at such patients Reminds a smell of rotten fish. Other syndrome causing an unpleasant smell of a body It is connected with the special bacteria living on a skin and is called .