Transferred illnesses, injuries, operations: in a child's life - GRVI, GRZ. Yulia popovakak to renew health for ailments, injuries, operations Yak does not need to get cold

4. Allergol og і chesky anamnesis.

Allergic disease: atopic dermatitis, eczema; neurodermatitis. In Yaku Vіtsі. The severity of the interruption. Likuvannya.

Allergic reactions: on food products, drinks іін.
Clinical manifestation and implementation of the treatment.

5. Epidemiological history.

Preventive chips: in any kind of chips
otrimav (against tuberculosis, poliomyelitis, cough, diphtheria and in;); їх last; catching the terms of vaccination and revaccination; the cause of the damaged graph. Reaction, character, severity is "PRESSED".
Contact about tuberculosis in the family, apartments. Contacts with ailments on GOST Infectious diseases(-Yakimi, de, if), it is especially important in the front three!

VIDOMOSTI PRO STAN HEALTHY BATKIV I NAYBLIZHCHIKH RODICHIV DITINI.

Vik batkiv (mother and father); the camp is healthy; ailments or ailments to be ill (tuberculosis; neuropsychic, endocrinous illnesses, evil new ta ін .; smoke chi ni; live alcoholic drinks, etc.).

Crumples from the mother of vaginities, as the stench leaked and the skin of them ended (the kind of terms, completion, we live or a dead child, weekend, abortion). The camp of health of іnshіch children in the homeland (if they died - cause death). The health of the closest relatives is on the side of the mother and the father of the child (recession factor). Family tree diagram.

ANAMNESIS OF ANAMNESIS.

If and how a child is ill, mischief, like a developing illness (gostro, deed), the last of the pathological symptoms. Smell of self-respect, behavior, temperature of mind, appetite, style, sleep; cough (character), bloating (character), meningeal manifestations, etc.

Reasons for getting sick of a child (coldness to the body, damage to the child, regime, trauma, contact with ailing and in.).
If the sick person is already ill-treated and there is a prior diagnosis, then it will be diagnosed as a disease. On any day, get sick of ditina
hospitalization, in a camp, with pathological symptoms; as soon as it is necessary to diagnose and diagnose a diagnosis.

SOGODENNYA STAN DITINI (date)

Zagalny camp: backward, middle-heavy, important, even more important. The position of the sick person: active, passive, vimushene. Vaga, spr_st, circumference of the head, breasts.

Shkira: dry, vologa; zabarvlennya (normal, black-horned, cyanotic, horny-chervona, with icterus vidtinkom, bleed with siruvatim vidtinkom); visibility (character, appearance, localization).

Pidshkirno-fatty ball: normal, weak, oversized, equal, uneven (de). Turgor tissue: normal, weakening, (fine, sharp). Nabryak: de, yo turn and broadening. The elasticity of the school.

Lymphatic universities: palpate (like groups); quantity, size, consistency, looseness, sensitiveness.

M'yazov system: well developed, weak; atrophy (de), tone, strength.

People's estates.
The shape of the skull is stan dzherelets (size, napruga), cyst seams. Breast cell: shape (close to cylindrical, barrel-shaped); health from the sides, flaring up the edges from the bottom,
deformation (de). Ridge: no changes, the manifestation of pathological changes (kyphosis, scoliosis, lordosis, kifoscoliasis). Кінцівки: no changes, vicariousness, persuasion (epіphіzіv, dіafіzіv). swamp:
no change, release, deformation, loss of collapse, soreness.

Organi dihannya;
Type of dikhannya (chest; cranial); nasal dyhannya (vilne, "difficult); swelling of the nose, the appearance of a vision from the nose. Frequency of dichannya. Voice: clean, dry, aphony. Cough: dry; vologous, rough, barking. Dichanie: ravnomіrnomny, stenotic. (zadishka), retraction of the incoming muscles of the breast cage; voicelessness, bronchophonia. with bronchial vidtink); wheezing and characteristic (dry, vologic, caliber, crepitations).

Organize blood circulation.
The area of ​​the heart, the judgment of the shia, its turn; top post (character, visibility, localization). Between common dullness of the heart (right, liva, top). Tony: sonorous, weakened,
deaf. Noise: character, localization, epicenter, widening.
Pulse: frequency, rhythm, reminder, stress, synchronicity. Arterial vise on the hands and feet.

Organi etching.
Lips: rosy, with cyanotic view, dry, vologue. Mova: clean, coated, dry, vologous, papillary, geographic. The mucus sheath is clear, mouth, nasopharynx. Stan migdalin: value,
hyperaemia, looseness, rotation of gaps, їх вміст. Number of teeth, stan. Lives: shape, swelling, firing, stress, sore. Umbilical mill; a hernia (umbilical, groin, scrotal). Appetite, haircuts (if, skіlki razіv, nіzh).
Bluvota (character, nіzh, yak often, to abo write). Stove and spleen: size, palpate at the edge of the costal arch, touch from the edge of the costal arch (by a few centimeters) consistency, strength, soreness; edge - gostry "rounding; the surface of the liver and spleen (pry, humpback); non-palpable.
Style: character, consistency, color, houses, including pathological, frequency; consistency, consumption of gas. mill back aisle, Tenezmi i ін.

Sechostatev system.
The nature of the sechovipuskannya (frequency, vilne, difficulty, sickly); Pasternatsky's symptom. Slash: color, smell, vision. Stan of statutory organs, steps of development of secondary statutory signs.

Nervova and endocrine systems.
Organi pochuttіv: ochі - gostrota zoru, camp of conjunctivi,
zinits; vukho - the state of hearing, the camp of the shells, the outer ear canal; reaction of a child with a grip on the tragus.
The first children have 4-6 months of life: scent, relish.

Svidomost, reaction to otochuyuche, intellect, mood, mova. Reflexes: new-born, slimy, shkirn, cherevny, cremaster; the manifestation of pathological reflexes; hyperkinesi, sudomi (tonic, clone). Sensitivity (tactile, painful, temperamental).
The nervous system is vegetative (dermographism, fatigue, Ashner's symptom and in.). Mill of endocrine zaloz.

EVALUATION OF THE PHYSICAL І NERVO-PSICHICAL DEVELOPMENT

DITINY.
An early connection about the diagnosis.
The plan for the construction.

RESULTS of laboratory tests.
Analyzes: blood, slit, phlegm, duodenal vmistu, liquor and in;

Data of radiological, biochemical, serological, immunological and instrumental doslіdzhen.
Dates of visnovok for the results of laboratory tests.

KLINICHNYI DIAGNOSIS І YOGO OBGRUNTUVANNYA.
Anamnesis, Danih first look around laboratory reports stock up on diagnostics;

Differential diagnosis (one hundred percent given to the sick person).

LIKUVANNYA TA YOGO OBGRUNTUVANNYA, child.
all likarski zasobi vipisuyutsya latin language s
the exact values ​​of the dose, the multiplicity and the method of administration; specify the days of the trip.

WARNING FOR DITIN (schodennik).
In the history of ailment, the disease is uniquely childish;
perebіg zvoryuvannya in dynamіtsі. Skin symptom is guilty of bootie
stitched from the ear to the end. The note at the schoolboy is guilty of bootie
linked to usima in front of the data. Signs in denominations
for a day.

CONCLUDING ABO ETAPNIY EPIKRIZ.
The final stage of the episode will have special features
overcoming ailments, the methods of treatment and efficiency, are meant by the type of recommendation (regime, food, treatment, look), for the sake of the ill.

Entry
SHO TAKE REABILITATION

“A good drug is not like a person, but an extra help for people,” said the ancients. But for an hour, it's a pity to our spiralny, I forget about the everyday practical drugs. And mіzh tim vіdnovna medicine as "the science of resurrection" is a rich capital, in addition to mobilizing resources to the body and activating its mechanisms. Zavdyaki schadnim i beztabletochnim methods vіdnovlyuvalnoї (abo reabіlіtatsіynoї - in Suchasnyj traktuvannі termіna) terapії, lyudske tіlo, podіbno to Ptah fenіks, vіdrodzhuєtsya of Popel vtrat, samostіyno spravlyayuchis of hvorobami i neschastyami: vіdnovlyuє poshkodzhenі tkanini, povertaє to normal funktsіonuvannya hvorі bodies zroschuє kіstki ... in bagatokh vipadkakh, medicine is more adaptable for the people of the world, but not very special. And how can you buti inakshe? Even positive results are literally obvious, and negative inheritances are practically visible, which cannot be said about a large number of chemical pharmaceuticals, taken from the arsenal of official medicine. I hour, expensive hour! It was a trivial practice to change the mind, but the period of time is significantly faster, but only one of the most common methods of medicine is used.

How can you propose rehabilitation medicine? For how much of a patient's advice will be taken by a medical rehabilitation specialist (such a typical specialization in official medicine)? The main methods, victorious in the mainstream medicine, are old, like our light. It is traditionally known to them:

cleansing the body. For example, bowel cleansing for the help of hydrocolonotherapy (famous for "Hollywood child"), blood plasmaphoresis, cleansing for the help of lykarsky herbs. Most often it is also cleaned with first croc before renewal and healthier organism;

hydrotherapy, Above the lukuvalny baths and growing, such as mineral, turpentine, aromatic, salt, carbonic acid and іnshі, as well as a sauna and lazne, aqua culture, lіkuvalny courses of mineral waters. Specially prepared and prepared live rhymes fabrics, reintroduce the damaged balance of speech and microelements in the body, elimination of a lot of sickness - as a slunk-intestinal and until it becomes unreliable women's problems, Do not even seem to be about those who rejuvenate and produce a tonic tone not only just, ale and thoughts;

physiotherapy: Electrophoresis, ionophoresis, phonophoresis, laser therapy, ultrasound therapy, magnetotherapy, myostimulation, Vacuum therapy and so far. All my life, I wanted to go to the physiotherapeutic tissue of the regional polyclinics, and to consume all the available miracles of renewal of forces: activation of the regenerative system, exchange of blood regeneration,

hirudotherapy, Abo lіkuvannya p'yavkami;

reflexology, Abo pouring into the active points of the human body, activating internal resources;

balneotherapy, Abo muddykuvannya;

numerical methods of personal and main massage;

phytotherapy, Abo lіkuvannya herbs, і rich, rich іншого.

Consult a doctor, pick up a set of procedures for yourself and fix your steps to improve your health. I do not listen to it quietly, hto if you are talking about those who are familiar with medicine is similar to shamanism, or acclimate it to unconventional medicine. Rehabilitation medicine є in a serious direct way in modern medical science and not a little spiral in non-scientific and inappropriate “babus’s methods”. Introduced medicine modern science, Advanced methods of monitoring the natural abilities of people, developing the science and technology of technology and technology, as well as developing the sleepy resources in our body, so that to improve the functioning of all organs in some systems, reasons. And it’s serious. All the methods of acting are myako, including the paradox of chemotherapy injected, if “one is smart, but it’s good.” At the heart of this new therapy is a simple postulate: "The human body is built on its own to fit in, if it is a sickness, it is necessary not to seize it, but to help it". Reabilitation therapy and additional assistance to you in the whole. For the purpose of rehabilitation, in Denmark, a system of complex approaches to a medical, psychological and social character was adopted, aimed at improving the adaptation of people to haunted life, Navantazhen on robots. In which types of ads is available?

Dorechna medicine for velmi a wide range ailment і poshkojen. Probably an approximate, and to that an incomplete list of halls of official medicine, with time to get stuck in the following methods: cardiology, neurosurgery, treatment of cholovic and animal urogenital spheres, obstetrics, endodonomy shlunkovo-intestinal tract, Nephrology, pulmonology, traumatology and surgery, treatment of neurological diseases and psychiatry, otorhinolaryngology (vucho, throat, nis), arthrology and orthopedics, dermatology. For important operations abo conservative methods treatment, which can lead to serious involvement in the body, intravenous medicine does not provide for the rapid recovery and additional assistance of general use, and in more mild cases it is often possible to go to the hospital without additional help.

Is there a need for rehabilitation? As a rule, rehabilitation is required for patients who can see the transferred hospitable, Injury about the operation, to people who suffer from chronic illnesses, and it’s just a team, who’s going to be great physical and psycho-social benefits on robots or in everyday life. Moreover, what is more serious and more important than sickness, trauma, the operation was postponed, it was a trivial and foldable renewal.

Zakvoryuvannya, for which need reabilitation:

Vegetative-sudinna dystonia;

Ischemic heart disease, including myocardial infarction hospital, coronary artery bypass surgery;

Hypertensive ailment;

Chronic forms of the judgment of the brain;

Stan of the postponed insult;

Chronic bronchitis;

Bronchial asthma;

Chronic gastritis;

Virazkov ailment of the shlunka and / or a twelve-fingered intestine;

Chronic colitis;

Syndrome of "teased gut";

Mochekam'yana ailment;

Chronic hepatitis;

Liver cirrhosis;

Chronic pancreatitis;

Diabetes mellitus;

Entrapment of the thyroid gland,

Chronic polyonephritis;

Zakvoryuvannya ridge that peripheral nervous system;

Zahvoryuvannya suglobiv;

Zakvoryuvannya sudin kintsivok (regional atherosclerosis, regional endarteritis);

Zahvoryuvannya in front of mykhurovoy zalozi;

Pooruchennya dikhannya from an hour to sleep (chropinnya, sleep apnea);

sleeplessness;

re-automatic;

Chronic vtomy syndrome;

Obesity and a number of others.

Naturally, in our downs it is impossible to see all the pererakhovani vypadki, that is, the most popular, as it is possible to say so. Tim is more so pidhid of justifications by the mirrors of your safety: a particular type of skin is guilty of being looked at by a Fakhiv from rehabilitation medicine, and more important than a particular sick person, the retailer is a little too old.

Chapter 1
Yak shvidshe turn the joy of life with flu and cold

From the sickness to the flu and other colds not the seizure of nіkhto in the world. Everybody gets cold and flu: people and women, small and dark, great and small. I can get cold in whatever hour of fate, or more often for all the ailments, in cold weather ("flu season"), if the frost, planks, winter and sloth knock us into a purchase, start in a tight place, do not wait, wait hourly. I manifest itself in a skin-like manner, I want more spilny rice: ailments can often just finish off a cob of their own ailment. Dzherelom іnfektsії zvivy є chills of Lyudin, і not only in the period of ailment, but thіs іn thеіr іnfections, іn thе nose оf a virus up to 5 - 7 days, аnd sometimes up to 10 days from the moment of falling ill. In case of coughs, coughs, swelling from the nasopharynx of a human-virginous, parts of sludge, slime, phlegm from ailing microflora, and for a short period of about an hour, is not safe for expelling the concentration of infection from the maximum They get infected by contact with people. My fahivtsiv - "the drip-drop way."

The severity of the cold can be judged by the temperature crookedness of the sick person:

easy form : Temperature is okay, up to 38 ° С, turbulence zagalne nezduzhannya, Weakness, faintness, delicacy, headaches and m'yazovi boli... The next day, the undead will come, there may be dryness and perspiration in the throat, cough,

moderate form: The temperature rises to 39.5 ° C, there is a strong fever, chills, all cold symptoms grow;

important form: Visoka, up to 40 - 40.5 ° С, temperature. Signs of intoxication of the nervous system - attack, hallucinations, light damage to svidomosty, madder can be seen before obvious symptoms of coldness. There may be nasal bleeding, hemorrhage on mucous membranes and bloom.

Until all, one type of cold is a grip - a strong problem in a bliskavichny form, when for a sick wine it is not safe for a lethal (fatal) result. For the general form of influenza, it is characteristic of the temperature increase to the brightest digits and cleverly show, Similar to the symptoms of meningitis, or without a fiery reaction of the sheaths of the brain, passing in the infectious diseases under the term "meningism".

Yak does not need lіkuvati I will chill

Our protégé to catch colds, it seems soft, overly lightweight. Here sooner they are similar to Carlson, for what if a bida is “life on the right”, or for quiet characters, who seriously think that if you catch a cold, then you’ll go through the next day if you don’t like it, then through a week. To that in the first place, let's say a couple of words about those who, in any case, when they are cold, they do not follow.

Do not go to sleep on your own, you need to go to the drug, so as colds get sick with some kind of slowed down.

Do not go to the robot, to the university, to school, to see the community, to avoid widespread infection among your friends and colleagues.

Do not take antibiotics without a doctor's recommendation. Itching is not important viral zvoryuvannya, Vona does not react to antibiotics, but the stench of great vicissitudes of allergic reactions, the destruction of the robot, dysbacteriosis and the lack of total joy of the boot.

Mi zabuvaєmo, well, if I’ll get cold for a while and I’ll get it right, you can go for a couple of days. Likuvati is correct - to mean do not repeat other people's mercy. Nagadaєmo, in what to smell the stench.

Persha pomilka: mi is tolerable for sickness, and the chilled day of need, rest in the warmth of the last few days. Likars can get hold of such thoughts, so they can write the first license sheet for three days. If you can stand the ailment on your feet, then you can seriously naughty sob. You will pass the chill, and from її slowed down you can nadovgo overlap with you.

Another grave: lack of tolerance in salmon. Bagato zasob_v know only the symptoms of ailment: lowering the temperature, headache, streaming cough, or not assimilating the cause of the ailment. Prior to that, it has long been seen with medical statistics that the risk of non-transferable injected two drugs at once becomes 10%, three - already as much as 50%, and five or more - 90%. Zvidsi visnovok: brothers of the ailment of the treasure are not good, but rather like a lick without a doctor's consultation, it is hardly possible.

The third grave: readily read the instructions. on young people one and the same likki play in a smart way. However, the same people in nature are not sensible, and they are not affected by allergic and inspirational side reactions with implantation of any drug. Information about such may inheritance take revenge at the inserts-instructions to the faces. Read them respectfully. Since the drug is available without a prescription, in the instructions there are special meanings of the terms of your over-the-counter reception, if you finish your implantation, then you should be happy with the drug about your other children.

The fourth grave: an independent approach to antibiotics. For the tribute of lykarskoy science, in half of the vipadkiv colds Storing antibiotics in case of drug abuse is not true. It is not safe to scoff at them that they are uncontrollably storing antibiotics in the past. As a result, if the drug is really necessary, the fault is no longer so, it’s guilty. Obviously, with serious acceleration, ignited legends, or angina, you can't do without antibiotics, but the sign of them is still guilty of the lycar.

P'yata pomilka: bezmezna vira in the home. Everything is kind in the world. For example, є people who do not tolerate berries of raspberries, їm it is not possible to accept іtwar її leaves, because of the fire and sweat.

Shosta pomilka: self-diagnosis and self-cleaning. It’s easy to drink in a situation, if a guy is sick with pneumonia, thinking that he’s chilled, and put his own cans, as in this case, you may be provoked, and then marvel at having drunk on a karnyana lіzhko.

The optimal option, zvychayno, is the one if the chill of the people is not strong before. Well, be a judicious person with a force. About those who need to lead a healthy way of life, go in for sports, be in good shape, take vitamins, know everything. And what about robiti, how are you, for example, are they already very cold? Yak right to fit in with hypothermia?

I am glad, as it is shvidshe zіgrіtisya, a lot, but not everyone can do it. Bagato, in such a situation, is trained in a truly folk way - for additional alcohol. Ale here is not called that vipadok, if there is truth in wine. On the right, in the one where a frozen person can drink about 40-50 grams of a bottle, or cognac, if you want to help you get started. And everything, if there will be a vipito on the designated amount of alcohol, deprive the body of hypothermia. The mechanism of the offensive is similar to the vicious effect of the offensive: the charachka of the judgment has expanded to the power of the blood stream on them, and to produce heat to the extent possible, is a medical fact. As a result, the body starts to consume surplus heat and freezes even more. So, in any case, it is not possible to sinister ominous drinks. Not recommended for people who are cold and smoke. Nikotin, navpaki, sound of drinny judgment, the blood flow is growing, and the fabrics do not feel sour than hunger, even more when they feel cold. Well robiti?

Even more kindly, dry warmth - in the carpet and a sprinkle of grilok, like hot water... One of them will need to be placed on the legs, and on the other. At the first glance, it’s wonderful to see it, but it’s not very easy to explain. On the right, the cold is easily provoking the pelvic organs. Naybilsh urged them - yachniki. Bagato zhіnok, having frozen, sees no pain lower abdomen. It’s not so іnshe, as the appendages burned. Most often, cystitis - the incineration of the slash mikhura - comes down to it. The whole organ can even more rapidly react to hypothermia. The winery is quickened and ailing sechovipuskannya, as it passes only through the chain of tizhniv. Symptoms will start to appear, it is necessary to warm up the lower abdomen. Gumova grilka, filled with sprinkles, here it will be more pre-riverine. Dobre add warmth to the bath. Ale її needs to be taken carefully. Whenever the water temperature is not guilty of changing 30 ° C. Okrіp needs to be done in steps, so, after 20 minutes, the temperature rises to 40 - 42 ° C. Throughout the whole hour it is necessary to drink some kind of hot drink. You can buy liquor tea, cocoa or mint broth.

Alle simpler progrіvannya organism can be drawn from the right mind. For the better, go for a citrus bath. To make a bath, it is necessary to roztovkti 120 - 150 g of dry orange peel, tangerine or lemon, pour one liter of sprinkle on the powder, and insist on 20 - 30 khilin. Let the nastіy power by the bath. To improve the efficiency of the bath, you can add two or three drops of Trojandi essential oil. You can also "zbagatiti composition" with lime juice.

For an orange-grapefruit bath, win with three great grapefruits and three oranges. Put the pulp in a fabric beetle, or burn it in cheesecloth, and then lower it by the water, so it “pidzhivlyuvati” її.

For a lemon-honey bath, you need a chotiri - a lot of lemon. Oh, it is necessary to draw it with a shkirkoy, flood it with hot water and insist that the year is near. Bring the lemon mass through cheesecloth into the bath and give a few tablespoons of honey.

Citrus baths є douger in an efficient way a little bit of cold cold. Baths increase blood circulation, tone, change and help the skin, create a free bar for sick people. Besides, essential oils, Iakі to take revenge in citrus fruits, additionally help you to cough with an ear of undead and a cough. It is recommended to carry out the procedures for 10-15 minutes at least two per day.

Well, what about robiti, why haven't you hidden and got cold? Likuvatisya, svychayno! Moreover, they do not forget about those who, during a cold, it is especially effective to immediately consume the methods of traditional and modern medicine. Moreover, for those who are ill, an alternative drug therapy Perhaps the therapy is a complex of natural and physical methods of treatment. I will not help students who are learning to do physical therapy (program, magnetotherapy, ultrasound therapy, etc.) and reflexotherapy (pouring into active points on the school). At the beginning of the day, we pay attention to the methods of progrіvannya in the home minds and deyakie methods of reflexology.

EARLIER Postponed illness, INJURY

Ailments for rubella, vіtryana vіspu. Viral hepatitis, tuberculosis, syphilis, SNID will not. Hemotransfusion was not carried out.

Pulmonectomy was performed in 2009 right legends from the drive of the central cancer.

Relatives got sick of the mental system and did not have a

ANAMNESIS VITAE

Osvita vishcha, specialty gas-electric welders. Serving the army 2 rocky. To smoke 2 packs a day from a youthful vika, ominous with alcohol; Index pack / rock 20 * 46/20 = 46 pack / rock

I will not allow allergic reactions.

DANI PHYSICAL AND INSTRUMENTAL METHODS

1. Zovnishn doslіdzhennya

Zagalny look

Zagalny camp of middle gravity

The position of the sick person is more active

the evidence is clear

Viraz revealing zvychane

The statura is correct, the constitutional type is asthenic, height 165, weight 48 kg, temperature 37.1 o C.

Shkirni pokrivi rye color, elasticity of the decrease, the steps of the volume are normal, visipu nema, varicose veins are nema, visipki nema, the type of hair is cholovic, blood is nema.

mucous membranes bloody-rozhevі, visipan is nemaє, mova without nalota, on the miracle dals, nalotu is dumb, ziv bloody-rozheviy.

Pediatric fatty cells rozvinena okay, nabryakiv nema

Lymphatic universities You will be able to skim past, shiiny, powerful universities, in the size of not bad, meager and one-sided consistency, not welded together with a small cell and between oneself, ailments mute with palpation.

m'yazi myazova system It is assessed as before, myazovaya force is okay, tremor is mute, ailments when blotted is not, tonus is normal

kistki deformation and malaise

swamp the configuration is normal, the hyperemes of the climate and the temperature adjustment in the area of ​​the snowy slope, active, wilting.

2. Pre-treatment of the nervous system and organs of the chuttya

The testimony is clear, the arrangements in the moment, the emotionally stable, the memory is saved, the sleep is not disturbed, the urgency and the aggravated stomatomy are mute.

Bolova, tactile, temperamental sensitiveness of rotation, scent and relish of being saved, goodness of being saved, very sharp lines, obliqueness of the day, the size of the winter is symmetric, the shape of the round is not good, it is not a good coordination

3. Pre-development of systems and organs of dichannya

Dikhannya through nіs vіlne, seeing dryness in the nose is dumb, seeing from the nasal passages does not deteriorate, nasal bleeding from the daytime, scent is saved. Pain in the back and root of the nose, in the region of the frontal and maxillary sinuses not assigned. Sleepy, unproductive cough with viscous mucus sputum. Cough will adapt with physical nasalities, accept їzhі. The expiratory tail when pidyom is 3 on top.

The breast cage is barrel-like, symmetrical, in the act of dichannia it takes on the part of the additional space, the mid-lengths of the expansion, the noise is noisy, BH 21.

Palpation of breast tissue: Elasticity and resistance to decrease, pain is mute, voice is weak.

Percussion of breast cancer;

• A) Percussion percussion: evil boxy percussion tone.
• B) Topographic percussion: Bottom lines:

Visota standing verhivok legen:

Lumpiness of the lower Legendary lands:

right-hander is mute

zlyva 3-4-3

Auscultation of the lungs dikhannya vidsutnya on the right, dikhannya zhorstke on the right.

4. Pre-treatment of the heart-vascular system

Vipinnya in the area of ​​the heart is not, apparently, the pulsation is not detected.

percussion of the heart

Between common heart dullness

Auscultation of the heart

Tony heart is muffled, noise is mute, rhythm is correct, heart rate 72, AT 90/60 mm RT Art.

5. Post-processing of systems and organs of etching

Mova vologii, ruffy, without nalota.

Pre-treatment of the belly: rounded configuration, flatulence, mild, belly-button stump, no enlargement, shortness of the day, abdominal circumference 100 cm, visible peristalsis of the day, with superficial palpation, mild painless pain, painless points, painless points Dani palpation: the lower boundary of the slunk is 2 cm in the umbilicus, intestinal washing - no particularities. Dani percussion of the belly: the origin of the day. Auscultation of the intestinal tract: auscultation is quiet.

6. Pre-treatment of hepatological systems

Ochinka at palpation along the edge of the costal arch, measured according to Kurlov 9-8-7. Zhovchny mіkhur is not palpable, soreness in pain points is not established. The spleen is not palpable.

7. Preceding the secular system

Nirkova area when looking around is not changed, nirki is not palpable, when palpation is painless, Pasternatsky's symptom is negative on both sides.

8. Endocrine system

The thyroid gland is not improved, the internal symptoms are negative, the second statuses are indicative of the statute and the general information.

Stage I of the differential diagnostic poke

Leading syndrome: bronchial obstruction

1) Method of identification:

Diagnosis of COPD of an important interruption in the phase of aggravation of the supply of scarg to the examiner dysfunction, persistent unproductive cough with viscous mucus sputum, on the basis of the anamnesis: chickens in the early years - 46/46 / at the beginning of the physical condition: the emphysematous form of the breast cancer, participation in the act of domination of the ancillary diseases; the percussion tone is boxy, between the lungs drooping, the ruffle of the lower edge is surrounded, with auscultation: the dichotomy of the jerk.

2) Victory method:

Bronchial obstruction syndrome can be associated with the following diseases:

• Cancer Legends
• · bronchial asthma
• Gostry bronchit

On the daytime there are signs of cancer like coughing at home, pain in the chest, hoarseness, pleural symptoms.

Visible signs of bronchial asthma, such as a mild allergic history, mild attacks of poison, with auscultation of mild wheezing and crushing.

On the daytime signs of a gastrointestinal bronchitis, such as a cob with no history of illness, cold cough, bladder, abnormal vologue, cyanosis of mucous membranes, chest cells of correct form, normal vocal cough, normal vocal cough

For the diagnosis of lung cancer and bronchial asthma, additional research methods are required.

Anyone who is ill will need to ask for information about all the transferred ailments, injuries and surgical operations. Tse will help to prevent deyaki ailments. For example, if in the last ailment there was a breakdown of the appendicectomy (surgery is not visible), then in the lower right side of the abdomen it cannot be manifested severe appendicitis... On the other side, the knowledge of previous ailments will help to diagnose a relapse. Yakshcho ailing in the past was hospitalized with a drive swirling ailments twelve-fingered intestines, and at the same time it will go to the baking beetle at the upper part of the abdomen, when the antacids and milk are consumed, then more and more you can grow more viscous, so that the amount is made more tough. A trace of memory about those ailments that were diagnosed in this ailment earlier, for example, diabetics and hypertension, a bit of a stench can get stung in every case of new ailments, and you can also speed up the disease. An ailing one needs to know, who doesn’t suffer from an alert to any kind of liking, and if it’s not bad for him, it’s not like it.

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Inspection of systems to organism

In quiet people, if the diagnosis is not clear or not more than an hour, you can get a clueless glance at the other systems of the body and the noise of the symptoms.

Head - Transferred to the past with injuries (removal of wounds), severe headaches.

Ochi - Mistaken zir, double in the eyes, zhovty kolir sclera (bila chastina full-time apple), Bil when looking at the light.

Vuha - Hearing loss, more obstructed, more or less visible from the ear canal.

Ніс - Bleeding, undead or mortality.

Mouth - Virazki, b_l, no difficulty in coping.

Shia - Rigidity of language, growth of lymph universities, pain.

Dichal system - Cough і the nature of phlegm, cough with blood, bile in the breasts with a podikhu, zadishka.

Sertsevo-Sudinna system- Beer behind the breastbone, bump of both gomilok, zadishka at physically assigned and an hour to sleep, heartbreak, but a little earlier than a blood pressure, heart attack, like rheumatism in the last moment.

Herbal system - Pogany appetite, destructive poisoning, nudota, blues, sneezing, constipation, zhovtyanitsya, beating in the stomach, shelter in feces, or in bluish masses.

Sechostate system - Bіl with sečovipuskannі, bіl across, often sesovipuskannya, sickly positive to sechovipuskannya, shelter or nіy in the slash, seeing from the statuette member.

Nervous system - Paralich abo thinness m'yazіv whether a part of tila (hands abo nіg), sudomi abo seizures.

Family and social anamnesis - It is necessary for a sick person to know if some of the members of their family are sick for diabetes, tuberculosis, heart ailments, cancer or even sickness itself, and some kind of sickness.

It is necessary to turn to the sick, why it is enough to smoke and n'є. When you become susceptible to chronic alcoholism, the date of the rest of the alcohol intake was followed, as the hot woman could win in 5-7 days, in addition, as the lyudin stopped drinking.

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physical condition

Tse - a part of a sick person is important for a friend. Until the end of the day, the deyak was wary of being wary, for example, to assess the character of the sick man, his gallant viglyad and psychic camp. Therefore, it is necessary to use the information collection system, based on the identified signs of ailments.

To carry out physical conditioning, it is necessary to use a second hand, a device for a blood vise, a stethoscope and a thermometer; The routine must be carried out in a quiet environment.

Dikhannya pulse and temperature

Yaka frequency of dikhannya? Yaka heart rate? Yak temperature?

Zagalny viglyad

To brutalize respect for the position of the person and to expose the ailing one. Unsettled ailment, unsettled whose posture? I respect you for those who fail and react to your food.

Identify the location of the visip or the location. What color is visip, or is it big? Roztashovani chi elements visipu okremo one in one or get angry at once? Dripping a stink? Take the smell or the flat? Yaka shkira on the dot is hot and dry or cold and cold? Yakiy kolіr shkіri? Є signs of zhovtyanitsi (zhovtizni)? Yaky color of lips and nіgtyovyh lodges cyanotic abo bіldo-bіliy?

Chi є signs of injuries, such, yak poriz, sadno, nabryak?

Є signs of yellowness or sclera scorching (b_la part of a full-time apple)? (Signs of jaundice are more beautiful than shukati with sleepy light; with piece illumination of healthy people, sclera may appear.)

Wonder if there is no bleeding from the ear canal, especially if you have ailments, having cut off a blow to the head and let such a blow be allowed.

Wonder if you have a bleeding ailment or an unviable vision from your nose.

Mouth and throat

Are you clear about the problem and the background? Yaki kolir and rukhu movi, why is there nothing in them that is uninvited? Chi є in zivi, unwitting pochvoninnya, nabryak or vyrazki? Beastly respect for those who are ailing kovtaє. Chi is not it difficult to chi talk? Chi doesn’t have an innocent smell from your mouth?

Ask the sick person to lie on his back and put his hand on his head. Ask a sick person to relax, if you are guilty it is easy to bump his head, and she is guilty to do it like that, so that it’s worthy of a breast cancer. I respect those who, in a sick person, are unwittingly stressed by the muscles and do not see any discomfort when they are raised to the lying position with straightened knees. Perevirt, zbіlshenі zalozi from the sides of the shia. Beastly respect for those sore stinks in the case of dots, ruffles, myakis, or damages.

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Breast cell

I respect you for those who are ill-fated, who seemingly fail at the same time, and nevertheless, offended half of the breast crumbs collapse. Sit down ailments, do you want to get rid of it? Behind the aid of a stethoscope, it is necessary to listen to the breast tissue from the front and back and to take offense and half (Div. Fig. 125, p. 222 і Table 6, pp. 224-227).

Beastly respect on the contours of the abdomen. Symmetric wines? Feed the sick person about the appearance of all the obvious scars. Such cicatrix can be a bit of a previous operation and turn on the ailments of the rump michur or the burning of the appendix, a bit of the smell of thorns. Feel the living, animal respect for sick children, as well as for those weak stresses. (Div. Mal. 122, p. 202 і table. 5, p. 198-201.)

state organi

Surprise, chi є virazki, yak prisifіlіsі; Do not wrap yourself around them. Chi є yaki-nebudu vidіlennya from the statuette member? Chi є swelling and soreness of the testicles? Chi є in the groin of zbіlshenі zalozi (lіmphatic vuzli) or a grill?

Hands and feet

Reverse the rupture and strength of the muzzles in all parts of the hands and nig. Chi є paralich or myazova weakness? (For example, if ailments cannot be rucked by your foot, then it is necessary for a sickness, which is tied with a pain or a true parallels, for any pain you do not get sick.) Is there a hand or a leg in the place of a friend?

Chi є ailment or deformation? It is necessary to reconsider, where the area is not painful, for which it is necessary to lightly hit them with a fist. The area is roasted along the side of the ridge, between the upper edge of the pelvic cyst and the remaining edge.

Nervous system

Chi є the sick man is overwhelmed by his ailment? Beastly respect for the psychic camp of the sick. What is the rational behavior, why is it not so special in the new? You can choose the current number and the number of simple arithmetic works.

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Coordinated which move and move?

Ask a sick person to make a crocodile decal and take with a skin hand a certain object on the table or a style. As the ailment is even weak, and you can’t walk, look, how can you collapse, turn around and take objects in a sled.

symptoms

Prior to the distribution of the chapter of the head of assignments to that, as a collection of information about the camp of the ailing. Stagnation for the whole pidhid to be stored from the feeding of the sick person (for the preparation of his scarg and the appearance), as well as from the physical obsolescence, which does not require a middle-aged symptom of the sick person, meta clear field in the disease. Defending a sick person needs to be repaired from the head and kicked.

For this purpose, at the presentation of all the selected information, it is possible to build up the garments, and it is necessary to organize them with a singing rank. Controversial data has been brought to the same category. Recommendations for organizing information in consultation with a doctor on the radio descriptions in chapter 14, section "Zovnishnya dopogoga", p. 341.

form of visnovkiv

Write down the basic misfortunes of a sick person, in terms of the system and the body, which may be the enemy, and ask him additional nutrition, so that these symptoms may occur. It is possible to re-carry out the physical condition and in the sense of the system and the organism, in which the damage appears. If necessary, ask the sick person additional food or re-cover the area. You can also help to clarify the information you have added. It is often possible to make a trip to the end of the day on decile transfer diagnoses. I want to go back to the chapters of this book, in which descriptions of ailments I’m going to, and if you see them, because of them the most likely to be seen in all the ailments. Having familiarized yourself with the material of these chapters, you can come to the notice about the need to carry out additional tests, or to disregard from the ailing ones for additional power supply.

At this stage, if you don’t get a chance to put a residual diagnosis, you’ll know about a sick person to finish a lot, so you will consult on the radio with a doctor.

It is necessary to realize that such a vision, such as bloating mass, viporozhnennya, phlegm, and slashing, brutally respect for their unprecedented color, consistency and especially for the presence of blood. The blood in viporozhnennyakh can be maternal-red, dark-brown or black-colored. At the sech roof, you can see the red color, ale, it’s not hard to see the shelter, only for that, as you see, there’s only a few years. Have a sick man with a zhovtyanitsy slash zzvychay maє dark zhovty colir. In order to confirm the appearance of a young woman, I chop down to pour into a small dance and shake it intensively. With the presence of a zhovtyanitsi pina, I will be zhovtoyu, so yak zvtyanitsi won. I can cut the sick with the healthy people.

A slide of memory about two important moments: in the first place, in the time of summing up, change the camp of a sick person with a camp of healthy people; Check with one and the same sick symmetrical organ, for example, right vuho z livim, right eye z livim, etc. On the other hand, keep following the camp of the ailing one and re-obey him, so as to allow you to wake up earlier than what is good. Uniquely accept a quick solution or diagnose diagnostics! We can have a good time with you!

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simulation

Simulation of the field is in the fact that we pretend to be sick in order to pretend not to be able to do it because of some special motives. The simulator has a lot of dumb signs of ailments, or he looks like they are more important, less stench is right. When you are susceptible to simulation, take a history of ailment and respect the patient, monitor his temperature and pulse his pulse.

lykuvannya

If you do not have an absolute sense of diagnosis, tell a sick person about your knowledge and overwhelm your diet. Before the arrival of a sick person, he is strictly guilty of a post-regime, which needs to be given a light touch for the regularity of a regular discharge and defecation. The ailment is not guilty of drinking and drinking alcohol.

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Chapter 4.

Help to suffer

sterilization

General rules for cleaning wounds

internal services

head injuries

eye injuries

shkojennya wuha

nose job

Empty company and teeth

stretching

sucking bandages

At the same time, it will be discussed about the treatment of the sufferers who have been brought to the ship's hospital or near the wretched cabin, with the residual pruning of injuries that have been removed on board the ship.

sterilization

To prevent the diagnosis of wounds, diagnoses and other injuries, all dressing materials and tools are sterile.

Pere'yazuvalny materials are guilty but they are packed and sterilized in advance.

Є two methods of sterilization of instruments:

Tools and materials can be packaged and sterilized in the factory minds. The stench is suitable for a disposable victorian and even hand in a robot.

Іnstruments, designated for bagatorazovy vikorystannya, sterilize with a no less than 20 min. That little tool for the tool, which is sick of the sick, can be chipped in front of the vicarians, the tool is followed by the brothers only by the handle.

Lyudin, who needs help to the wounded, may be guilty of living in, directing to the infectious diseases:

Roll up your sleeves;

Really vimiti the hands, wrists and beforehand with a pair of cute water under running water and at the same time 1% in the range of cetrimida.

Evidence of blood transfusion and parenteral administration of blood cells in the anamnesis.

Reactions to blood transfusions and medications, vaccines, vaccines, and other medicines (if, in which case, it was stopped, it was stopped independently, or if it was carried out like a drug).

Postponed earlier illness, injuries and operations

A detailed description of the ailment about everything he transferred to a disease, from his early childhood and to the hopefulness of the hospital, from the meaning of a sick person, to the fate of the transferred skin disease, triviality, gravity, where the ambulance was carried out in a hospital. If ailments can accurately name the hour of the transferred ailment, then you can be intertwined with approximate vkazіvki ("... close to 10 years that ..."). It's not the chronology of ailing, but a description of what inherits for the health of a sick person in general and for the transfer of a sick person's health have made it impossible to carry over the illness.

Okremo opitati about transferred syphilis, viral hepatitis, tuberculosis. When there is a history in the anamnesis, it is a sign of ailments - it is a fact of the history of ailments.

In this section, only the transfer is described, so that the disease is over. Seriously, with a pity, I will describe in this section the distribution of supporters who are sick in the hour.

Family history and data on decline

Stan is healthy or the cause of death is due to the triviality of life of close relatives. I especially respect the brutality in the sevens for tuberculosis, malignant new diseases, syphilis, alcoholism, psychiatric discomforts, endocrine discomforts, malignancies of the heart-judgment system. With a number of ailments, which may cause a decline in mental health, it is worthwhile to reliably pay attention to the appearance of such ailments from blood relatives.

expert anamnesis

Say, chi ailments in the flowing rotsi on the larch leaf, if so, then if it lasts for an hour. If you can, enter the number of the card sheet and kim vin buv visions. Iakshcho ailment іnvalid - to say the hour of the establishment of invalidnost, the lines of Chergovy pereglyad.

At the beginning of the history, the sickness may not be described (for a request)

Dani look around the sick

Dani look around a sick person can be described in one viglyad (Status praesens communis) or two (Status praesens communis і Status specialis) razdiliv.

In a number of surgical schools, all the data are described according to the organ systems at the viglyad, one section “Zagalna Daniy Stan of the Sick (Status praesens communis)”. However, it is possible to appear unmanageable from a practical point of view - surgery often can help with a local problem, for it is necessary to have a local action (vicono operation). In addition, we will broaden the option more by looking at two parts - the state praesens communis and the special one, in which the system of organs is described in particular in detail, is affected by the main disabilities (Status specialis). Moreover, the organ system described in the Status specialis in the Status praesens communis cannot be described (omitted).

It is often not possible to see a system of organs that can be seen by those who are able to see the system of organs; In general, the special part is not described in detail in the Status specialis section, but in the Status localis section, in which the anatomical region is described, or the region (in the induced attachment - the lower prints).