6. Are Sometimes Necessary And For Diagnostics For

6. Are sometimes necessary and for diagnostics for not clear aetiology. After these procedures of the patient, stack on Semifixed couch. The head of the patient lying on a couch, should be It is slightly raised and when the patient lies and is weakened, investigate: Thorax and chest glands. Thorax spend for definition skin, hypodermic and others Consolidations and unusual formations. On a forward surface chest Cages estimate (rigidity) of a skeleton of a thorax, width And mobility of intercostal intervals. To be spent also survey, and lungs and heart area (is more detailed in Corresponding sections of the book). Heart does approximately 36 800 000 For one year. For an initial estimation of borders and an action of the heart in Positions of the patient lying and standing are used and various types Stethoscopes, including with electronic analyzers of sounds and-or Direct auscultation of sounds of heart and breath. Often thus Spend an estimation of a condition of blood vessels of a neck and sine (Examine, palpate and listen a stethoscope to noise).

Sudden Desires On , Urgency, From Time To

Sudden desires on , urgency, From time to time connected with pressure and sensation of the incomplete Clearings is frequent enough display and syndrome . The fever can sometimes be shown as collateral Symptom of a system inflammation at IBD, illnesses of Uippla, malignant Diseases and chronic infections. Syndrome also has set Extraintestinal displays, including (red eyes with an itch and Burning), (a pain, not accurate sight, photofear, a headache and Other), ulcers, arthritises (lumbar, sacral or Peripheral joints) and skin damages (central , pyoderma gangrenosum, etc.). also can be connected with ulcers and a characteristic skin in a kind . The illness anamnesis Whether usually specify there was at the patient a diarrhoeia in The early childhood which remains to an adult life. So can be At . The history of frequent diarrheas can be connected with signs Type , a syndrome of chronic weariness, tempora-mandibuljarnym an arthritis or chronic a pain, Offering syndrome . History of an incontience of the urine, the expressed dryness Skin and mucous membranes, pains, the neurologic Dysfunctions or a diabetes increase risk of occurrence of a chronic diarrhoeia And faecal fieriness.

Special Attention And Inspection Of Ears, A Nose,

Special attention and inspection of ears, a nose, an oral cavity and Drinks it is often very useful, as signs of dangerous illnesses can To disappear in the form of skin signs, changes in nasal courses, in a mouth and in Kind of neurologic symptoms. It is known as that these changes and Damages can essentially change a current of illnesses. Estimation of a condition of ears (visual survey of an ear) 1. It is necessary to check up symmetry of both auricles. Examine both external ears and estimate the following: -- If top level of the right ear below level Pupil, consider possibility of a genetic pathology of type of a syndrome Down, etc. will pay special attention that congenital anomalies Auricle forms can be often enough connected with the anatomic Defects of kidneys, heart and large courts. Thus nephritic anomalies not Seldom have defects with an auricle. - Check up a skin in deepenings of a bowl of an ear on Presence superfluous , including solar or others Potentially harmful indicators of damage of a skin.

A Movement Range, Active - Bending-90 About; Razgibanie-70

A movement range, Active - bending-90 About; razgibanie-70 About; a radial deviation of 20-30 degrees; a deviation elbow-20-30 O.Palpatsija (palm): (can be , , vaginas), nodular growths, a stenosis Sinews (foto 8c2). An example: - incidentally appearing formation on brush back ( formation of a capsule of a joint). Volume of movements in joints: a corner of bending at healthy 88-90, a corner - 70, a deviation in the elbow party - 50-60, in beam - 30-40. Interphalanx joints. Metakarpalnye joints: Survey: symmetry Changes (= defeats). An estimation of volume of movements in thumbs, thumbs and lines metakarpo-falangealnyh joints. It is necessary to check up ability of the patient to do a full fist, To unbend and expand brush fingers. Volume of movements in joints: the most simple compression in a fist - nearby 100, to an equal palm - nearby 100. A symptom of drum-type sticks-. Growth of soft fabrics and their hypostasis in area phalanxes. (Illustration sm) The symptom of drum-type sticks meets At - chronic purulent pulmonary infections; a lung cancer; Pleurae; a pneumosclerosis; a cirrhosis and .

- , Afty Bednara, Ulcers - Ulcers On

- , Afty Bednara, ulcers - ulcers on a mucous membrane of a hard palate at chest children, Arising at careless wiping of a mouth or as a result a dummy. syphilitic (aphthae syphiliticae) - located the soft palate mucous membrane, arising at a secondary syphilis. tropical (aphthae tropicae) - . . - Venkebaha a sign (G. D. Achelis; F.Wenckebach, 1864-1940) - restriction of displacement of a diaphragm downwards at a breath, Observed at and a pleurisy In connection with presence reberno-diafragmalnyh unions. a syndrome (W. Achenbach,) - . A hematoma of hands . atsetonemija - Increase Maintenances of acetone and its derivatives in blood. Acetone in blood appears When for reception of energy the organism instead of carbohydrates uses Fats. Acetone carry to, so-called, to bodies, which Are developed at an exchange in organism fabrics: A-at the expressed Insulin lack; fast losses of weight B Th a background (“hungry ”). V-ambassador long . atsetonurija - Acetone in urine, define by means of special test strips.