Wednesday, November 28, 2007

- The Anatomic Defects Of An Ear Caused

- The anatomic defects of an ear caused by a trauma (Ears of fighters) are often presented as the thick, elastic painless Ugliness. - The diagonal fold of an auricle often offers the increased coronary risk. -- Presence of long hair in an ear bowl offers normal function at men (a sign of Hamiltona). -- Sometimes on auricles come to light Gouty , especially at persons who lived in a frigid climate (The low temperature of air reduces solubility of uric acid). -- Unique painless small knot on a lobe Ear can specify in defect the valve, as congenital Pathologies (=Darwinian tubercle). -- The movements of an auricle coinciding with Pulse, offer defect of the three-folding valve of heart (not Constant sign Paul Dudley'). 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).

Tuesday, November 27, 2007

) Or A Syndrome Of Parkinsona. The Warm Nature

) or a syndrome of Parkinsona. the warm nature Presence of a serious heart trouble; objective criteria ; pains in a thorax; presence in a family tree of relatives with Sudden death. Ischemic heart trouble Anamnestichesky, clinical signs and the given electrocardiograms testify About a sharp ischemia of a myocardium, including i-or without a myocardium heart attack. Detailed research in a specialised hospital. Sinusovaja bradycardia <40 / mines or repeated sino-atrialnye blockade or pauses from a warm sine> 3 at Absence it is negative treatments; Mobitz 2 or 3 /V The block; alternation of blockade of the left and right leg Gisa; a tachycardia or Tachycardia; work failure with long warm pauses. Electrocardiogram in dynamics, Holterovsky monitoring, check , ultrasonic of heart and carotids, etc. The tserebrovaskuljarnaja nature Detailed research of character of pulse basically Points of a body before and after loading, tests arteries, ultrasonic arteries, etc. When hospitalisation for an estimation conditions is required? Revealing and syndrome acknowledgement not Necessarily demands hospitalisation and a detailed diagnostic estimation in Hospital.

Monday, November 26, 2007

B-n Hearts Function A Lion. Zhel The Normal It

b-n hearts Function a lion. Zhel The normal It is lowered Accompanying As a rule Seldom Therapy Intuitively - empirical It is based on standard RCT The basic diagnostic problems - Though the diagnosis can be obvious at the elderly patients, many separate signs and Representations can be unusual in this age group. Display of some symptoms can essentially differ in the clinical To picture of elderly patients. Definition demands presence of signs in Rest or at the minimum physical activity plus of the objective Certificates or warm dysfunction (Preferably ). When is what or doubts In the diagnosis, the clinical physician should consider results of the answer to all stages Inspections and treatments which convincingly should confirm Presence . Revealed rather recently in blood plasma Factor BNP, gets value in diagnostic algorithm of revealing at elderly patients with a short wind of not clear nature. Though level Concentration BNP can increase with the years (especially at women), Concentration BNP <100 pg/ml does diagnosis doubtful.

As Wrote 200 Years Back Dominik John Korrigan

As wrote 200 years Back Dominik John Korrigan (1802-1880 ) "Trouble with doctors - not that they know insufficiently, and that they do not see enough." Many doctors in the USA use for record Results of survey and additional researches by systems WEB scribing, when, written down by a voice on a digital dictophone results Survey of the patient and results of its tests, go the electronic Mail in the special centres (for example, in India) and, through some Hours, receive materials ready for the press on the printer i-or storage In an electronic format documents for the case record. The truth recently the US president has declared: "Practically in all spheres of business in the USA an information technology Help to increase an overall performance, - Bush has declared. - but, to To regret, it does not occur in medicine. We have new Medicines which save to us a life, but thus doctors still write Case records by hand ". And to it can be a little plausible Explanations-first - unwillingness of doctors to use strict formats Documents; the second-at non-observance of reports is easier to hide errors and Lacks on variety of problems of diagnostics and treatment of patients; The third - an insufficient level of responsibility of doctors for results Inspections and treatments of patients; Since January, 1st, 2008 And in Russia have once again put forward the slogan and "the first national standard" (to be exact 100 the first) in the field of medical computer science has come into force so-called Under the name "Electronic case record of the patient".

Sunday, November 25, 2007

However, At Syndromes Menacing To A Life The

However, at syndromes menacing to a life the doctor of office Causes firemen (they render the paid urgent help and Carry out delivery in hospital) which can spend the primary Resuscitation - by the way, on my supervision, very competently. Diagnostics and treatment at revealing of the menacing Syndromes it is spent for any patient free of charge, but at an extract from Hospital the patient by instalments should return the expenses suffered Hospital. The big help in diagnostics of various conditions And diseases to general practitioners render the numerous mobile Laboratories, the specialised centres and mobile medical modules. Clinical, biochemical, bacteriological analyses, ultrasonic Inspection of high complexity and even computer scanning and Tomography, it is possible to make or order to the patient in any medical Office. All these services are carried out by the private The certificated firms and the licensed experts - Technicians. Decoding of results of researches spend as The certificated experts, each of which subscribes Digital signature with the big degree of protection against fakes.

The Main Reasons Forms Warm Are Considered A

The main reasons forms Warm are considered a hypertension with a myocardium hypertrophy Left (especially at elderly men), hypertrophic , a stenosis with normal LVEF, and Obstructive which can be or Caused by inflammatory illnesses of a myocardium. It is necessary to remember that heart dysfunction is more extended than the obvious form. Signs forms H clinically essentially do not differ Considerably from those at to form H. The diagnosis is more than dysfunction H It is based on the given ultrasonics or often it is supposed at patients, which Have signs H and normal fraction of exile. The electrocardiogram Can show thus a hypertrophy of a myocardium left or Presence of cicatricial changes in a myocardium. , dizzinesses and weakness Many elderly patients use the term "dizziness" for the description Unusual sensations in a head or instability of gait. After Careful gathering of the anamnesis of the complaint of the patient it is possible to lay in frameworks more Exact cardiological and neurologic categories, among which Weakness and instability are most important.