Increase In The Lymphatic Knots Demands Studying, If

Increase in the lymphatic Knots demands studying, if one or more of again increased Knots have reached sizes> 1 sm in diameter and the reason of it not It is known. It is necessary to consider: 1) age of the patient, 2) results knot (knots) survey, 3) their localisation, 4) the general The clinical semiology connected with . The sizes of a spleen at the healthy person Make 12 sm at length and 7 sm at width; it is located along X edge On the left average axillary line and, often, it is inaccessible , if Its sizes and the form are normal. In position of the patient on right to a side at dullness between IX and XI edge comes to light. To palpate Spleen is better in position of the patient on right to a side and at Deep breath. (Illustration sm). The clinical approach to the patient with and-or the increased spleen 1. The full anamnesis and inspection (Including definition of the sizes of a spleen). Specially pay attention On presence and expressiveness , and also on presence of the general or Local symptoms, characteristic for a sharp or chronic current Illnesses.

). SM Forms: 1) Primary And 2) The Secondary

). SM forms: 1) primary and 2) the secondary (polyetiological) CM, for example , , , , nejro-endokrinnyj, etc. the Basic signs :1) Infringement All kinds of a metabolism (albuminous, , carbohydrate, vitamin, Mineral, etc.); 2) the Constant and ; 3) Gipoproteinemija (falling of weight of a body, hypostases and Other); 4) Gipokaltsemija (a progressing osteoporosis); 5) Giperhromnaja an anaemia. Clinical forms CM: 1) Dispepsichesky; 2) Infringement digestion; 3) Infringement of endocellular digestion. seldom meet as The isolated diseases. As a rule, they are connected with illnesses of a stomach And other departments ZHKT. One of the most frequent signs - Diarrheas. One of the terms meaning a diarrhoeia - allocation of a chair in weight more than 250 gr./24 hour with frequency more than 3 a day. The reasons Diarrheas can be the most different sharp and chronic, including" Inflammatory "and" not inflammatory "the nature. As an aetiology Diarrheas it is very various but mechanisms of occurrence of this syndrome Are often connected only with two reasons: 1) osmotic and 2) properties.

Detection (=) A Symptom, A Syndrome Demands Its

Detection (=) a symptom, a syndrome Demands its greatest possible qualitative and quantitative Descriptions at the moment of survey, interrogation. The medical terms stated The patient, its knowledge of syndromes and the diagnosis should be specified questions And-or medical documents (it is better primary - an electrocardiogram, ultrasonic, The roentgenograms, given laboratory researches, Inquiries, etc.). - 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. At interrogation find out: 1) Duration or chronic character of process; 2) presence of a fever and Rattles; 3) quantity and character ; 4) time and seasonal Characteristics; 5) risk factors of the basic pathological condition; 6) the transferred diseases. For example, one of the most frequent complaints, especially At persons of advanced age, the short wind is.