Are Subdivided On Into Two Types Infringements -

are subdivided on into two types Infringements - (brown colouring) and (dark blue, Livid, grey colouring). Brown () are connected with increase of the maintenance of melanin in in Result of strengthening of activity , quantity increases , numbers or their sizes. Livid (, a dark blue skin) are similar with false melanin and Speak melanin presence in , in or macrophages, which as a result of effect give to a skin characteristic grey, caesious or dark blue Colour. Skin hyperpigmentation can To be uniform, spotty or Limited, on separate sites of a skin. congenital It is characterised by hyperpigmentation already at a birth, later, usually, Joins brushes of hands. Such Skin hyperpigmentation is observed at chestnut-coloured children mainly The people of the Mediterranean. brown It is characteristic for insufficiency (illness of Addisona), at To which skin hyperpigmentation is especially expressed in pressure places on It (vertebras, interphalanx, elbow and knee joints), pleated Bodies, on surfaces, a mucous membrane of gums.

The Person Crescent-shaped, A Nose , For The

The person crescent-shaped, a nose , for The account of flat eye hollows, the high sky sometimes split, an atrophy Optic nerves. It is marked II - V fingers, , Radio-ulnarnyj with in elbow joints. I The brush finger is truncated. Similar anomaly of fingers is observed and on Stops. The specified anomalies are quite often combined with the back Pass, defects of vertebras. Patients lag behind in intellectual and physical Development. a syndrome, II (s. Apert (II). It is described Apert E. Congenital anomaly of a thorax, Shown by the funneled hollows symmetrized On either side of a breast. At patients it is listened noise over Pulmonary artery, is absent. , sin. - , - anomaly of development. , (MKB - 786.03) allocate 6 kinds including - a syndrome obstructive a dream (). Patients with have characteristic appearance. As a rule, it is people Hypersthenic constitution. Clinical symptoms it is possible To divide into three groups: Frequent (> 60 %): a loud snore, , Uneasy dream, day drowsiness, irritability.

YES Additional Research ( The Data, , Sa

YES Additional research ( the data, , Sa ++, antigenes, etc.) NO 11. A skin or eyes have yellow colour or urine of dark colour. YES It can be signs VIRAL HEPATITIS YES Signs . Tests on virus, etc. kinds of hepatitises. NO 12. Whether you have a fever, the inflamed throat and strong weariness? YES Think about MONONUCLEOSIS, etc. virus infections YES Crops from a pharynx. Consultation , tests. NO 13. Whether it is marked Swelling, , deterioration from milk or products from wheat? YES Think about LACTOSE INTOLERANCE or WHEAT INTOLERANCE (CELIAC DISEASE) or a syndrome . YES The detailed anamnesis. Special tests, Eliminatsionnaja diet and treatment NO 14. Your chair it is light - yellow colour, grease and floats in water? YES Probably vegetarian diet, insufficiency or is bilious-stone illness. YES Specification of the reasons of change of character of a chair, additional tests. NO 15. There is a surplus of gases with a fetid odour and sudden desires to ? YES Think about GIARDIASIS. Infections of a thick gut and a syndrome YES The analysis on three times.

Central A.Snizhenie Of Saturation Of Arterial Blood By

Central A.Snizhenie of saturation of arterial blood by oxygen 1. Reduction of atmospheric pressure — lifting above sea level 2. Infringement of pulmonary functions: and. Decrease in alveolar ventilation;. Infringement of mutual relations between pulmonary ventilation and ( hypoventilated alveoluses); century Decrease in diffusion of oxygen 3. Anatomic shunts - and. Some types Congenital heart diseases;. Pulmonary shunts; century Plural small intrapulmonary shunts 4. Haemoglobin with low affinity to oxygen - a. Haemoglobin changes;. (congenital and Got); century Sulfgemoglobinemija got; (false ) Peripheral And. V.Pereraspredelenie's B.Ohlazhdenie's reduced warm emission of blood from finitenesses (blood circulation centralisation) G.Arterialnaja D.Venoznaja's insufficiency insufficiency To survey a thorax on defeat presence Lungs, a hypostasis are easy or the noise connected with a congenital heart disease. At finitenesses to exclude arterial or venous Insufficiency. To investigate saturation of the peripheral Arterial blood oxygen "to Repeat research against inhalation 100 % of oxygen — if saturation do not exceed 95 %, for the patient is available The shunt in lungs (for example, the intrawarm shunt from right to left).

The Purpose Of These Treatises And Books Consisted

The purpose of these Treatises and books consisted in advising to the inhabitant the general Judgements and opinions of the doctor concerning possible principles of self-treatment Or even first aid at a number of diseases and even with possibilities To avoid a call of the doctor. For example, such recommendations attribute - "Any sane person, understanding that for people Health is the most expensive, should learn to help in illnesses Own judgement to distinguish also that doctors speak to it and Order for its body, and to know all it in that measure which is necessary To the private person. Learns it the one who will acquire in particular Following positions also will apply them: all illnesses occur at people from Bile and slime; bile and slime make illnesses, when in a body Surplus or dryness, either humidity, or warmth, or a cold turns out. Similar surplus is received by slime and bile from food and drink, weariness and Wounds, sense of smell, hearing, sight, the sexual intercourses, from heat and a cold; Receive Hie when each of influences operated on a body Or inadequate image, either against a habit, or in very big and Strong degree.

* Survey Of The Patient On Systems And

* Survey of the patient on systems and inspection. * Laboratory and-or functional tests (present and last in documents). * Estimation, substantiation of the revealed leading syndrome or disease and the plan of the further inspection. * Planning and the description of measures of preventive maintenance for the patient and advisers. I result the list of features of work of the general practitioner in the USA - Possibility of long supervision, including visual monitoring. - Additional possibilities of momentary diagnostics. - Possibility of early diagnostics of menacing conditions and a serious illness. - Individual character of treatment in volume of the confirmed standards. - Availability of various newest technologies of diagnostics and treatment. - The broadest possibilities of treatment of the patient in-home. - Rendering of the psychological help to the patient and his family. - Carrying out of primary, secondary and tertiary preventive maintenance. Training of members of a family.

A Basic Sign Of This Syndrome Is That

A basic sign of this syndrome is that At these patients is absent or the answer is minimum shown on and , especially during the dream periods. Diagnosis CCHS It is established after an exception pulmonary, warm, metabolic Or a neurologic cause of illness. Patients from the moment of detection Syndrome CCHS demand lifelong support of artificial ventilation in The dream period, and in hard cases of display of this syndrome is required 24-hour support of ventilation of lungs. Fatness and hypoventilating syndrome At patients fatness often meets Hypoventilating syndrome and they have also the big sphere of action Various restrictive defects on ventilation. Numerous Researches have shown that patients with fatness and hypoventilating Syndrome have on 20 % smaller general capacity of lungs and maximum The forced speed of an exhalation, which usually on 40 % more low than at others Patients. Usually these patients always show Excessive work of breath (= breath) and the increased manufacture 2.

In This Category, Usually, Conditions Which Define Efficiency

In this category, Usually, conditions which define efficiency "are considered The respiratory pump "(a thorax skeleton, chest and Muscles, and the respiratory centres in a brain) type , a syndrome , , a peritonitis, and brain tumours. The infringements connected with change of absorption of oxygen Extensive pneumonia, lung hypostasis, , and the various reasons at pulmonary and . These Processes cause difficulties of passage of oxygen through the alveolar Membrane and through a special layer in capillaries. Alveolar , contusions of lungs, and a respiratory syndrome Also concern a pathology of this group. Infringement of capillary circulation in lungs Pulmonary , lungs and congenital Warm defects of type Fallot make the following group The infringements always leading to a short wind, and . At these Conditions the blue blood bypasses an alveolar blood-groove and haemoglobin not Receives in alveoluses of a fresh portion of oxygen. In this category of infringements Include both illnesses with defects and a mismatch and Ventilation of lungs.

Foix, 1882-1927, L...Crouzon, 1874-1938), - Anomaly Developments: Absence Bottom

Foix, 1882-1927, L...Crouzon, 1874-1938), - anomaly Developments: absence bottom vertebras and with separate bones of a basin and muscles of the bottom finitenesses, often Accompanied by an incontience and urine. a symptom (G. Aschaffenburg, 1866), - Version of acoustical hallucinations: "conversation" of the patient through a subject, Similar to a receiver, or by phone not included in a network; It can be observed, for example, at alcoholic . a syndrome (G. Aschaffenburg), - Time sharp infringement of mentality in the form of affect of confusion, Sometimes observed at women at the time of delivery or directly after Them. a syndrome (.W.Ascher, 1887), - illness Not clear aetiology, characterised by a combination (see More low), lip thickenings, more often top, with formation Mucous membrane and poorly expressed craw without function infringement Thyroid gland. (J.G.Asherman), . - Ashermana a syndrome - Occurrence stickings which is typical at formation Scar after uterine operation, especially after abortion.

As A Rule, General Practitioners And Fast The

As a rule, general practitioners and fast The help at the first contact to the patient and an estimation of its condition, in the first Turn define the leader dangerous, a syndrome menacing to a life and, Probably, disease. Only after that stage of diagnostics and, often, Additional tests, the diagnosis in as much as possible accessible to the given doctor and establishment a kind (sometimes with or definiteness and code number ) appears, specified and made out. In the book “ALGORITHMS and SCHEMES of diagnostics of therapeutic syndromes” I have included also some adjacent syndromes (neurologic, Orthopedic, pediatric, etc.), often enough meeting in To the general practice and perfectly presented to the special literature. Considering advantages of an electronic format of the book, in process of occurrence New data, I try to edit the book annually. Terms Are used on a basis http://www.medfriendly.com/lettera.html The reference Internet are allocated by colour, a font or underlining.

A Spleen - Body, Carrying Out, At Least,

A spleen - body, Carrying out, at least, four important function: 1) the basic body The immune system, participating in creation cellular and Reactions to antigenes and promoting substantially From blood of microorganisms and certain antigenes; 2) the tool Allocation and removal of healthy and pathological blood cells; 3) Regulator of a portal blood-groove; 4) can turn to the main centre in situations with replacement or Marrow superstimulation. The diseases accompanied by increase of a spleen Infections - infectious , , , a tuberculosis parasitic , AIDS, a virus hepatitis, Liver abscess, . Infringement - , HARD CURRENCY, immune an anaemia, an immune thrombocytopenia and . Infringement Blood-groove in a spleen - a venous hypertensia in system portal or veins with the subsequent stagnation. Anomaly - , is crescent-cellular illness (to ), , . Infiltrativnye defeats of a spleen - good-quality and malignant. Other illnesses - , , an anaemia, , . Inspection of the patient with and-or At healthy adult people it is possible easily To palpate the lymph nodes which size makes 0,5-2 Small knots of the smaller size see it is possible to palpate in the various Places after the infections transferred in the past.

Palpation: Check Up Sensitivity And A Surface Of

Palpation: Check up sensitivity and a surface of sinews Bicepses, subdeltoid bursa and a bag akromio - a joint. The volume of movements of a humeral joint needs to be checked at the fixed Hand to a shovel as mobility of a shovel adds to the own To volume of movements of a humeral joint of 60 %. Estimate intensity At passive movement in a joint. Presence or absence of a liquid in To articulate bag, a condition and density of an articulate bag, myshechno-suhozhilnye transitions and bags. To estimate a thickness membranes. Active volume of movements in a humeral joint (foto US3) At healthy faces makes 120 degrees in assignment and 70 degrees in Ghost, 180 degrees bending; 60o ; 90 degrees the external Rotation and 90 internal rotation. (PHOTO shoulder). In addition about a condition of a humeral joint -ўhttp://medicine.itl.net.ua/Monograf/02.htm Ann Rheum Dis. 2004; 63 (4):335-41 http://www.medscape.com/medline/abstract/15020324 The form of joints, skin over joints, a condition and development of muscles about joints.

Skin (aurantiasis Cutis; . Aurantium Orange +-iaz;) A

skin (aurantiasis cutis; . aurantium Orange +-iaz;) a sin.-jaundice , , , , , ) - Zheltovato-orange pigmentation of a skin and mucous membranes, Caused by adjournment in them of carotin; it is observed at the excessive The use of the products rich with carotin, - carrots, oranges etc. a symptom ( Auspitz, 1835-1886), sin. - a phenomenon of a dot bleeding-is characteristic in the form of single point of a bleeding after centre removal . Flint noise see (murmur). Presistolichesky or sredne - the noise listened in point L5 (a heart top) at blood (aortic regurgitation), occurring in the presence of defect the valve when blood arrives simultaneously both from an aorta and from the left auricle. Autophilia - a narcissism, , . Autophonia, sin. - , , - the strengthened perception of own voice. Aphoria - Female barreness. Aphrenia - Weak-mindedness, . - special means for stimulation of a sexual inclination. (aphrodisiomania; + mania) - painful fixing of mentality on searches of the means, capable to raise sexual activity.

Not Seldom "errors" At Inspection Of Patients Arise

Not seldom "errors" at inspection of patients Arise and at the doctors, especially strongly wishing to earn much Money. These are so-called deliberate errors of doctors. High cost Medical services and research methods is, in my opinion Enough frequent reason of abusing "" inspection methods ". Professor Libbi (university of northern Florida) confirms in the To the book that in connection with financial crisis in the USA public services Have developed a real war with abusings in payment of the medical Programs. Thus so-called "informers" receive to 35 % from the sum Penalties for the revealed infringements. And infringements often make the sums in Some millions dollars. More in detail sm [21] Summary of the basic sections of the case record of patients: * Identification of the main complaints. * History of current disease. * Last medical history of the patient (+ surgical interventions) * Allergies. * The health connected with behavioural features. * Social history of the patient. * Family history and family tree.

Docusate Sodium, An Active Component In Colace, Can

Docusate sodium, an active component in Colace, Can be found out on a chromatography, but it is not measured Quantitatively, as there are no now accessible techniques. About classifications of diarrheas Traditionally the diarrhoeia is defined as sharp or Chronic process on the basis of duration of signs. Usual Use of 4 weeks as limit of sharp diarrheas a little any way Because all chronic diarrhoeia always is originally considered As "sharp". Such division and classification all the same it is very useful Because an aetiology of a sharp diarrhoeia which tends to arise Spontaneously, differs from an aetiology at chronic diarrheas. Often enough diarrheas classify on To another, on the basis of the cores mechanisms. For example, - diarrheas can be connected or carry to secondary diarrheas At many conditions which increase a stream of ions in the intestinal Gleam. , or reception the aggressive Food (for example with magnesia) causes detention of not absorbed ions in Intestinal gleam which, in turn, causes water detention For preservation balance of an intestinal wall and blood plasma ( Nearby 290 /L).