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Saturday, May 23, 2009
It Is Necessary To Remember That Falling Or
It is necessary to remember that Falling or a serious head injury blood presence in the external acoustical Pass, can be a sign of crisis of the basis of a skull or parietal Bones. * bones which are shown as Convex hillocks in acoustical pass, often testify to that, That the patient long floated in cold water. Then it is necessary to concern softly skin of the acoustical The channel and to pay attention to any displays of a skin. The increased sensitivity of a skin (sign Hitselberger') offers Acoustic . Estimation of a condition of an eardrum After inspection of external acoustical pass It is necessary to concentrate all attention to research of the drum-type Membranes! Normal colour of an eardrum As it is pale - - grey. Stains on a membrane assume Possible otitis. But it is necessary to be very cautious in interpretation of stains Redness on a membrane. For example, a membrane redness can cause and Vascular reaction which superficially resembles laces, a network in a kind Sections on the membrane handle.
Thursday, May 21, 2009
More Often It Is Characteristic For Infectious Processes
More often It is characteristic for infectious processes - , a pneumonia, a sepsis Etc. Allocate set of kinds . Look http://lit.lib.ru/h/hramow_j_a more in detail 2.15 Features of diagnostics of diseases at elderly persons. Features of the general property: 1. A combination of several diseases. 2. Delay of a metabolism with prevalence and tolerance decrease to carbohydrates 3. Decrease in functional reserves respiratory, Cardiovascular, urinogenital, gastroenteric, etc. systems. 4. Immunity deterioration. With the years memory, sight (48 considerably worsens Years), the hearing, functions of kidneys, easy, develops the proof raised the arterial pressure, expressed in various degree Osteoporosis, etc. At elderly persons the chronic are more often shown The diseases demanding continuous supervision and treatment: 1. An arterial hypertension ( the HELL> 85 mm ); 2. An ischemic heart trouble; 3. Insufficiency of blood circulation; 4. A diabetes; 5. An osteoporosis; 6. Depression and ; 7. Illnesses glands; 8.
Wednesday, May 20, 2009
Slime In A Chair Is Typical For Inflammatory
Slime in a chair is typical for inflammatory and System-dystrophic processes, type ulcer or a syndrome Angry gut. Chair characteristics help to classify Diarrhoeia as watery, bloody, inflammatory, foamy or fat and Other Watery diarrhoeia, usually, is caused by the various Conditions, including carbohydrates, a consequence of treatment, bilious acids, illness the Crone, microscopic , Chronic an ischemia, postsurgical diarrheas, , and intestines. In the same group Carry diarrheas in connection with ethanol reception, at abusing Laxatives and at rare <hiding> hormonal tumours. it is described as grease Kind, an oil and badly smelling chair which is often difficultly washed off with Toilet bowl walls. Such characteristics of a chair assume the possible Pancreas defeats, a syndrome of a short gut, , and-or the expressed dysbacteriosis with the excessive bacterial Growth (English abbreviation-SBBO), named in Russia Intestines dysbacteriosis. Blood presence in a liquid chair, more often Everything, testifies to an inflammation and damage mucous intestines.
Sunday, May 10, 2009
Allocation And Swimming In Water: A Chair At
Allocation and swimming in water: a chair at Healthy faces should will be allocated easily, being in water it it is soft Plunges. If the patient does not receive with enough food Food fibres (from 30 to 40 grammes), a chair quickly and sharply It is allocated and with splash falls in toilet water. If the chair floats it Can mean that in it too many food fibres or that more Possibly, in it too much not digested fat. This sign It is especially convincing, if the chair remains on walls of a toilet bowl and it is bad It is washed off by cold water. At the analysis it is necessary To pay special attention to the maintenance of fats which are In the parametre reflecting} the relations of two processes - chemical moustache digestion And . There are various ways of an estimation of fat in - qualitative (Painting dye) and quantitative (after gathering For 72 hours). In the latter case to the patient the diet with the exact is appointed The maintenance of fat (100). All within 72 hours collect in bank From dark glass.
Friday, May 8, 2009
Http://www.emedu.org/simlibrary/UploadFolder/syncope.doc Exact Identification Of A Condition Syncope At
http://www.emedu.org/simlibrary/UploadFolder/syncope.doc Exact identification of a condition syncope at patients is defined as 7 days repeating in a current a serious clinical case proved . Sensitivity and specificity of rules of revealing under the report San Franciscos for a primary case have made 89 % (the confidential Interval of 95 %) and 97 %. Are Thus named and Criteria of risk of sudden death in the presence of a syndrome under standards San Francisco Syncope Rule are shown. The rule convincingly worked on all patients and was good sudden death. The risk of death on the first year after research settled down in a range From 1 % for patients without risk factors to 27 % for patients with three or Considerable quantity of risk factors. One of syndrome variants - Dizzinesses, are the general clinical syndrome which includes Also it is a lot of conditions of a various range on an aetiology. The general Sign of all kinds of a syndrome is loss Consciousnesses. Allocate and . The syndrome is defined still as passing loss of consciousness, The stream of blood connected with reduction in brain pool.
Friday, May 1, 2009
Aschoff, 1866-1942, S.Tawara 1875-1952,), Sin.-predserdno-zheludochkovyj Knot. - Talalaeva (L.Aschoff,
Aschoff, 1866-1942, S.Tawara 1875-1952,), sin.-predserdno-zheludochkovyj knot. - Talalaeva (L.Aschoff, 1866-1942, V.T.Talalaev, 1886-1947) - sin.-granulema rheumatic. Annually the directory replenishes with syndromes and Symptoms of mainly therapeutic orientation. Clips of communication with are presented in the sizes only on CD or cards and sent after registration of the order by mail. More in detail sm - a site http://www.usps.com I anomaly - a congenital heart disease in the form of displacement of shutters of the three-folding valve in a heart cavity. Evans a syndrome, (-287.3), sin. - a primary thrombocytopenia. - intended acceleration of death of incurably sick person. - with a sound. Edwards a syndrome - hereditary chromosomal disease with plural developmental anomalies. , sin. - Esotropia; Crossed eyes; Exotropia; the Squint; Walleye. The reasons and risk factors - The squint is caused by a lack of coordination of movements between eyes. In Result, eyes look in various directions and not Concentrate simultaneously on separate point.
Monday, April 27, 2009
Orders For The Edition, A Disk With Drawings,
Orders for the edition, a disk with drawings, references and clips khramov1@rambler.ru. Remarks and offers to the same address. The author, professor Hramov Jury Afanasevich. (PHOTO 2) Copying of printing materials without the written The consent of the author it is not encouraged and it is not recommended. References are efficient At the moment of the material publication. The site www.lit.lib.ru/h/hramow_j_a does not bear responsibility for changes on foreign servers. THE MAINTENANCE The list of all sections of the edition INTRODUCTION 1. Modern lines of changes of the scheme of research of patients. * The approximate scheme of an estimation of a condition of patients in the USA. * the organisations of additional researches of patients * Key rules of a choice of methods of research and estimation of results * the diagnostic methods applied in the USA in 2008 year * Key rules of a choice of methods of research and estimation of results * a statement of the basic sections of the case record of patients 2.
Saturday, April 25, 2009
At The Such Patients It Is Checked A
At the such Patients it is checked a shoot and Triangle MacEwen'a which is in area approximately as 11 Hours on the right ear and 13 hours on the left ear. These areas most Are sensitive to pressure fingers when there are signs . Revealing of degree of loss of hearing Loss of hearing of various degree meets at Thirds of elderly population of the developed countries. Some data specifies, That loss of hearing and its sharpness can testify (and to be The indicator) losses of informative potential of the person. It is shown so That in some seniors age groups (80 and 90 years), signs Inadequate behaviour or mental infringements it is possible to prove Loss and hearing. Therefore, if at the patient hearing loss, comes to light The following step to a condition estimation should be towards detailed Audiologic test. The most simple test for definition of loss of hearing Whether one of ways to define the patient has Hearing loss, consists in giving to the patient the simple oral The instruction or command of different force a voice without visual contact.
Friday, April 24, 2009
D. If Extracellular The Plaque Kernel Makes More
D. If extracellular the plaque kernel makes more than 40 % of full volume , it is especially inclined to ruptures. 3. All following of the statement are correct EXCEPT one, of what? Clopidogrel - powerful, competitive () strengthens (Induces) aggregation Century lopidogrel and ticlopidin demand biotransformation for pharmacological effect () on receptors with low sensitivity it is necessary for S.Zakreplenie for activation (GP) IIb/IIIa receptors D. Aspirin blocks synthesis cages and then when arises The effect strengthening aggregation 4. a sharp coronary syndrome includes all statements EXCEPT one: A.Razryv of an atherosclerotic plaque V.Obrazovanie of a blood clot with an abundance S.Krovoizlijanie because of relative in the field of an atherosclerotic plaque D. Activation, sticking and a congestion 5. What of following factors of primary and secondary prevention or a stroke Is the main thing at Construction Department. And. Controllable arterial pressure <150/90 and V.Prekrashchenie of smoking and change of a way of life S.
(B) Deformation Of Joints> = 1 From 10
(B) deformation of joints> = 1 from 10 Joints. (C) hardening (expansion) of fabrics over> = 2 joints. D) a swelling over 0 2 (<3) joints. Treelike variant of classification of signs: (1) pain in brushes, a pain with an immovability; (2) firm thickenings of a fabric over joints> = 2 from 10 joints; (3) otechno-inflamed joints 0 2 (<3); (4 one or both Sign from the following list: (A) a firm thickening of a fabric> = 2 Joint; (B) deformation of joints> = 1 from 10 investigated. The format of treelike classification has sensitivity of 92 %, specificity of 98 %. (Altman R, Alarcon G, and others. Arthritis Rheumatism. 1990; 33: 1601-1610;) Criteria of activity coxofemoral and knee joints: The basic criterion: (A) Radio graphic (radiological) criteria of narrowing of an articulate crack > = 0.5 mm during the 6-month's period of supervision. Additional criteria: (A) a local hypostasis and joint changes: () - high level of a pain and an immovability at To inconsistent picture with moderated by radiological changes; (2) Some inefficient courses NSAID of preparations; (3) presence of surplus liquids with typical inclusions; (B) The general signs of an arthritis at present: (4) number of other changed joints> = 4 (5) for the patient physical activity; (6) superfluous weight of a body of the patient; (C) Preservation of signs during 6-12- the period: (7) repetitions of surplus liquids (Knee)> = 2; (8) quantity of aggravations; (9) quantity injections> = 2; Where: quantity of aggravations demanded For occurrence of insignificant criteria are not revealed.
Thursday, April 23, 2009
: Revealing Of Morbidity Big And Small A
: revealing of morbidity big and small a humeral bone. Volume of movements in joints: rotation and cultivation of hands at possible in limits 50-60. The symptom of Leklerka (as at braces) - allows to reveal movement partial or a complete separation rotating a joint. Symptom of Dauberna - at assignment of a hand more than on 60 degrees - a pain in a humeral joint. Symptom of Sepurlinga - by pressing a head inclined to a sick shoulder, there are pains, , giving to a zone a back. Symptom of Lasega - the same, but at a ducking in the healthy party. Elbow joints. Anatomic Features - lateral and medial epicondyles, a shoot lecrenon, Head of a beam bone, elbow bone. Active movements: Bending-160 About, - 0 degrees, the pronation and . Survey: , a swelling, . : revealing hypodermic small knots (30 %) which should be distinguished from small knots at . Luchezapjastnye joints. A brush (= Wrist): Survey - Anatomic features - an elbow bone, Radial bone, and a surface, a condition of the small Brush muscles, and .
Tuesday, April 14, 2009
The Top Part Covers The Passed Time Period
The top part covers the passed Time period approximately back. White signs (points, stains) on nails not Are considered dangerous and are connected more often with mechanical damages, Black or colour - signs of possible trouble or illnesses. The hollowed furrows - sometimes the extremely important sign dangerous Diseases. On nails it is possible to reveal a number of concrete signs and Symptoms specifying in certain diseases: For example a syndrome White nails specifies in metabolism gross infringements ( ) and a microblood-groove of fabrics at insufficiency Blood circulations, chronic obstructive illness of lungs, nephritic Insufficiency or a poisoning with selenium. Septic conditions it is frequent Leave microthromboses under nails and on an eye. Also often enough meets at various infections. 1.5 Articulate syndromes. The general principles of diagnostics of articulate syndromes: The main is functional-morphological elements of a joint: 1) the bone ends; 2) a fibrous capsule; 3) surfaces; 4) a cover; 5) fatty depots.
Thursday, April 9, 2009
[30] In "the Short History Of Medicine" E.
[30] In "the Short history of medicine" E. A. Ackerknecht Writes: "What there there was Gippokrat treated sick people, instead of Described illnesses ". It is very little known about circumstances and date Death of Gippokrata. Various sources give different dates of death from 374 A year B.C. (the earliest date), to 350 years B.C. ..
Wednesday, April 1, 2009
Then As Level BNP> 400 Pg/ml Convincingly Testifies
Then As level BNP> 400 pg/ml convincingly testifies to presence . Between 100 and 400 g/ml concentration BNP admits an interval as Uncertain also cannot be significant without others Signs. Certain problems at inspection and Treatment of elderly and old patients it is possible to present or meet Following life-support systems: Nephritic dysfunctions and urine incontience. Nephritic function definitely decreases with the years and a filtration Primary urine can decrease to <50 ml/min even without signs Nephritic diseases. Ageing also is connected with the worsening Mechanisms electrolits, including sodium and water. It Promotes an overload in volume of a liquid at patients who have or Are inclined to development . It is known that are less effective with Age at patients also can sometimes worsen current together with Other medicines, type angiotensin 11 and receptors. At the same time lead often to a disbalance. Besides, appointment can To strengthen symptoms of a condensation of blood and an urine incontience.
Force Of Muscles, Especially On A Breath And
Force of muscles, especially on a breath and respiratory volumes in rest also Are reduced at corpulent patients in comparison with control group Patients with normal weight of a body. Pulmonary pressure upon an exhalation and a breath Always lower at patients with fatness and hypoventilating Syndrome. Fatness considerably increases work of breath and manufacture because of the reduced interface of work of walls of a thorax And respiratory muscles. Excessive inquiries on oxygen from Respiratory muscles conducts to increase in efforts of breath and can To provoke and show others, connected with breath and warm Activity, illnesses. Despite the aforementioned Physiological infringements, the most important factor in syndrome development Hypoventilation at fatness, possibly. Defect of the central mechanisms Interfaces in a respiratory control system of biomechanics. It is shown that At such patients speed of the answer to inhalations 2, is reduced Or both these of the answer simultaneously.
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