Always The Electrocardiogram Registers And, At It Is

Always the electrocardiogram registers and, at it is enough Often, an echo the cardiogramme for an exception . Further I result the table summarising the basic signs of various kinds Primary estimation of reason Syncope in following situations: The prospective diagnosis Nejromediatornyj type Absence of heart diseases; the long period Presence syncope; occurrence of an attack after unpleasant pictures, kinds, Sounds, smells or a pain; a long finding in hot places; Nausea and vomitings connected with syncope; occurrence of a condition after reception Food; the bodies connected with rotation, at pressure upon sine of the sleepy Arteries; etc. syncope Accelerates occurrence of an attack of event and fear of occurrence of a serious pain, emotional stress. Situational Syncope during or right after , , cough, or food swallowing. Ortostatichesky Carrying out tests - Reduction the HELL On 20 mm Hg or reduction . The HELL to <90 mm Hg proves a hypotension irrespective of signs. Lifting in vertical position; application of medicines, Leaders to a hypotension or change of their dosage; the long Horizontal position especially in hot places; presence of the independent (a diabetes, etc.

(An Illustration 4) The Central Eminences On Nails

(An illustration 4) The central eminences on Nails can be caused following conditions: Deficiency of iron; Deficiency of folic acid; Deficiency of fiber. When come to light The central longitudinal thickenings and nail channels, usually Normal kind. Occurrence of longitudinal thickenings and channels of nails, Usually, are connected with: Gross infringements in peripheral arterial system (for example, "ugliness of a fur-tree of Heller" - "Heller's fir tree deformity"); the Reason can be and long undereating; Repeated traumas, etc. Nail mesh (=Pitting) - the Mesh nail looks as a surface with small or punctures. More often this symptom is caused by an inflammation Matrixes of a nail which, in turn, can be result: presence ; local (Alopecia areata, illustration sm); ; Depriving (planus). Nail with non-uniform colouring (=Beading) - Nails with small as in colouring (sometimes them Name wax-like) (an illustration 11) are connected with more often infringements, including the following: a diabetes; infringements of functions Thyroid gland; illness of Addisona; deep deficiency of vitamin B.

But, As The Professor Sir Dzheffri Ernest Richard

But, As the professor sir Dzheffri Ernest Richard (Cambridge), [7] "has formulated.... still represents an ethical ideal, an ideal of the compassionate, cautious and self-denying doctor..." [8]. has based the medical school named His name also defended the basic approach to definition diagnoses and to schemes Treatments of illnesses which still matter for the modern Medicine. In a world history his name names the oath and section of medical ethics named Prisjagoj Gippokrata. Accordingly, going into higher education medical students of many Medical schools continue to swear on the basis of some (the various!) Hippocratic Oath forms (Hippocratic Oath), Which (as contemporaries consider) represents ethical ideals, clearly Formulated Lloyd and other modern coryphaeuses. Some places of an oath seem mysterious. But it is remarkable the Aspiration to establish high moral standards of a medical trade. Doctrines of Gippokrata have made the strongest impact not only on ancient, but also On modern medical practice Was born nearby 460 century B.

- Coordination And Interface Of Interests Of The

- Coordination and interface of interests of the patient, a family and health services. - Treatment of sharp and chronic diseases at Children, adult and elderly, including the competent sisterly organisation Care heavy sick and dying. Some words about possibilities of a premise of patients in hospices. The shelter-hospice philosophy is based on physical, Psychological, social and spiritual aspects of the person of the dying The patient. Cares of a hospice can be offered in at the organisation of houses Patients, in private sanatoria, hospitals and other establishments on To care of patients. This typical service is usually provided Interdisciplinary command of experts with access to wide volume Services. The standard criteria of reception in hospices-shelters Are considered variety of infringements of activity of the person, including the diagnosis Certain illness with the forecast of longevity has less than 6 Months. In the USA, for example, main principles and criteria of a direction in Hospices are accepted by committee of National Shelters (National Hospice) and Committee of Palliative treatment (Hospice and Palliative Care Organization).

Platon's Dialogue Was It Is Written In The

Platon's dialogue was It is written in the beginning 4 century BC, and action in it is dated approximately in 432 year BC The second mention (contemporary) about Gippokrate At Platon it is resulted in "Fedre" where it is said that Gippokrat considered The good theory of more important for medicine, than purely empirical Supervision. There is also a set of later mentions about , the truth they concern any more Gippokratu, and to To the extensive list of the compositions which have reached us under his name. Aristotle names Gippokrata "great", Therefore for doubts that Gippokrat really lived in the end of 5 Centuries are not present BC the bases. The basic place of a life and the actions, known from Compositions of Gippokrata in the majority of cases, islands Fasos are and . (Are described in two books - "Epidemics"). In some sources There is a mention that Gippokrat has been compelled to leave island of Plaits Because of charge in an arson. The earliest certificates on a condition of the Greek Medicine show that, as in ancient Egypt and Mesopatamii, Causal conditionality of illnesses and action of medical products, Put to the patient, has been connected with superstitions and belief in Magic and supernatural causal conditionality, Rational understanding of the nature of illnesses and its influence (effects) on Organism or action of the means put to a body it was impossible.

S.Aspirin Blocks Receptors . D. The Strategy Preferable

S.Aspirin blocks receptors . D. The strategy preferable to treatment of Construction Department - conservative and not aggressive. The belly-ache syndrome meets at Each person. How to define the reasons of pains and not to pass the DANGEROUS For a life of the patient of conditions? I offer one of variants of definition of a syndrome of a belly-ache. Usually allocate Pains-: a severe pain of any reason; a pancreatitis; a cholecystitis; stagnation Bile; a cholecystitis; an appendicitis; a peritonitis; punching ; Functional obstruction ; : a diabetes; ; ; metabolic ; postoperative (); the postvirus; The Idiopatichesky: Pseudo-obstruction; chronic an intestinal pseudo-barrier; Pseudo-barrier of a thick gut (syndrome Ogilvie); adynamic ; Infringements intestines; a syndrome of an angry thick gut; Not ulcer . diarrhoeia, early satiety, bloating, weight loss?. Criteria for revealing of a chronic functional belly-ache () the following: (1) current, returnable or continuous pain in a belly cavity at least 6 months; (2) incomplete or any communication of a pain with physiological events (meal, , monthly, etc.

Ektopichesky Cushing's A Syndrome,-Cushing's A Syndrome The Reasons

Ektopichesky Cushing's a syndrome,-Cushing's a syndrome The reasons and risk factors: the Syndrome of Kushinga arises in connection with surplus Manufactures hormones. Approximately in 15 % of cases Syndrome of Kushinga there is a variant a syndrome. More often a variant of Kushing of a syndrome in connection with tumours, Which produce a hormone (ACTH). Other reasons of a syndrome of Kushinga - hypersecretion ACTH by a hypophysis, Tumour glands or long (more than 10 years) therapy Glucocorticoids. Sometimes the reasons are a cancer Lung, tumours , pancreas tumours, islet cell tumours, a thyroid gland, etc. (see medullary carcinoma of the thyroid, pheochromocytoma ). Signs: the syndrome of Kushinga has less drama The tendency in comparison with the classical form. However at this variant Syndrome the malignant hypertension and the low maintenance is more often comes to light in blood. Symptoms - moon face - the red round bloated person, "buffalo hump" - non-uniform adiposity (the top adiposity), obesity, weakness - the weakness, proof headaches, on the person and a body, thirst - thirst, increased urination - speeded up , on a skin of hips and a breast, mental changes - intelligence and character changes, impotence cessation of menses - an impotence or infringements of recurrence monthly at .

If The Sum Of Signs Makes From 2,3

If the sum of signs makes from 2,3 to 4 units, with Probability of 72 %, the fraction of emission at such patient is lowered and Makes less than 40 %. Such rough estimate (without ultrasonic) Conditions of fraction of emission at a sharp heart attack of a myocardium allows, in A number of cases, simply enough to estimate a condition - the forecast of the patient in To dynamics to supervise process of treatment and rehabilitation of patients in the absence of the special equipment more precisely. Other approximate algorithm of the differential diagnosis of chest pains: * Menacing lives of the reason: 1. A heart attack Myocardium - it is considered at all patients, especially elderly with Warm risk factors; the most frequent symptoms - a pain, sometimes in a kind Pressure in a breast, connected with a short wind, , a nausea; can in a neck, a jaw, a lion. A hand, etc. (is more detailed than illustration sm). 2. Stratifying an aneurysm it aorty-is considered First of all at patients with signs HTN, smokers.

Less Frequent (10-60 %): Night Attacks Of An

Less Frequent (10-60 %): night attacks of an asthma, decrease and potentialities, Night , a morning headache. Rare: an enuresis, a sleeplessness, Night cough, gastro-ezofagalnyj a reflux. Clinical diagnostics is based on revealing of any three signs from the listed: 1. Episodes of frequent respiratory standstill in the sleep; 2. Instructions on a loud or faltering snore; 3. Raised Day drowsiness; 4. Speeded up night ; 5. Long Infringement of a night dream (> 6 ); 6. The morning (night) arterial Hypertensia; 7. Adiposity of 2-4 degrees. Other type - central , Which can occur because of infringements when changes Respiratory cycle owing to a brain. Thus, when frequency Breath it is naturally slowed down during a dream, the patient clears up, To improve ventilation of lungs and to reduce the phenomena a brain. The patient often does not remember the awakening period, but the dream to become not The freshening. The following type arises because of occurrence Obstacles to an air stream in bronchial tubes, including in connection with Reduction of a tone of respiratory muscles in a dream current.

). Syndrome Of Yellow Nails - Presence Yellow Nails

). Syndrome of yellow nails - presence Yellow nails (the illustration 27) assumes following diseases: Diabetes; ; damage median (or ) nerves Brushes; a long thermal overheat and-or a jaundice. Important thus Syndrome not to forget about specification of presence or absence at the patient Lymphatic hypostases or lungs. (www.dermnet.com) Syndrome of green or black nails - green Or black nails (an illustration 28) specify in following diseases and Conditions: long work with application of a chlorophyll, methyl Green and-or silver nitrate (and of some other substances); type infections Pseudomonas spp; and, sometimes, traumas. Processes round a nail - an inflammation . connects a bend soft fabrics of fingers with plates Nails which provides penetration of bacteria at infringements and Often conducts to limited infections. (An illustration 29). Signs can include an inflammatory hypostasis and-or, Morbidity, sometimes with pus allocation. (an illustration 30) - characteristic signs also it is caused by the expanded capillary Loops as a result of an atrophy .

Http://www.nlm.nih.gov/medlineplus/ency/imagepages/17130.htm. The Majority Of Joints At The Person

http://www.nlm.nih.gov/medlineplus/ency/imagepages/17130.htm. The majority of joints at the person Type. A joint a cover producing Liquid of pale yellow colour. Structure liquids: more 7,0, viscosity 5-6 , the tsitoz1+0,5h109/l, is not present. All joints share on 7 types: Flat (only sliding movements - carpal); Spherical (humeral, coxofemoral); Ellipse (pjastno-phalanx, ); (elbow); (knee); (rotating - I cervical vertebra); (pjastno-carpal). 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. Hrjashchevye surfaces of joints eat and restored from liquids by a way. Complaints: specific - Is not present; nespetsificheskie: - morning constraint; - a painful syndrome in Rest; - a painful syndrome at loading; - symmetry of defeat. The anamnesis: revealing The transferred diseases; frequency of infectious diseases and Localisation of the chronic centres of an infection (a tonsillitis, etc.); communication with Intoxications, including with professional (work on Knees, in an elbow position);) the disease beginning (sharp, under sharp, Gradual).

C. (B.C.E.) On Island Of Plaits, Greece. Has Died:

C. (B.C.E.) on island of Plaits, Greece. Has died: approximately in 377 B.C.E. The native of island of Plaits in Aegean sea (Ionichesky Coast nearby Halicarnassus - illustration sm), a full name of Gippokrata - Hippocrates Asclepiades also it is translated as descendant Asclepios ( ). Whether However not clearly and doubtfully, really there was a sort the family connected by relationship with Asklepiem. There are some legends asserting that The sort of Gippokrata ascends in the past in the area of family and the hero of Oat-flakes (Heracleides). Son Heracleides and Praxithea from a rich family has got good the then education. After nine Years of studying of bases of medicine, physical training, reading, the letter, Music, singing and poetry, Gippokrat has gone to school of higher level, Where it has spent two years, and has got very high education, especially in Areas of medicine and athletic biology. During the same period, possibly, It continued to study medicine by means of the father in the form of an apprenticeship (Including the arrangement to study and trade through an operational experience of the father).

The Theory The Fever Nature Has Appeared Only

The theory The fever nature has appeared only at Gippokrate, when increase Body temperatures tried to explain infringement of balance four Organism liquids - blood, phlegms, black bile and yellow bile. Then there was a theory (1760), according to which Moving blood on vessels through a friction and fermentation processes (= in intestines) were the compound factors supporting Certain body temperature. And only after occurrence of works of Claude Bernard by a body temperature source have been recognised metabolic Processes in fabrics of warm-blooded organisms. When Galileo Galilej (1592) Has invented and has constructed the primitive (air) thermometer, has appeared Possibility to compare results of measurements at different people. But Definitively and thoroughly the body thermometry was included into the clinical To practice only after 1868, when Carl Reinhold August Winderlich Has published work "temperature Change at illnesses". The term "fever" - "A condition of the raised internal body temperature which is frequent (but not Always) is one of the important elements of protective reaction Multicellular (microorganisms) on hit live (microorganisms) and Lifeless particles which the macroorganism distinguishes as pathogenic and Alien ".

Pains After Plentiful YES To Specify Communication Of

Pains after plentiful YES to Specify communication of pains YES Additional . Fat food in verhne - with possible! A cholecystitis, (ultrasonic, blood enzymes, the right a stomach? illness, tests and ) Is not present a sharp pancreatitis 6. Whether you have burning U a stomach ulcer, Additional in a breast, during the moment when YES IRRITATION or researches Eat or drink. Whether there is no , AND a specification - Burnings in a breast through a spasm of muscles of a gullet. , and Some hours after meal? It is necessary to exclude Is not present hernia HIATAL 7. Whether have a burning pain, to Exclude herpes Attentively to investigate and which has begun after zoster the anamnesis, localisation How you had YES (= POSC NA) YES pains Herpes episode? NO 8. Whether you YES marked Lengthening of an exhalation with YES Urgent inspection on Episodes of cough with rattles remote to bronchospasm revealing On an exhalation and lengthening by rattles and a short wind and symptoms Exhalation? Demands an exception of a bronchial asthma IS NOT PRESENT ASTHM.

Usually White And Opaque, While The Mucous Sinevato-transparent

usually white and opaque, while the mucous sinevato-transparent colour. Estimation of a condition of a hard palate and drinks Hard palate. After an estimation of a condition of language, I recommend to pay attention to a hard palate. Tolerant on a hard palate (=torus palatinus), are defined normal and soft. The arch sky can assume syndromes of Sippla, Marfana or probability . Defects or ulcers on a hard palate often appear in the presence of an infection, beam therapy or new growths. Estimation of a condition of a soft palate Soft palate research includes an estimation of a junction firm and a soft palate - is frequent On this border it is possible to see a rash. The hypostasis and a soft palate meets at very many Diseases, including at so-called illnesses of heavy chains. The following step of survey of an oral cavity should To include an estimation of a condition drinks. Essential asymmetry of handles assumes possible an abscess or an abscess. The reduced area of an input in a drink (especially in the horizontal Planes) are assumed by predisposition to sleepy .