Кафедра овп №1,2
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Questions: 1. Preliminary diagnosis? 2. Examination plan? 3. Interpretation of test results. 4. Differential diagnosis and final diagnosis. 5. Treatment tactics Discipline "General medical practice No. 1" Practical exam (stage 1) SITUATIONAL TASK №2 According to the mother, a 3-year-old child, in the morning, had a barking cough, difficulty breathing. From the anamnesis - the child had a temperature of up to 37.80 C and a runny nose for 2 days. In the morning there was a barking cough, hoarseness of voice, difficulty breathing. During the examination, the child is excited. The skin is clean, pale. The mucous membranes are clean, the pharynx is hyperemic. Cyanosis of the nasolabial triangle appears periodically. From the nasal passages - mucous discharge. Breathing is difficult, exhalation is prolonged. The participation of auxiliary muscles in the act of breathing is noted. The heart tones are rhythmic, noises are not listened to. Heart rate-126 / minute. BP- 90/50 mm Hg. The abdomen is soft, painless on palpation. Physiological development is normal. Test results:
Questions: 1. Preliminary diagnosis? 2. Examination plan? 3. Interpretation of test results. 4. Differential diagnosis and final diagnosis. 5. Treatment tactics Discipline "General medical practice No. 1" Practical exam (stage 1) SITUATIONAL TASK №3 The girl is 6.5 years old. Full-term was born. Up to a year, she grew and developed according to her age. She received preventive vaccinations in accordance with the vaccination calendar. For the first time in 4 years, a Mantoux test was tested. The result is a papule of 10 mm. Diagnosed with «suspected tuberculosis» about which she received chemoprophylaxis for 3 months. On examination: the condition and well-being are satisfactory. Body temperature 36,5,3C. RR 19 times per minute. The skin is clean. Peripheral lymph nodes are not palpated. It's quiet in the mouth. There is vesicular breathing in the lungs, no wheezing. The heart tones are clear, rhythmic. The abdomen is soft and painless. Test results:
Questions: 1. Preliminary diagnosis? 2. Examination plan? 3. Interpretation of test results. 4. Differential diagnosis and final diagnosis. 5. Treatment tactics Discipline "General medical practice No. 1" Practical exam (stage 1) SITUATIONAL TASK №4 A mother with a child of 6 months came to a doctor's appointment with complaints of decreased appetite, sleep disturbance, flinching when falling asleep, a loud sound, a flash of light; the child, according to the mother, has increased sweating with a sour smell, the child rubs his head on the pillow. From the anamnesis: a child from the second full-term pregnancy, which proceeded physiologically. Feeding from 2 months with whole cow's milk. He eats vegetable puree reluctantly. The diet is dominated by porridge (semolina and rice). Objectively: the condition is satisfactory. The skin is clean, pale. Baldness of the occiput is observed. There is vesicular breathing in the lungs, no wheezing. The heart tones are rhythmic. The "frog" belly. The liver protrudes from under the edge of the costal arch by 1 cm. Large fontanel: 2.5* 2.5 cm. He does not sit on his own, pronounced frontal and parietal bumps are observed, rib "rosary", Harrison's furrow are palpated. Muscle tone is reduced. Test results:
Sulkovich's test is negative. Questions: 1. Preliminary diagnosis? 2. Examination plan? 3. Interpretation of test results. 4. Differential diagnosis and final diagnosis. 5. Treatment tactics Discipline "General medical practice No. 1" Practical exam (stage 1) SITUATIONAL TASK №5 The boy is 2 months old, examined by a pediatrician. From the anamnesis: the first pregnancy, the age of the mother is 17 years old, the mother smokes, the pregnancy proceeded with toxicosis of the I and II halves. Labor with stimulation, anhydrous period of 8 hours, was born with a single entwining of the umbilical cord around the neck. Mom did not work, is not married, lives with her parents, social and living conditions are satisfactory. There is not enough milk, mother began to feed cow's milk. On examination: The child is restless, regurgitation was noted. Hyperemia appeared on the cheeks, gneiss appeared on the scalp and eyebrows. There is puerile breathing in the lungs, no wheezing. The heart tones are clear, the rhythm is correct. Bloating is noted, the stool is undigested. Test results:
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