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Sumy state university medical institute




НазваSumy state university medical institute
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Дата06.06.2013
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Immediate hospitalization of infectious patients is necessary at a plague, cholera, anthrax, glanders, hydrophobia, spotted fever, typhoid, paratyphoids A and B, fevers of Lass, Ebola, Marburg.

Task 2

At the direction of SES a doctor conducts the clinical and laboratory inspection of persons, which arrived from countries, problematic on cholera, yellow fever, malaria, tropical helminthisms. Arriving from countries, where a cholera is registered, subject to the daily medical supervision during 5 days since arrival. In the case of plague supervision lasts 6 days. Persons which returned from tropical countries pass medical examination in CID; research of thick drop and stroke of blood in the presence of plasmode of malaria, microfilaria, spirochetas, trypanosomas; sediment of urine on the eggs of shystosomas; excrement on the eggs of helmints and the intestinal simplest.

Task 3

Realization of revaccination is contra-indicated for this patient, because of patient’s acute infectious disease.

Temporal contra-indications to immunization are acute infectious and uninfectious diseases which include reconvalescence. By foundation for abstention from inoculations there can be also the second half of pregnancy and pectoral feeding. After the carried disease immunization can be provided out not earler than in 2 months from the moment of clinical recovery.

Task 4

A patient which acted just was placed wrong. According to an order (about placing of patients in infectious department) patients which acted just must not be in one chamber with a convalescent or sick with complications. On possibility provide the one-moment filling of chambers and simultaneous discharge.

4 Materials for audience free work

4.1 List of educational practical tasks which must be executed on practical class

  • To capture the methods of inspection of infectious patient .

  • To provide curation of infectious patient.

  • To provide differential diagnostics of infectious diseases of different genesis.

  • To work out plan of laboratory inspection.

  • To interpret the results of specific inspection of infectious patient.

  • To recognize complications of infectious diseases.

  • To work out a plan of treatment of infectious patient.

  • To define a medical tactic in the case of origin of the urgent conditions.

  • To draw medical documentation in fact of establishment of infectious disease.






4.2 Materials of the methodical providing of the basic stage of class

4.2.1 Professional algorithm in relation to forming of skills and abilities of diagnostics of infectious diseases



Task

Sequence of implementation

Remarks, warnings in relation to self-control


1

2

3

4

1




2



To capture the methods of clinical inspection of infectious patient


To provide curation of patient



І Find out the complaints of patient


ІІ Find out anamnesis:

1 Anamnesis of disease


2 Anamnesis of life


3 Epidanamnesis



To separate complaints which characterize syndromes :

- - to general intoxication;

- - organ defeats


To pay attention on beginning, term, sequence of origin of symptoms, dynamics


To find out the carried diseases


To find out data in relation to realization of certain mechanism of transmission, to pay attention on stay of patient in touch with infectious patients or presence

this disease for a patient in the past








ІІІ Provide an objective inspection


1 General examination:


2 Skin:


3 Mucous membranes


4 Muscles, bones, joints


5 the Respiratory system


6 Cardiovascular system


7 System of digestion


8 Urinary system


9 Nervous system

To remember: presence, expressed, dynamics of symptoms conditioned by a term and severity of course of disease, depend on age sick, concomitant pathology


To pay attention on:

- the common condition of patient;


- presence, localization, character of rash;


- degree of development, sickliness


- Examination of thorax, palpation, comparative and topographical percussion of lungs, auscultation of lungs


- Pulse; ARTERIAL TENSION; examination and palpation of cardiac area; percussion and cardiophony


- Examination of oral cavity; examination of abdomen, superficial and deep palpation, percussion of abdomen; liver, gall-bladder, pancreas, spleen


- Examination of area of Kidneys,

palpation, sickliness, Pasternatsky symptom, diuresis


Development, intellect, memory, orientation in space and time, contact with a patient, provide, motive and sensible spheres, dermographism; changes of rumor and sight

3

To prescribe laboratory and additional researches, interpret results


1 General analysis of blood

2 the General analysis of urine

3 Specific methods of research :

а) bacteriological, virologic, parasitologic;

b) serologic;


c) immunological;


d) PLR

To pay attention on typical changes


To pay attention on typical changes


- exposure of causative agent


- exposure of AB to the causative agent


- exposure of Ig M and Ig D


- exposure RNA or DNA of causative agent
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