“Confirmed” Confirmed at the Сhair Sitting icon

“Confirmed” Confirmed at the Сhair Sitting




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1. /propedvnutrmed 2011 2012/propedvnutrmed_bioetika 3/KTP_CPC_UA.doc
2. /propedvnutrmed 2011 2012/propedvnutrmed_bioetika 3/KTP_UA.doc
3. /propedvnutrmed 2011 2012/propedvnutrmed_bioetika 3/MVOPR_EN.doc
4. /propedvnutrmed 2011 2012/propedvnutrmed_bioetika 3/MVOPR_UA.doc
5. /propedvnutrmed 2011 2012/propedvnutrmed_bioetika 3/PROGRAM.doc
6. /propedvnutrmed 2011 2012/propedvnutrmed_bioetika 3/Time_EN, UA, RU.doc
7. /propedvnutrmed 2011 2012/propedvnutrmed_doglyad 2/KTP_EN .doc
8. /propedvnutrmed 2011 2012/propedvnutrmed_doglyad 2/KTP_UA.doc
9. /propedvnutrmed 2011 2012/propedvnutrmed_doglyad 2/MVOPR_EN.doc
10. /propedvnutrmed 2011 2012/propedvnutrmed_doglyad 2/MVOPR_UA.doc
11. /propedvnutrmed 2011 2012/propedvnutrmed_doglyad 2/PROGRAM.doc
12. /propedvnutrmed 2011 2012/propedvnutrmed_doglyad 2/Time_EN, UA, RU.doc
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15. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/ISTORIA_UA.doc
16. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/KTP_EN.doc
17. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/KTP_UA .doc
18. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/KTP_UA.doc
19. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/MVOPR_EN.doc
20. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/MVOPR_UA.doc
21. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/OTHER_EN.doc
22. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/OTHER_UA.doc
23. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/PROGRAM.doc
24. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/TIME_UA.doc
25. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/VOPR_EN.doc
26. /propedvnutrmed 2011 2012/propedvnutrmed_propedvnutrmed 3/VOPR_UA.doc
27. /propedvnutrmed 2011 2012/propedvnutrmed_sestr/KTPSelf _worc.doc
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29. /propedvnutrmed 2011 2012/propedvnutrmed_sestr/KTP_EN.doc
30. /propedvnutrmed 2011 2012/propedvnutrmed_sestr/KTP_UA.doc
31. /propedvnutrmed 2011 2012/propedvnutrmed_sestr/MVOPR_EN.doc
32. /propedvnutrmed 2011 2012/propedvnutrmed_sestr/MVOPR_UA.doc
33. /propedvnutrmed 2011 2012/propedvnutrmed_sestr/PROGRAM.doc
34. /propedvnutrmed 2011 2012/propedvnutrmed_sestr/Time_EN, UA, RU.doc
Декан лікувального факультету 27. 01. 2012 р. Протокол №8
Проф. С. М. Смірнов 2012р
List of questions for the preparation to module determination of notion „safety of vital functions”
Перелік питань для засвоення модулю визначення поняття „безпека життєдіяльності”
“Затверджую”
На кафедрі пропедевтики внутрішньої медицини у весняному семестрі
“confirmed” Confirmed at the Сhair Sitting 2012
Затверджую затверджено на засіданні кафедри
List of practical skills for final module control in “taking care of patients
Перелік практичних навичок для підсумкового модульного контролю з виробничої практики "догляд за хворими терапевтичного профілю"
Міністерство охорони здоров’я україни дз „луганський державний медичний університет”
На кафедрі пропедевтики внутрішньої медицини у весняному семестрі
Questions for studies in taking сare of (looking after)
Перелік запитань
Методичні рекомендації з клінічного обстеження хворого терапевтичного профілю І методики написання історії хвороби на кафедрі пропедевтики внутрішньої медицини
“Confirmed” Confirmed at the Сhair Sitting
Затверджую затверджено на засіданні кафедри
Проф. Смірнов С. М. 2010р
Main purposes and objects of study of propaedeutic medicine
Перелік теоретичних питань
Methodical directions for the i-st III- rd year students
“Затверджую”
На кафедрі пропедевтики внутрішньої медицини у осінньому семестрі
Practical classes
Перелік питань, що підлягають вивченню на практичних заняттях з пропедевтики внутрішньої медицини
“confirmed” confirmed at the Сhair Sitting 2011
Календарно-тематичний план
Confirmed” “confirmed” at the Сhair Sitting
Затверджую затверджено на засіданні кафедри
List of practical skills for final module control „basic duties and professional actions of medical nurse of therapeutic departament”
Перелік практичних навичок для підсумкового модульного контролю з модулю 1 „основні обов'язки та професійні дії медичної сестри терапевтичного відділення”
Міністерство охорони здоров’я україни дз „луганський державний медичний університет”
На кафедрі пропедевтики внутрішньої медицини у весняному семестрі



Confirmed” Confirmed at the Сhair Sitting _


Dean of Medical Faculty of foreign students 31.08.2010. (The minutes No ____1__)

_____________ D.M., prof. Yu. G. Pustovoy

«______»_______________2010р.


THIRD-YEAR STUDENTS’

LECTIONS


IN PROPAEDEUTICS OF INTERNAL DISEASES COURSE

AUTUM TERM (IV) 2010-2011 ACADEMIC YEAR

(20 HOURS )



Subject of Classes

Questions for Studies


Duration

Date


Lecturer

1.

Introduction. Subject and tasks of propaedeutics of internal diseases.

The general plan of the patient’s examination. Inqury of the patients.

General duty nursing (general taking care of patient) and its value for medical process.

Notion of semiotics, methods examination of patients. Case history. Its pats. By the examples of diseases the value and role inqury, anamnesis.


2


Ass.professor T.V. Sysoykina


Ass professor

V.Ye.


Sabadash

2

General examination.Symptoms and syndromes

General examination in formulation of diagnosis are considered. Mechanism of onset symptoms and syndromes is explained in different diseases. In lecture deontological principles are considered in propaedeutic clinic.


2


Ass.professor T.V. Sysoykina


Ass professor

V.Ye.


Sabadash

3

Symptomatology of heart diseases. Examination of vessels. Percussion of heart.

Peculiarities of questioning of patients.

Mechanism of main complaints formation.


General examination of area of heart and vessels.

Mechanism of development symptoms of the heart and vessels affection. Research of peripheral arterial pulse and arterial pressure.

Technique of carrying out percussion of heart. Notion of relative and absolute dullness, heart’s configuration.

2


Ass.professor N.B. Rykova


Ass professor

V.Ye.

Sabadash


4

Auscultation of heart.

Sounds (tones) of heart, mechanisms of their formation. Theirchanges in norm and pathology. Rhythm of "quail", rhythms of "gallop". Noises of heart, their classification, mechanism of its formation, diagnostic value.

2


Ass.professor N.B. Rykova


Ass professor

V.Ye.

Sabadash


5

Electrocardiography (ECG) as a method of functional diagnostics of diseases of heart.

Principles of research. Normal electrocardiogram. Diagnostic value and genesis of ЕCG waves and intervals. ЕCG changes in pathology of cavities (chambers) of the heart. Signs of hypertrophy of left and right ventricles and atriums.

2


Ass.professor N.B. Rykova


Ass professor

V.Ye.

Sabadash


6.

Changes of ЕCG at infringements of the rhythm and conductivity of the heart.

ЕCG - signs of disorder functions of excitability, conductivity, automatism of myocardium. Notion of extrasystole beats, paroxysmal tachycardia, blocks of heart, atrial and ventricular flutter and fibrillation.

2


Ass.professor N.B. Rykova


Ass professor

V.Ye.

Sabadash


7.

Methods examination of pulmonary system: questioning and examining patients with the diseases of respiratory organs. Examination and palpation of thorax, investigation of vocal fremitus.

Peculiarities of questioning of patients. Mechanism of formation of complaints.


Peculiarities of patient’s anamnesis. Visual examination and palpation of chest. Examination of vocal fremitus.

2


Ass.professor T.V. Sysoykina


Ass professor

V.Ye.

Sabadash


8

Percussion and auscultation of lungs.


Physical bases of percussion, technique of its carrying out and its clinicodiagnostic value. Principles of auscultation of lungs its types, means. Technique of its carrying out. Normal and pathological respiration sounds. Technique of bronchofony carrying out.

2


Ass.professor T.V. Sysoykina


Ass professor

V.Ye.


Sabadash

9.

Clinical, laboratory and instrumental methods of research of bodies of digestion.

Inquiry, inspection of patients with stomach diseases and intestines. Mechanism of symptom’s development. Value of deep methodical palpation in diagnostics of diseases of the bodies of digestion.

2


Ass.professor N.B. Rykova


Ass professor

V.Ye.

Sabadash


10

Clinical symptoms of diseases of liver and bile -excretory ways. Basic syndromes.

Peculiarities of questioning, inspection and palpation of patients with diseases of liver and bilious ways. Mechanism of development of symptoms, their diagnostic value.

2


Ass.professor T.V. Sysoykina


Ass professor

V.Ye.

Sabadash











Total

20 hours




Head of the Chair, Professor L. M.Ivanova


Confirmed ” CMC Head, Professor U.M. Kolchin

Confirmed” Confirmed at the Сhair Sitting _


Dean of foreign students faculty 31.08.2010. (The minutes No ____1__)

_____________ D.M., prof. Yu. G. Pustovoy

«______»_______________2010р.


-YEAR STUDENTS’

PRACTICAL-CLASSES CURRICULUM

IN PROPAEDEUTICS OF INTERNAL DISEASES COURSE

AUTUMN TERM (V) 2010-2011 ACADEMIC YEAR (50 hours):







Theme of

practical classes

Questions for Studying


Duration

Date

Place of conduct

Content module №1. Introduction in clinic of internal disease.

1

Role and position of propaedeutics of internal diseases among clinical disciplines of therapeutic specialization.

Propaedeutics of internal medicine as introduction in clinical practice. History of formation of propaedeutics of internal medicine in Ukraine and abroad. Contribution of well-known clinicians M.Ya. Mudrov, G.А.Zakharyin, S.P.Botkin, О.О.Оstroumov, T.G. Yanovskiy, V.P. Obraztsov, M.G. Kurlov, M.М. Gubergrits, М.D. Strazhesko, М.P.Konchalovskiy, М.V.Chernorutskiy, G.F.Lang, О.L.Мyasnikov, B.S.Shklyar to the progress of home propaedeutic school. Main purposes and objects of study of propaedeutic medicine. Main methods of examination of patients in clinic of internal diseases: physical, instrumental, laboratory.


2




Study room.


2.

Scheme of Case Record. Questioning of patient.

Medical case history: its main units and writing rules. Method of questioning of patient and its diagnostic value carrying out with taking into account individual, intellectual and psychological peculiarities of patient. Main structural parts of questioning: (passport part, complaints of patient, additional inquiry on systems and organs, anamnesis of disease, anamnesis of life).Role of Ukrainian and Russian clinical scientists in development of professional craft of patient’s questioning.

3




Study room.

Wards of

hospital

departments

3.

General visual examination of patient.

Methods of carrying out of general examination of patient. Determination of general condition of patient (states of general conditions and their criteria) Evaluation of state of patient’s consciousness (types of consciousness disorder), Postures, gaits (kinds of patient’s bearing and gaits in different diseases), patients’ positions in bed (active, passive, forced and their variants). Anthropometric examinations. Constitutional types and their main criteria.

2




Study room.

Wards of hospital

departments


4.

General visual examination of patient. Visual examination of parts of patient’s body.

Skin and its properties (colour, elasticity, humidity, temperature, rash elements, pigmented nevuses, scars) and pathological changes. Evaluation of hair and nails condition. Subcutaneous fat (development, distribution, types of obesity), state of muscular system and osteoarticular apparatus). Sequence of lymph nodes palpation. Diagnostic value of symptoms which were received during general examination of patient. Methods of carring out and sequence of visual examination of head, neck, extremities and chest, anterior abdominal wall and chest. Diagnostic value of symptoms which were received during visual examination of separate parts of patient’s body. Intermediate control of mastering Content module №1.

3




Study room.

Wards of hospital

departments

Computer class.



Content module № 2. Phisical methods of examination of cardio-vascular system.

5

Physical methods of examination of cardiovascular system. Questioning and general examination of patients with cardio-vascular pathology.

Diagnostic value of main physical methods of examination of cardio-vascular system. (questioning,visual examination, palpation, percussion, auscultation). Sequence of determination and specification of complaints of patient with cardio-vascular disease. Peculiarities of patient’s interview about history of disease and life. Carring out general examination of patient with cardio-vascular disease.

2




Study room.

Wards cardiological

department



6

Examination of pulse (arterial, venous, pseudocapillary) and arterial blood pressure.

Visual examination and palpation of heart area

Vessels which are accessible for feeling the pulse (arterial and venous). Ruls and sequence of examination of the pulse on the radial artery. Determination of main properties of pulse (synchronism, rhythm, frequency (rate), tension, volume, size, velocity, uniformity), determination of pulse deficit дефіциту, lability, paradoxicality, dicrotisity of pulse. Rulse of measuring arterial blood pressure. Main methods of measuringarterial pressure. Notion of Korotkov’s tones. Main parameters which determine data of systolic and diastolic arterial pressure. Notion of pulse and medium dynamic arterial pressure. Normal parameters of arterial pressure according to WHO criteria (1999).

Sequence of carrying out visual examination of heart’s area. Diagnostic value of heart’s hump, pulsation of heart’s area and neck. Methods and technique palpation of precardial area: apex beat (localization, area, force, height, resistance, displacement, causes of appearance of negative apex beat). Heart beat, causes of its appearance and methods of determination; pulsation of epigastric part of aorta liver, Plesh’s symptom, pulsation of ascending part of aorta and its arch, determination of lung trunk’s pulsation. Presystolic and systolic tremble (“cat’s purr” symptom), causes of appearance. Curation of patient with writing of patient’s history of disease.

3




Study room.

Wards cardiological

department



7

Percussion of borders of relative and absolute dullness of heart, determination of heart’s vascular bundle width.


Notion of relative and absolute heart dullness, their percussion determination (sequence: right, upper, left borders) and changes in pathological conditions. Anatomical formation which form vascular bundle, percussion determination of its width.

2




Study room.

Wards cardiological

department



8

Auscultation of heart.

Normal heart tones. Splitting and reduplication of heart tones. Additional tones (triple and gallop rhythms).

Methods and technique of auscultation of heart. According of Kiev therapeutic school. Main and additional auscultation points. Areas of projection and the best listening of heart’s valves. Mechanism of formation of heart tones. Causes of increased and weekend tones. Tone accent. Tone’s changes in timbre ( banging, relatively dull, velvet, metal, canon) Notion of splitting and characteristics. Additional tones – click of mitral valve’s opening, gallop rhythms (protodiastolic, mesodiastolic, presystolic gallop rhythms). Methodical peculiarities of auscultation of heart- immediate, by stethoscope, phonendoscope: in standing position of patient, in lying position, at rest, and physical exertion.

3




Study room.

Wards cardiological

department

Room of technique teaching methods.


9

Auscultation of heart: organic and functional heart noises.

Causes of appearance and classification heart’s noises (intracardial, extracardial, organic and functional, systolic and diastolic, ejection murmurs, filling, regurgitation ). Ruls of heart’s listening and algorithm of characteristics of heart’s noises: relation to phases heart activity, points the best listening of noises, points their conduction,,character, intensity, form, connection with heart’s tones depend on position of patient’s body (vertical, horisontal) and physical exertion. Determination of auscultative symptoms Sirotinin-Kukoverov and Udintsev. Notions of functional noises and their difference from organic. Extracardial noises. Pericardium friction noise, pleuropericardial noise, cardiopulmonal, “humming-top” (“whirligig”) noise on jugular vein. Double Trauber’s tone and Vinigradov-Durozye noise on femoral artery: methods of determination, causes and mechanism of appearance.

2




Study room.

Wards cardiological

department


Room of technique teaching methods.

Content module № 3. Instrumental methods of examination of cardio-vascular system.

10

ECG method of examination, of heart

function.

Method of registration and calculation ECG. ECG-signs of hypertrophy of atriums and ventricles.

Clinico-diagnostic value of ECG method. Biophysical and physiological basis of ECG. Structure and function of heart’s pacemakers and conduction system. Main and additional heart’s ways of electric impulse conduction. Methods and technique of ECG registration: standard lids, unipolar lids from extremities, chest lids. Main ECG elements: which indices duration and amplitude waves, duration intervals and segments in norm. Algorithm and methodic calculation of ECG. ECG –signs of hypertrophy right and left atriums and ventricles.


3




Study room.

Functional

diagnostic room


11

Infringement of automatism and excitability. Arrhythmias of heart. Clinical and ECG – diagnostics.

Main heart’s anatomical formations which provide of heart’s automatism function. ECG-signs of heart’s automatism disorders: sinus tachycardia, sinus bradycardia, sinus arrhythmia, weekend sinus-noud syndrom. Types of extrasystoles. ECG –signs of sinus, atrial, atrio-ventricular and ventricular extrasystols. Differentiation of right and left ventricular extrasystoles. Classification of ventricular extrasystols. Variants of allorhythmias

2




Study room.

Wards cardiological

department

12.

Blocks of heart. Clinical and ECG diagnostics of infringements of conductivity and excitability (atrial and ventricular flutter and fibrillation). ECG examination in combined disorder of heart rhythm.

Principles of carring out of electric pulses therapy.


Time of conduction impulse along different parts of cardiac conduction system.ECG –signs of sino-atrial and intra-atrial blocks. Classification and ECG –signs of atrioventricular blocks. Stokes-Adams attacks, causes of their occurrence (onset) and clinical picture. Intraventricular blocks. Differential diagnostic between right and left branch block of His bundle. ICG and clinical signs of atrial flutter and fibrillation. Clinical picture and ECG in different paroxysmal tachycardia, ventricular flutter and fibrillation.

Acquaintance with indicates of carring out and rules of electro-impuls therapy application.



3




Study room.

Wards cardiological

department.

Reanimation

(emergency) unit

13.

Others instrumental methods examination of cardio-vascular system.

Acquaintance with phonocardiography. Diagnostic value of method and, methodic and technic registration PCG. Main principles calculation of PCG. Polycardiography. Echocardiography: diagnostic value of method, methodic and technic echocardiography examination. Main echocardiographic parameters – volumes heart cavities, ejection fraction, (EF), interventricular septum and left ventricul posterior wall thickness. Doppler ography of heart and vessels. Phlebography, rheovasographic – diagnostic value of methods. Methodic and technic examination.


2




Functional diagnostic

room

14

Inspection of students skills and knowledge of instrumental methods examination of cardio-vascular system.


Mastering of ECG- diagnostics of various infringements of a rhythm and conductivity.

3




Computer class.



Content module № 4. Methods of examination of pulmonary system

15.


Questioning and visual examination of patients with diseases of pulmonary system. Visual examination and palpation of patient’s chest.

Sequence of determination and specification main subjective symptoms. Their semiotics and evaluation. Peculiarities of questioning of anamnesis of disease and life. Methodics ofcarring out of static and dynamic examination of patient’s chest. Establishment of topographic areas and physiological formations on а patient’s chest and their diagnostic value. Phisiological and pathological forms of chest and their criteria. Pathologocal forms of respiration (Cheyne-Stokes, Biot’s, Kussmaul’s, Grokko’s), their characteristics and causes of appearance. Sequence of carring out of patient’s chest palpation. Determination of vocal fremitus and semiological evaluation of its results.

2





Study rooms.

Wards of

pulmonary

department



16

Percussion as a method of physical examination of lungs.

Methodics and technique of comparative percussion.

History of percussion development as a method physical examination. Role of percussion in determination of lungs’ condition. Percussion classification according to purposes, strength of percussion stroke, methodics of carring out. Variants and conditions of percussion sounds occurrence. Main topographic areas and formations on the chest surface. Main tasks and methodics of carring out comparative percussion of lungs. Sequence of characteristics and diagnostic value of facts which were received. Causes of occurrence of dull, tympanic, dull-tympanic, bandbox percussion sounds above the lungs.

3




Study rooms.

Wards of

pulmonary department

17

Topographic percussion of lungs.

Main topographic lines on the chest surface. Main tasks and sequence of carring out topographic percussion of lungs. Determination of upper level of the apices of lungs posteriorrly and anteriorly, width of Krenig’s areas. Sequence of determination of lower borders of lungs, active and passive mobility of lower borders of lungs. Trauber’s space and its value in lungs pathology.

2




Study rooms.

Wards of

pulmonary department

18

Auscultation as a method of physical examination of lungs.

Methodics of auscultation of lungs.

Basic respiratory murmurs.

History of progress of auscultation of lungs as a method of physical examination of patient. Rules of stethoscope and phonendoscope application. Methods of carring out comparative auscultation of lungs. Main respiration sounds: vesicular and bronchial respiration their quantitative and qualitative changes, conditions of. their occurrence. Methodics of determination of bronchophony and its diagnostic value.

3




Study rooms.

Wards of

pulmonary department



19

Auscultation of lungs: secondary respiratory murmurs (rales, crepitation, pleura friction sound).

Classification of additional respiratory sounds (rales, crepitation, pleura friction sound). Causes of occurrence of dry and moist rales and their variants. Diagnostic value of consonating and non-consonating rales. Conditions of occurrence of crepitation and pleura friction sound. Differential signs of additional respiration sounds. Additional auscultative phenomena (Hippocratic’s succusion sound, falling-drop sound (gutta cadens), ‘water pipe’ noise), causes of their occurrence and their diagnostic value.

2




Study rooms.

Wards of

pulmonary department



20

Instrumental and laboratory methods of examination of pulmonary system.


Indications and methodics of carring out spirography and pneumotachometry. Main parameters in norm, their changes in obstructive and restrictive variants of respiratory insufficiency. Acquaintance with method of carring out and diagnostic value of bronchoscopy and bronchography. Pleurocentesis (thoracocentesis) its carring out technique and laboratory examination of pleural liquid. Laboratory examination of sputum. X-ray (roentgenological) examination of chest organs, its variants and diagnostic value. Computerized tomography of chest organs, main indications for its use.

3




Study room.

Computer class.












Total hours 50








Head of the Chair, Professor L. N.Ivanova


Confirmed ” CMC Head, Professor U.M. Kolchin


Confirmed” Confirmed at the Сhair Sitting _


Dean of Medical Faculty of foreign students 31.08.2010. (The minutes No ____1__)

_____________ D.M., prof. Yu. G. Pustovoy

«______»_______________2010р.


THEMATICAL PLAN OF STUDENTS SELF-WORK FOR

THE THIRD YEAR STUDENTS’ OF STUDY IN PROPEUDETICS OF INTERNAL DISEASES AUTUMN TERM 2010-2011 ACADEMIC YEAR





з/п

Theme

Duration

Literature

Module 1. Basic methods examination of patients in clinic internal diseases









Preparing for the practice classes: theory and study of practical skills examination of patients in clinic internal diseases:




№1. Methodical recommendation for the students: “Methodical direction for the II and III year study students on acquisition of practical skills in clinical study of the patient in hospital”

Training computer programmer about auscultation of lungs.

PCG of heart sounds and murmurs


  1. Film “Functional methods examinations in cardiology”.

  2. Film “Pulmonary system methods examination”.

  3. Film “Methods of general inspection”

  4. Film “Methods examination of gastro – intestine system”

  5. Methods “Cardio vascular system. Methods examination”







– Questioning of patients with internal organs pathology

4,5




– General visual examination of patient visual examination of difference parts of patient’s body (head, neck, trunk, extremities, chest, abdomen)

2




– palpation of patient’s chest

1




– comparative and topographic percussion of lungs

2




– auscultation of lungs

2,5




– palpation of heart area

1




– determination of arterial pulse properties

1




– percussion of relative and absolute heart’s dullness

1




–auscultation of heart

2,5














– superficial palpation of abdomen and deep methodical palpation of intestine, stomach, liver, spleen, kidneys

2




– percussional determination of liver and spleen sizes

1




2.

Studying of practical skills of using instrumental examination :




  1. Methodical computer test “ECG normal and pathology”

  2. Methodical recommendation for the students about laboratory examination.

  3. Methodical recommendation Normal results of biochemical examinations in therapeutic clinic







– spyrography and pneumotachometry

1




– registration of ECG and PCG

2

3.

Studying of analyses:







– results of external birthing examinational

3




– ECG and PCG data

5




– results of stomach and duodenal content after evacuation by the tube

1

4.

Students self study the topics which are not included to the plan of practical classes:

ECG examination in mixed disorders of heart rhythm.



2

5.

Curation of patients with writing anamnesis part of case history.

4

Methodical recommendation 1 (scheme of case history )

6

Individual work:

  • Carrying out of external brithing examinations and analysis of these data of pulmonary patients and report in class.

Registration of ECG, taking part of students in other instrumental examinations.

Carrying out of patient’s examination and prepare of the literature report about this case.

2


1


1




7

Prepare to the conclusion control.

6







Total(мodul 1 )

48,5






Head of the Chair, Professor L. M.Ivanova

CMC Head, Professor Y

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Тх – it’s impossible to set a presence and tumour diffusion degree. This category can be used for histological or citological confirmed...
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