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Clinical and pathoanatomical conference.
(Exercise-sectional biopsy rate for the 5th year students of medical faculties and students of 3rd year Faculty of Dentistry).
Relevance of the topic: Clinical and anatomical analysis is a method of knowing the circumstances of disease, the characteristics of their flow, as well as the immediate causes and mechanisms of death. The main methodological prerequisite of clinical and anatomical analysis is adherence to the principles of unity of morphological and functional changes. In this study, based on clinical information about the patient's complaints, the nature of the symptoms that occurred during his life, physical, clinical, laboratory and other data in their relation to pathological changes, the pathologist identifies the extent to which clinical signs of morphological and functional changes.
Overall objective: To know the purpose and objectives of the clinical and pathoanatomical conferences, the order of its organization, the duties of the persons involved, to be able to carry out comparison of clinical and postmortem diagnoses and to identify the category and the reasons discrepancies diagnoses.
Be able to:
Specific objectives: The program source of knowledge, skills:
A. Know the purpose and objectives of the clinical and pathoanatomical conferences.
Two. Know the guidelines for the selection of cases for clinical and postmortem conference.
Three. Know the organization of clinical and pathoanatomical conferences.
4. Know the responsibilities of those involved in clinical and pathoanatomical conferences.
Five. Conduct a comparison of clinical and postmortem diagnoses.
6. Identify the category and the reasons for the differences of clinical and postmortem diagnoses.
List of key theoretical issues, ensuring the implementation of targeted activities.
A. The purpose and objectives of the clinical and pathoanatomical conferences.
Two. The principles of selection of cases for clinical and postmortem conference.
Three. The procedure of organization of clinical and pathoanatomical conferences.
4. Duties of persons involved in clinical and pathoanatomical conferences.
Five. Comparison of clinical and postmortem diagnoses.
6. Category and the reasons for the differences of clinical and postmortem diagnoses.
The sources of educational information:
A. Mandate of the Ministry of Health of Ukraine № 81 "On the one rozvitok udoskonalennya patologoanatomіchnoї Service of Ukraine" herbal vіd 12 1992 p. Dodatki 8, 11.
Two. A graph of the logical structure of "Clinical and pathoanatomical Conference."
Three. A graph of the logical structure of the "discrepancy between clinical and postmortem diagnoses."
Targeted training tasks.
At obschebolnichnoy conference, the case of amebiasis patient's death, which was not diagnosed clinically. What principles have played a role in the selection of this case?
A. A rare disease.
B. The discrepancy between in vivo and postmortem diagnosis.
C. An infectious disease.
D. Do not diagnosed during his lifetime the case of the disease.
E. All of the above is true.
In the clinical-anatomical observation of the conference made periarteritis nodosa in a young man. What are the challenges facing an opponent in this case?
A. Analysis of clinical data.
B. Analysis of autopsy data.
C. Review of the literature on this issue.
D. Identification of gaps in the treatment strategy.
E. All of the above is true.
Patient 65 delivered to the sanitary inspection rooms machine "emergency" with complaints of abdominal pain, is directed to the surgical department, where he was diagnosed with acute appendicitis. Operated on, with Histological examination of the remote diagnosis of appendicitis, the appendix has not been confirmed. After 2 days the patient died. The autopsy: coronary heart disease: an extensive myocardial infarction. Which category differences of clinical and postmortem diagnoses?
A. One category.
B. Category 2.
C. Category 3.
D. No discrepancies.
A man 30 years old, operated on for lung abscess (performed thoracotomy, drainage of abscess cavity), increasing intoxication, exhaustion, and 5 months after treatment the patient died. At autopsy, changes in the lung were characteristic of acute cavernous tuberculosis, which was confirmed histologically. Determine the cause of diagnostic errors in this case:
A. The rarity of disease.
B. Nedoobsledovanie patient.
C. The severity of the patient.
D. Short duration of stay of patients in the hospital.
E. The absence of an advisory opinion phthisiatrician.
Patient B., 58 years old was taken to emergency medical team in the sanitary inspection rooms in a terminal condition, where, despite intensive therapy, he died 40 minutes later. Was exposed to the diagnosis of acute cerebral circulatory disorders. At autopsy, the pathologist established the diagnosis of acute transmural myocardial infarction, left ventricular anterior wall. Which category of differences of clinical and postmortem diagnoses can be determined for this case?
D. Not determined because the death occurred in the sanitary inspection rooms.
E. Determined by the leadership of the ambulance station.
The methodology of the studies.
Classes are held in the form of a seminary at the beginning of which is determined by the initial level of knowledge (tests for monitoring the initial level of knowledge). After the self-study and work with case studies carried out checks written responses, the assessment for each part of which is final in class.
Stage adaptations of Time Training Venue
Methods of Equipment
A. Determining the level of preparation for the occupation. 20 minutes of Test Control Tests Classroom
Two. Independent work. 150 minutes of study material
work with case studies Order № 81 of Ministry of Health, Department of Educational guidelines room, reception pathology department.
Three. Analysis and correction of homework. 15 minutes of conversation,
verification tasks Classroom
4. Summing up and evaluation. 10 minutes Classroom
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