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Зміст2. Educational purpose
2.2. A student must be able
2.3. To seize practical skills
3. Educate purpose.
4. Intersubject integration
5.1. Preparatory stage.
5.3. Questions of controls
5.4. Final stage.
Name the probable syndrome
Ministry of Health of Ukraine
Bukovynian State Medical University
on the methodical meeting
of the Department of neurology, psychiatry
and medical psychology nm. S.M.Savenko
“____” ___________ 2009 (Report № __).
Chief of the Department
Professor V.M. Pashkovsky
for 4-th year students of medical faculty №2
(the speciality “medical affair”)
for independent work during preparing to practical class
Theme 4: Perception disorders
MODULE 1. GENERAL QUESTIONS OF PSYCHIATRY AND NARCOLOGY. GENERAL PSYCHOPATHOLOGY
Topical module 2. General psychopathology
1. Actuality Aim
Reflection of separate properties of objects and phenomena of the outer world and internal state of organism, that directly influence on analyzers (feeling) is difficult psychical activity in the process of which a man cognizes surrounding the world and internal state of organism. Feelings not only carry information about separate properties of the phenomena and objects but also execute activating a brain function. The result of operating on the analyzers of objective reality is synthesized with the pas practical experience in one whole.
Knowledge of the state of feeling and perception sick it needs a doctor on all stages of inspection and treatment.
2.1. A student must know:
On practical employment attention of students is concentrated on knowledge of pathology of bases of conformity to the law of cognitive activity of patient, that allows a doctor to analyse diagnostic and medical processes, draw conclusions and give the correct estimation of the state of feelings and perception sick for giving him necessary medical assistance.
^ (base level of preparation).
Practical employment from this theme is one of main, so as knowledge of the state of feeling and perception sick needs a doctor on all stages of inspection and treatment.
Attention applies on organizational questions of conducting of practical employment. A teacher determines an educational purpose, canvasses students on questions of pathology of feeling and perception.
The basic stage foresees conducting with the students of educational activity and determination of feeling and perception.
Senestopatii are the various unpleasant feelings in the different areas of body, but more frequent from the side of internal organs which do not have (as a result of inspection) anatomical-physiology basis. Arise up after the mechanism of strengthening and distortion of the interoreceptive feelings which are not realized up to par.
Derealization is expressed in because the sick perceives surrounding the world not so as perceived him before, to illness. He asserts that all articles of environment became other, changed somehow. But unlike illusions and hallucinations, patients here always perceive objects such which they are, but something changed (megascopic, diminished, other form).
Depersonalization is characterized, that a patient perceives itself, the personality, changed – «he became not such, as was before, to illness; he perceives the awareness of itself as personalities other gates».
Illusions – perceptions of really existent objects and phenomena, which understanding of appearances of того, which is perceived, does not answer reality and has other maintenance, is at, are disfigured.
^ imaginary perception, without a really existent object. After the mechanism of origin they are the painfully changed and involuntary presentations which become dominant in consciousness.
The real hallucinations are all characteristics of perception – extra projection, feeling of reality and absence of arbitrary change of appearance.
Hallucinosis – the plural proof verbal hallucinations of antagonism character (one protect a patient, and other threaten him) speak with a patient in the third person.
^ unites symptoms which are characterized patients, as stranger in relation to their consciousness, independent of their will, violent.
Meet this at schizophrenia and psychoses which arise up as a result of easy organic defeats of cerebrum.
Different methods belong to the objective signs of hallucinations, that they are used by a patient(stopping ears at auditory hallucinations, deleting from the apartment of radio receiver), anxious look, expression of horror on face, attempts from someone to be hidden, laying of surrounding to the improper talks about him and others like that.
Students independently under the direction of teacher inspect mentally patients with different disorders of feeling and perception.
On the final stage of practical employment a teacher checks up the eventual level of professional abilities and practical skills, visits and progress of students works out the total of employment, answers question of students.
6. Tasks for self-control.
The patient was brought to the reception department of a psychiatric hospital by policemen. At the reception department the patient is tense and angry. He states that his neighbor has established in his flat an apparatus, with which he records all the patient's thoughts and inserts his own thoughts into his head. Sometimes with the help of special equipment the neighbor broadcasts pro-grams, in which offends the patient in different ways. Recently the neighbor made the patient walk in the wrong direction, use obscene language in public, and produced artificial cheerfulness in him. The patient attacked his neighbor and tried to stab him with a knife.
A. Fregoly syndrome
B. Da Casta's syndrome
C. Cotard's syndrome
D. Syndrome of intermetamorphose
E. Clerambault-Kandinsky syndrome
A 15-year-old teenager girl during last 4 or 5 months began to pay excessive attention to her appearance. For hours she looks at herself in the mirror, finds some defects in her face, which make it look "horrible" (states that her nose is crooked and her ears are too protruding). Thinks that everybody laughs at her. It is impossible to persuade her that she isn't right. She consulted a cosmetologist and asked him to make a plastic operation on her face.
Name the probable syndrome:
A. Hypochondriac syndrome
B. Cotard's syndrome
C. Dysmorphomanic syndrome
Prepared by assistant S.D.Savka
|Ministry of public health of ukraine ministry of education, science, youth and sports of ukraine||Ministry of health of ukraineministry of health of ukraine|
|Ministry of Health of Ukraine||Ministry of health of ukraine|
|Ministry of Health of Ukraine||Ministry of Health of Ukraine|
|Ministry of Health of Ukraine||Ministry of Health of Ukraine|
|Ministry of health of ukraine||The Health Ministry of Ukraine|
|Ministry of Health of Ukraine|