Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Case Study of a Patient with Chronic Respiratory Disease - Prof. nhtnhzrjd, Thesis of History

A medical case study of a patient who has been suffering from chronic respiratory diseases since childhood. The patient frequently experiences nighttime exacerbations with productive cough, thick mucus, and swelling of lower limbs. details about the patient's anamnesis, symptoms, and diagnostic findings.

Typology: Thesis

2020/2021

Uploaded on 01/08/2022

nastya-gavryushenko
nastya-gavryushenko 🇨🇳

1 / 10

Toggle sidebar

Related documents


Partial preview of the text

Download Case Study of a Patient with Chronic Respiratory Disease - Prof. nhtnhzrjd and more Thesis History in PDF only on Docsity! MIHICTEPCTBO OXOPOHM 3JOPOB’A YKPAIHU XAPKIBCbKMM HAIIOHAJIBHMM MEJMUHMM YHIBEPCUTET Kacegpa nponegeBtTuku BHYTpilHbOi MequuMHH No2 3ap. Kacbegpu: OcraHopa TetaHa Cepriipua Kypatop rpynu: CuHenbunk Biktopisa Iletpinna ICTOPIA XBOPOBU Kapta Nel0 Xzopnii: IpaHos Onexciii Taspunosuy KainiuHnii giarHo3: BpoHxiamtbHa actma. Kypatop-ctygeut: Ilaciuxo FOnia Anatoniipua Tpyna: __18_, kype:3 Alata nogaui ictopii xsopo6u: 07.05.2021 p. Oujinka. Tligqmme Bukmayaua, Tlacnoprua uacTHHa II.I.b: IsaHop Onexcii Dappunosuu. Bik: 56 poxis. Crarb: uosoniva CimeiiHe noo>KeHHA: OApy>KeHHli Micye mpookuBaHHa: M.Xapkis. TIpodecis: meHcioHep. ata rocnitanizarii: 05.05.2021 Ckapru XBOpHii CKap»KHTBCA Ha eKcHipaTopHy 3af{HLIKy, WjO BAHMKae B Hi4HHi uac, MpOfYKTMBHHM Kalliesb 3i CIM30B010 AyKe B’A3KOHO MOKpOTO Ta HaOpsAKH HWKHIX KiHLIBOK. Auamues xBopo6u Y quTuuctsi yacto xBopis Ha I'PBI. Touas nanuru 3 12 poxis. Y 18-piguomy Bini 3'MBMBCA CYXHii Kaley, rocTpa ekciipaTopHa 3aJMuiKa 3 OiIbU yck1a{HeHUM BHMXOM, AKa BHHMKaJia B HiUHMi Yac. 3arocTpeHHa XBopoOn cnocTepirasioca 1-2 pa3H Ha pik. 3 pokaMu 3’ABMsaCb NOCTiiHa 3a{MLKa 3 MOCTyMOBMM 3pocTaHHAM inTreHcuBHocTi. BHaciigok CMIbHoro MoripWieHHA CamonouyTra 6yB rocnitai30BaHHi y MyIbMOHOJori4vHe Bigginenua. [ica 3akinueHHa Kypcy JikyBaHHA 3arasibHHi CTaH MominuyBaBcs, ane 3afMika NpHiiHana NocTiiHHi xapaktep. Ha3py mikis xBopHii He Mam’ saTae. 3 3arOCTpeHHAM 3aXBOPIOBaHHA rocnitasi3y €TbCA B CepeyHbomy 2 pa3v Ha pik. OcTaHHa rocnitamizaiia 6 MicayiB Tomy. OcTaHHe 3afoCTpeHHA 3aXBOpIOBaHHA 2 THKHi TOMY, KOJIM CTaB uacTile Kallle/Ib, KOPKHOi HOUI BUHMKae roctpa eKcripaTopHa 3a{Mika 3 OimbUI ycklaqHeHHM BHAHXOM, CTaH Nosinuyetsca nicaa inranayii B2-aronicTiB koporkoi gii(Camb6yTamosom). Hanpapmenuii Ha ikyBaHHa B XapKiBcbky o6macuy KTiHiWHy ikapHto Nol. AnaMue3 KHTTA Hapogueca B 1965 poi B Micti Mapiynons, 6yB TpeTboro AMTHHOD B cim'i. CtaH 3f}0poB'a 6aTbKiB Ha MOMeHT HapOJpKeHHA AMTHHU GyB 3afoBinbHHi. Y wKoy milu0B B 7 poKiB, B po3yMoBomy i di3H4uHOMy po3BHTKy Big OAHOMITKIB He BiCTaBaB, Nica 3aKiHueHHA 8 KaciB CepefHbO! WIKOIM HaBUaBCA B MeTaJlyprifiHomy TexHikyMi. 31975 no 2020 pik mparropas crameBpapom. Po6ota 6y1a 3MiHHa, MaB npodeciliHi wikigmMeoctTi. Buiitios Ha MeHcito B 55 pokis. YMOBH MpoxKMBaHHA 3aOBiIbHi. Y quruuctsi uacTo xBopis Ha 3acTy JHi 3aXBoproBaHHa. B 28 poxis 6yna TIpoBe/eHa alleHyeKTOMis. CimettHuii aHamHes: ofpy>keHuii 3 1974 poxy, mae cuHa 31 poxy. Ilanuts fo 26 urapok Ha o6y, asikorosiem He 3/10BxKMBae. CiMeiHMXx 3aXBOpIOBaHb (oxKHpiHHA, Mofjarpa, fiaGer) y GaTbkis Ta HaliGOmMmKUHx posuuis He cnocTepiraeTsca. BaTbKH 30poBi. CnoctepiraroTsca asiepriuni peakyii Ha NeHiljwiin, HoBokaiH. O6'ekTuBHe o6cTexkeHHA A6GcostotHa ceplesa TynicTb: MpaBa MexKa — B 4 MiKpeGep’i Ha 1 cm liBopy4 Big, nipoi rpy 4uHHOi Jinii; TiBa Mera - 3 cm Jo CepeqHHu no iBiit cepeqHHHO- K/OUMYHIH JiHii; BepxHa MexKa — B 3 MiKpeGep’i. Ayckynbmayia cepys: TOHM cepa puTMivHi, TOHH ocma6eHi, UCC — 90 yz/xs., I TOH Ha BepxiByi Cepia He 3MiHeHHI, akWeHT II ToHa Ha ereHeBili apTepii, TlaTOJIOTiyHi Wy MH He BUABJIeHi BUCJIy XOBy!OTLCA. Apmepianbxuti nyjbc: CHHXpoHHHi, puTMivHHi, MpaBWIbHHi, uacTota 90 ysapiB B XBWIMHY, Halipy*KeHHA, HallOBHeHHA, BHCOTAa Ta WIBHJKiCTb CepejHA, piBHomipHuit. AT 125\80 mo. pt. cr., S=D. CuctTema opraHis TpaBieHHA Ornay, poTOBoi NopoxKHHHH: HerpHeMHHii 3allax 3 POTOBOI MopoxKHHHH BiCyTHIH, komip ry6is i BAgMMMx C1M30BHXx LiaHOTHUHHi. 53uk: BosOrMii, He OOKafeHHi, YiaHOTHUHH. 3iB i rmoTKa: NaTomoriMHHii HamiT Bigcy THii. Mauryammku: HOpMaJIbHUXx po3Mipis, NaTo/orivHi BKHOUeHHA BifcyTHi. Oras 2KMBOTA: 2KMBIT HOpMaJIbHOi (OpMH, 3fYTTA, pO3LMpeHHA MiAWIKipHHXx BeH Hemae. Buguma NepvcTambTHKa WwtyHky i KMuIOK BigcyTHa. [lynoxk: BTarHyTHH. Tpwxi (nynouna, 6inoi sinii, naxosi, crerHosi) BigcyTHi. € py6erb nica alleHjeKTomii Tlampnatjia *xMBOTAa: IIpu nopepxHesiii opicHTOBHi Nambnayii uepeBHa CTiHKa M'AKa, NofjaTauBa, 6e3601icHa. Cumntom II]oTKina — BrromGepra HeraTHBHHii. Tm6oxa, Kop3atoua, MeTOAMuHa, CHcTeMaTHUHa, ToMorpadiuna MasbMalia 3a Metojom B.IT. O6pa3yosa i M.J]. Crpaxkecka: curmonogi6va KHLKa MaJIbrtyeTbca Ha y BUragi PiagKoro yujinbHeHoro LYMiHApa TOBLYMHO!O Jo 2 cm, 6e36onicHoro Ta MaJIopyXJIMBOro, Mp Naibnayii, He GypKitmuBoro. Hu3xigHa Ta BUCXifHa yacTHHH o6ofoBo! KMLIKH — pyxsuBi, rnagKi, Ges60nicHi UMiHgpH fiamMerpom 2 cM Ta 5cm BignosBiguo. Cuina KMUIka - riagKuii, Ges6onicHui, 3erka 6ypKiTaMeHii YumiHZp, WMpHHoto 4 cm, NoMipHo HalpyKeHHi i ca6Ko pyxMBHii 3 HeBeEIMKHM rpywonosiGOHMM posliMpeHHaM JjoHH3y. BucxifHa yacTHHa o6o0f0B0i KHLIKH — pyxMBHi, riagKuii, Ges6oricHHii UMiHgp AiamMetpomM 3 cM. Besuka KpHBH3Ha LWWIyHKa po3TallioBaHa Mo o6ugBi CTOpoHH Big, cepegHbOi JiHii Tima, Ha 2-3 cm Buje nymka. Tonepeuna o6ofoBa KMUIKa - pyxMBHii, rnaqKuii, 6e36onicHHii, He 6ypKiTIMBH Yuning~p Aiametpom Jo 2 co. Tlevinka: MasibnaTOpHo HWKHiii Kpaii MeuiHKH BUXO{Tb Ha 1 cM 3a Kpali pebepHoi ATH, M'aKM, rocTpHii, Wo Merko migBeptaetsca, i Ge36onicHni. Po3mipu neuinku Mo Kypzosy: no npaBili cepeqMHHo-KmrouMUHili — 10 cM, MepegHili cepesMHHili 9 cM i TiBiti pebepHiii Ay3i — 9 cm. AlinauKa >KoBuHoro Mixypa 6e36ozicHa, *KOBUHH Mixyp He MaJIbIlyeTBCA. Tlampnatyjia cenesinku: Cese3inKa He Nabiyetca. [pu nepxycii po3mips wiapvHy 5 CM. , B JOBKMHY JOpiBHtoe 7 cM. Ceuopa cucrema Hupku i ceuopuii Mixyp: HHpkKH He Ma/biytOTbCa. Bonicuicts no xogy ceuiBHukis i B HagobKosili AinaHui BigcyTHa. CumntoM TlacTepHaljbKoro HeraTHBHHii. Tlonepequiii ziarHo3 Ha nidcmaei ckape: XBOpHii CKap»KHTBCA Ha eKcHipaTopHy 3af{HLIKy, WjO BAHMKae B Hi4HHi uac, MpOfYKTMBHHM Kalliesb 3i CIM30B010 AyKe B’A3KOHO MOKpOTO Ta HaOpsAKH HWKHIX KiHLIBOK. Ha nidcmaei aHamue3y xeopobu: Y quTuuctsi yacto xBopis Ha I'PBI. Touas nanuru 3 12 poxis. Y 18-piguomy Bini 3'MBMBCA CYXHii Kaley, rocTpa ekciipaTopHa 3aJMuiKa 3 OiIbU yck1a{HeHUM BHMXOM, AKa BHHMKaJia B HiUHMi Yac. 3arocTpeHHa XBopoOn cnocTepirasioca 1-2 pa3H Ha pik. 3 pokaMu 3’ABMsaCb NOCTiiHa 3a{MLKa 3 MOCTyMOBMM 3pocTaHHAM inTreHcuBHocTi. BHaciigok CMIbHoro MoripWieHHA CamonouyTra 6yB rocnitai30BaHHi y MyIbMOHOJori4vHe Bigginenua. [ica 3akinueHHa Kypcy JikyBaHHA 3arasibHHi CTaH MominuyBaBcs, ane 3afMika NpHiiHana NocTiiHHi xapaktep. Ha3py mikis xBopHii He Mam’ saTae. 3 3arOCTpeHHAM 3aXBOPIOBaHHA rocnitasi3y €TbCA B CepeyHbomy 2 pa3v Ha pik. OcTaHHa rocnitamizaiia 6 MicayiB Tomy. OcTaHHe 3afoCTpeHHA 3aXBOpIOBaHHA 2 THKHi TOMY, KOJIM CTaB uacTile Kallle/Ib, KOPKHOi HOUI BUHMKae roctpa eKcripaTopHa 3a{Mika 3 OimbUI ycklaqHeHHM BHAHXOM, CTaH Nosinuyetsca nicaa inranayii B2-aronicTiB koporkoi gii(Camb6yTamosom). Hanpapmenuii Ha ikyBaHHa B XapKiBcbky o6macuy KTiHiWHy ikapHto Nol. Ha nidcmaei aHamue3y atcumma: Hapogueca B 1965 poui B Micti Mapiynop. 31975 no 2020 pik mparropas crameBpapom. Po6ota 6y1a 3MiHHa, MaB npodeciliHi WIKI IMBOCTI. Y quruuctsi uacTo xBopis Ha 3acTy JHi 3aXBoproBaHHa. B 28 poxis 6yna TIpoBe/eHa alleHyeKTOMis. Tlanuts fo 26 yurapoK Ha Ao6y, amKorosem He 3/10BKHBae. CimeHux 3aXBOplOBaHb (OKMpiHHA, Nofjarpa, ZiaGer) y GaTbKis Ta HaiOnMwKUMXx posMuiB He cnoctepiraeTaca. baTbkv 3f0posi. CnoctepiraroTsca asiepriuni peakyii Ha NeHiljwiin, HoBokaiH. Ha nidcmaei 06’ekmuenux OaHux: 3arambHuli CTaH XBOpOro: CepeJHbOI TAHKKOCTI, MO/I027KeHHA BUMYLeHe — optonHoe. JMy3HHii YiaHo3 WKipH i BAMMMX CIM30BMX O60/I0HOK, 36i1bLeHe NOTOBHAiIeHHA, KiHeBi ~anaHru y Buragi GapabaHHHx MasmMuoK, copa HirTiB Harajlye rosMHHMKoBi ckembya. Cpy gua KmiTka emdizemato3Ha, emiracTpasbHHii kyT TynmMi. Uactota quxaHb 23 B XBHAMHY. 3MeHUIeHa eacTHUHicTb rpyfHoi KITKH, TOsOCOBe TpeMTiHHA MocsaG/eHe Haj BCiero slereHeBOrO MoBepxHeto. [Tpu MopiBHAbHii MepKycii BA3HayaeTECA KOPOOKOBUIi 3BYK, MEXKi JIereHb 3MiLeHi BBepx i BHH3, LIMpHHa Nomis Kpenira 36imbieHa, eKcKypcia JlereHb 3MeHILeHa. Auxanua nocra6sexe, pisHomanitHi cyxi XpHmM BHC/Y XOBYIOTECA HaJ BCicro TloBepXHeto JiereHb. Bu3sHauaeTEca HaGyxXaHHA APCMHHX BeH, CepLeBHii MOLMTORX, eniractpa/ibHa My ibcalia, akyjenT II ToHy Ha MereHesiii apTepii, myc 80 yzapis 3a XBMJIMHY, 3a{OBiIbHUX BlaCTHBOCTeH. Tlonepegiii giarHo3: BpouxiambHa acTMa AopaTKosi MeToau jocrispKeHHA: 1. Kainiunnii anani3 Kposi Tloka3HHk Ortpymani Jani | HopMa EputpoyTu 7,0 T/L 4,5-5,0 T/L Temorno6in 160 g/L 130-160 g/L Kil 0,9 0,9-1,1 JleixoyutTu 6,9 G/L 6,0-9,0 G/L Heiitpodiau: -[lamvuxosyepHi | 4% 2-4% - 52% 47-72% CermentosjepHi Eo3nHodismn 12% 0,5-5% Ba3opimn - 0-0,5% JlimoyutTu 30% 18-40% MoxnoyuTu 2% 6-9% INOE 13 mM/rog 6-12 mu/rog 2. Kainiunnii anami3 ceui Tloka3Huku | OTpumaHi noka3HHku Koaip Cpiti0-»KoBTHi Peakuia 6.0 TIuroma 1015 Bara Binox - TroKxo3a - JleixoytTu | 2 B noni 30py Eputpoyntu | He pu3sHauatoraca Enireniti 2 B noni 30py TWIOCKHi 3. BioximiuHnit aHami3 KpoB
Docsity logo



Copyright © 2024 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved