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Transcript
EDEMATOUS SYNDROME. DIFFERENTIAL DIAGNOSIS
OF EDEMA OF VARIOUS ETIOLOGIES (LOCAL ALLERGIC, CARDIOVASCULAR, INFLAMMATORY,
GENERAL - CIRCULATORY INSUFFICIENCY, RENAL,
ENDOCRINE, HUNGRY). TACTICS GPS. INDICATIONS
FOR REFERRAL TO A SPECIALIST OR HOSPITAL
ADMISSIONS IN THE PROFILE DEPARTMENT.
PRINCIPLES OF TREATMENT OF CLINICAL
SUPERVISION, CONTROL AND REHABILITATION IN
THE SVP OR SP. PRINCIPLES OF PROPHYLAXIS.
PRINCIPLES OF TEACHING TOPICS.
THE PURPOSE OF THE LESSON: TO TEACH
GPS ON TIMELY DIAGNOSIS AND
DIFFERENTIAL DIAGNOSIS, CHOICE OF
OPTIMAL TREATMENT STRATEGY EDEMA DUE
TO VARIOUS REASONS, AS WELL AS THE
PRINCIPLES OF MANAGEMENT OF PATIENTS
IN A PRIMARY HEALTH CARE PROVIDED BY
THE REQUIREMENTS OF "QUALIFICATION
CHARACTERISTICS OF GENERAL
PRACTITIONERS'
PEDAGOGICAL OBJECTIVES:
• CONSIDER THE DIAGNOSIS OF EDEMATOUS SYNDROME.
• DEMONSTRATE PATIENTS WITH EDEMA SYNDROME
• DISCUSS THE RESULTS OF CLINICAL, LABORATORY AND
INSTRUMENTAL STUDIES WITH EDEMA.
• CONDUCT A DIFFERENTIAL DIAGNOSIS OF EDEMA
SYNDROME.
• DISCUSS THE PRINCIPLES OF TREATMENT (NON-DRUG AND
DRUG).
• DISCUSS THE PRINCIPLES OF MANAGEMENT, SUPERVISION
AND MONITORING OF PATIENTS IN A HOVERCRAFT OR A
JOINT VENTURE.
• DISCUSS THE PRINCIPLES OF PRIMARY, SECONDARY AND
TERTIARY PREVENTION IN THESE DISEASES.
LEARNING OUTCOMES:
THE GENERAL PRACTITIONER (GP) SHOULD KNOW:
GPS SHOULD KNOW:
1. THE MECHANISM OF EDEMA SYNDROME.
2. CLINICAL MANIFESTATIONS OF DISEASES INVOLVING
OTCHENYM SYNDROME
3. DIAGNOSIS EDEMA SYNDROME
4. DIFFERENTIAL DIAGNOSIS OF DISEASES WITH EDEMA
SYNDROME
5. OF DRUGS USED IN THE TREATMENT OF EDEMA SYNDROME,
THEIR PHARMACODYNAMICS AND DOSE.
6. TACTICS GPS.
7. THE PRINCIPLES OF TREATMENT (DRUG AND NON-DRUG) IN
THESE DISEASES.
8. PRINCIPLES OF CLINICAL SUPERVISION AND MONITORING OF
PATIENTS IN A HOVERCRAFT OR A JOINT VENTURE.
9. THE PRINCIPLES OF PRIMARY, SECONDARY AND TERTIARY
PREVENTION IN THESE DISEASES.
TEACHING METHODS
1. LECTURE, CASE STUDIES, TESTS, DEMONSTRATION,
ENTERTAINMENT EXPERIENCE, DISCUSSION,
CONVERSATION, BRAINSTORMING EDUCATIONAL
GAME.
INDIVIDUAL WORK, GROUP WORK, TEAMWORK,
CLASSROOM, EXTRACURRICULAR.
2. TUTORIALS, HANDOUTS, A COLLECTION OF CASE
STUDIES AND TESTS, SET EKG.TELEVIZOR, VIDEO
EQUIPMENT, MULTIMEDIA.
3. QUIZ, TESTING
4. PRESENTATION OF RESULTS OF A LEARNING TASK
5. FILLING MEDICAL HISTORY, PERFORM PRACTICAL
SKILL TESTS -INTERPRITATSIYA
Venous edema:
1. Acute deep vein
thrombosis,
2. Chronic venous
insufficiency,
3. venous obstruction
Lymph edema:
1. Idiopathic:
a) birth b) early.
2. Inflammatory.
3. Obstructive.
local swelling
Fatty swelling.
Other types of
edema
The main causes of edema syndrome
heart disease
kidney disease
General
swelling
liver disease
Gipoproteinemic
heskie swelling
diopathic
edema
The defeat of the
myocardium (myocarditis,
dilated cardiomyopathy,
myocardial, ischemic heart
disease).
The overload of the heart
muscle (aortic or mitral
regurgitation, ventricular
septal defect, patent ductus
arteriosus).
Causes of cardiac
edema.
The overload of the heart muscle pressure
(hypertension, aortic stenosis, narrowing of the
mouth of the pulmonary artery). Systemic and
pulmonary hypertension.
Overloading infarction combined
(combination of the above reasons,
complex congenital and acquired heart
defects).
Causes of cardiac edema
The state with the
highest cardiac output
(hyperthyroidism,
severe anemia, massive
obesity, cirrhosis of the
liver).
Violation of diastolic ventricular filling: hypertrophic and
restrictive cardiomyopathy, hypertensive heart disease (in
the absence of dilatation of the left ventricle), isolated
mitral stenosis, constrictive pericarditis and pericardial).
Swelling
common or widespread
edema, testifying to an
abuse of water-salt
metabolism in the body
as a whole
local or localized swelling
that occurs as a result of
fluid retention in a
limited area of the body