Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Cardiac contractility modulation wikipedia , lookup
Management of acute coronary syndrome wikipedia , lookup
Rheumatic fever wikipedia , lookup
Electrocardiography wikipedia , lookup
Arrhythmogenic right ventricular dysplasia wikipedia , lookup
Lutembacher's syndrome wikipedia , lookup
Heart failure wikipedia , lookup
Coronary artery disease wikipedia , lookup
Quantium Medical Cardiac Output wikipedia , lookup
Dextro-Transposition of the great arteries wikipedia , lookup
Task №1. According to the formula to calculate SV and CO: AP 140/80 mm Hg, age 13 years. HR 100 per minute. Task №2. The patient X., who suffers from hypertension and diabetes, appealed to the clinic with complaints of breathlessness periodically emerging with difficulty and dissatisfaction breath, especially during physical exertion expressed. How days ago he appeared fit severe inspiratory dyspnea ("choking") with the fear of death. On this occasion, an ambulance was called, the doctor diagnosed a "cardiac asthma". The examination of the patient in the clinic found: BP 155/120 mmHg, with fluoroscopy - the expansion of the left ventricle. Questions: 1. Identify the reasons for the development and pathogenesis of this condition? 2. What, in your opinion, can develop a complication in this patient? 3. Based on the pathogenesis, determine the tactics of medical care in this case? Task №3. The child revealed stenosis of the pulmonary artery. On examination revealed: systolic murmur in the 2nd intercostal space on the left, accent 2 tones of the pulmonary trunk, right ventricular hypertrophy, cyanosis, chest pain especially during exercise. Answer the questions. Questions: 1. What form of heart disease developed in a patient? Arguments answer. 2. What, in your opinion, a causal relationship between the development of this disease and physical examination data? Arguments answer. 3. What is the most likely cause of the condition is accompanied by pain in the chest? 4. What additional research is needed to confirm myocardial damage. Task №3. The patient Z., 18 years old, suffering from tuberculosis, complained of shortness of breath; pain in the right upper quadrant, low-grade fever. These complaints have emerged, and gradually began to grow about 4 weeks ago. On examination: face pale and puffy, orthopnea (patient sits leaning forward); percussion: the expansion of the boundaries of the relative dullness of the heart to the left and to the right by 2 cm, HR 100, BP 90/60 mm Hg .; Auscultation: heart sounds dull, finely wheezing in the lungs in basal, respiratory rate 26 per minute; swollen neck veins, the liver performs at 3 cm from under the edge of the costal arch, painful on palpation, pasty legs. When Xrays of the chest: spherical shadow heart. Questions: 1. Does the patient's heart failure? What is the evidence of that? 2. What additional research methods should be used to clarify the forms of heart disease? 3. Explain the mechanism of these symptoms on the basis of the pathogenesis of heart failure. 4. Make conclusions about the form of heart failure. Task №5 Patient B., 18 years old who has a history of insulin-dependent diabetes mellitus appealed to the clinic with complaints of abdominal enlargement, the emergence of leg edema, which are amplified in the evening. It is also concerned about the patient chest pain compressive nature, the intensity of which increases in time of physical activity. When viewed from a doctor: accumulation of fluid in the abdominal cavity, increasing the boundaries of the heart, muffled heart sounds. Tolerance to the physical. loads dramatically reduced. Questions: 1. Does the patient's heart failure? What is the evidence of that? 2. By what circulation occurs stagnation? What information about this show? 3. Explain the mechanism of these symptoms on the basis of the pathogenesis of heart failure. What was the impetus for this disease? Task №6 According to the formula to calculate SV and CO: BP 130/80 mm Hg, age 10 years. Heart rate 90 per minute. Task №7 According to the formula to calculate SV and CO: BP 150/80 mm Hg, age 16 years. Heart rate 90 per minute. Task №8 Patient U., 80 years old is in the coronary care department about the myocardial infarction complicated by pulmonary edema. Objectively: pale skin, expressed acrocyanosis. Mouth pink frothy sputum, above the light heavy finely wheezing. The tone of the heart abruptly muted, blood pressure 80/60 mm Hg Questions: 1. Based on the pathogenesis, explain on what systemic circulation blood stasis has occurred? 2. On the basis of the development of a mechanism to explain the appearance of these symptoms? Task №9 Patient D., 90 years, complains of shortness of breath, swelling of the feet, an increase in size of the abdomen, a sharp decrease in exercise tolerance. On examination, pronounced swelling of the lower extremities, accumulation of fluid in the abdominal cavity, abundant finely wheezing over the lungs, heart sounds muffled percussion expansion of the boundaries of the heart. Questions: 1. Explain in what systemic circulation blood stasis has occurred? 2. On the basis of the development of a mechanism to explain the appearance of these symptoms