Introduction into the Infectious Diseases. Infections with fecal-oral mechanism of transmission. Infections with droplet mechanism of transmission. Tests
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Fazizhin A 24 years old engineer from Donetsk, has spent one month in India where he drunk unboiled water. After arriving home he has become ill. He appeared to the doctor with complaints of fever, weakness, pain in stomach, diarrhea - 12-15 times a day with mucous and blood (like raspberry jelly stool). Objectively: the state is relatively satisfactory, appetite became worse, tongue is coated with white patches.On deep palpation of abdomen patient complaints of pain especially in his right half and hypochodrium area. Liver and spleen are not changed. No change was found in blood analysis. On rectoscopy clear mucous and hyperemia of mucous membrane in rectum with ulceration in sigmoid colon were found. The stool test gave the growth of pathogenic flora. What most probable pathology which predetermines such picture?
A 24 years old engineer from Donetsk, has spent one month in India where he drunk unboiled water. After arriving home he has become ill. He appeared to the doctor with complaints of fever, weakness, pain in stomach, diarrhea - 12-15 times a day with mucous and blood (like raspberry jelly stool). Objectively: the state is relatively satisfactory, appetite became worse, tongue is coated with white patches.On deep palpation of abdomen patient complaints of pain especially in his right half and hypochodrium area. Liver and spleen are not changed. No change was found in blood analysis. On rectoscopy clear mucous and hyperemia of mucous membrane in rectum with ulceration in sigmoid colon were found. The stool test gave the growth of pathogenic flora. What most probable pathology which predetermines such picture?
A 5 years old girl complains about headache, decreased appetite, weakness, nausea, vomiting, bitter taste in mouth, stomach-ache and periodic diarrhea. Objectively: decreased nourishment status, on her tongue there is white coating observed. The stomach is soft, accessible for palpation, and painful in the area of gall-bladder. No Change in blood analysis was found.. According to the mother the same symptoms were observed with her son a month ago. What is the most probable pathology which predetermines such picture?
A 5 years old girl complains about headache, decreased appetite, weakness, nausea, vomiting, bitter taste in mouth, stomach-ache and periodic diarrhea. Objectively: decreased nourishment status, on her tongue there is white coating observed. The stomach is soft, accessible for palpation, and painful in the area of gall-bladder. No Change in blood analysis was found.. According to the mother the same symptoms were observed with her son a month ago. What is the most probable pathology which predetermines such picture?
A child is diagnosed with giardiasis. What preparation is it more expedient to apply for treatment?
A farmer O., 50 years old, hospitalized in a moderate condition with complaints about dryness in mouth, multiple vomitings, pain in the epigastriums and frequent watery stool. First aid to the patient is?
A farmer O., 50 years old, hospitalized in a moderate condition with complaints about dryness in mouth, multiple vomitings, pain in the epigastriums and frequent watery stool. First aid to the patient is?
A patient L., who returned from Crimea, developed diarrhea at 5AM. Bowel movements are each 1-1.5 hrs, watery, without mucus and blood. In 12 hrs a single episode of vomiting developed. The temperature of body at first rise to 37.3 C, stomach-aches is present. he was examined by the doctor of first-aid and delivered to an infectious isolation with the diagnosis of acute intestinal infection.Which disease is most probable for the patient?
A patient L., who returned from Crimea, developed diarrhea at 5AM. Bowel movements are each 1-1.5 hrs, watery, without mucus and blood. In 12 hrs a single episode of vomiting developed. The temperature of body at first rise to 37.3 C, stomach-aches is present. he was examined by the doctor of first-aid and delivered to an infectious isolation with the diagnosis of acute intestinal infection.Which disease is most probable for the patient?
A sick 20 years arrived from Western Siberia complaint of pain in the area of liver and gall-bladder, bitter taste in mouth. Objectively: abdomen is soft, accessible for palpation, at palpation pain takes place in an area of bilious system. At blood analysis еosinophills – 23 %. She had eaten fish. What is the most probable pathology which predetermines such picture?
A sick 20 years arrived from Western Siberia complaint of pain in the area of liver and gall-bladder, bitter taste in mouth. Objectively: abdomen is soft, accessible for palpation, at palpation pain takes place in an area of bilious system. At blood analysis еosinophills – 23 %. She had eaten fish. What is the most probable pathology which predetermines such picture?
A sick 26 years appeared to the therapeutic department with complaints about the itching of skin, weakness, liquid emptying diarhoea 1-2 times a day. Objectively: sufficient nourishment. On the skin has pouring out red color as “hives” which has linear character. In blood eosinophilic reaction of blood – 28 %. Lives in rural area What is the most probable pathology which predetermines such picture?
A sick 26 years appeared to the therapeutic department with complaints about the itching of skin, weakness, liquid emptying diarhoea 1-2 times a day. Objectively: sufficient nourishment. On the skin has pouring out red color as “hives” which has linear character. In blood eosinophilic reaction of blood – 28 %. Lives in rural area What is the most probable pathology which predetermines such picture?
A sick child 8 years old complains about itching in the area of perinium. According to the mother child creaks teeth during sleep, sleeps badly. Objectively: sufficient nourishment, pallor of skin, tongue is insignificantly covered with white patches, stomach is soft, accessible for palpationis painless. The lowering of haemoglobin level takes place. What is most probable pathology which predetermines such picture?
A sick child 8 years old complains about itching in the area of perinium. According to the mother child creaks teeth during sleep, sleeps badly. Objectively: sufficient nourishment, pallor of skin, tongue is insignificantly covered with white patches, stomach is soft, accessible for palpationis painless. The lowering of haemoglobin level takes place. What is most probable pathology which predetermines such picture?
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte – 12*109 eosinophil– 40 %. What disease it is needed to think about?
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte – 12?109 eosinophil– 40 %. What disease it is needed to think about?
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte – 12*109 eosinophil– 40 %. What disease it is needed to think about?
A sick, 29 years, emptying watery stool repeatedly, frequent vomiting. Objectively: total cyanosis, dryness of mucus membrane, turgor of skin is decreased Temperature of body 35.2 ?C. Pulse in radial artery is not determined. Tachypnea, musle spasm, urination is absent for 6 hours. What is the state of the patient?
An unconscious patient is delivered in the intensive department. Pale dark circles around eyes. Skin is cold with sticky sweat. Temperature of body 35,6 ?C. Pulse 140/min and weak. Blood pressure is 40 /0 mm of Hg. Tongue is dry. Emptying is involuntary and “watery”, vomited twice. What infusion must be given as intensive therapy.
An unconscious patient is delivered in the intensive department. Pale dark circles around eyes. Skin is cold with sticky sweat. Temperature of body 35,6 AC. Pulse 140/min and weak. Blood pressure is 40 /0 mm of Hg. Tongue is dry. Emptying is involuntary and “watery”, vomited twice. What infusion must be given as intensive therapy.
Citizen of Pakistan, 30 years became ill rapidly with frequent watery stool which appears like a rice water. Objectively: temperature of body 35.4 ?C, skin is cold, acrocynosis, elasticity of skin and turgor is decreased. By what method may estimate the degree of dehydration?
Citizen of Pakistan, 30 years became ill rapidly with frequent watery stool which appears like a rice water. Objectively: temperature of body 35.4 sC, skin is cold, acrocynosis, elasticity of skin and turgor is decreased. By what method may estimate the degree of dehydration?
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite on faecal microscopic examination and preparations with solution of Lugola and еоsin. Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase frequency of findings?
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite on faecal microscopic examination and preparations with solution of Lugola and еоsin. Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase frequency of findings?
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite on faecal microscopic examination and preparations with solution of Lugola and еоsin. Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase frequency of findings?
For a patient E., 37 years old, a disease began rapidly, 6 hours the frequent liquid emptying appeared onto the plain rise of normal temperature of body, vomit joined then. At an inspection: aphonia, eyes are hollow, pulse frequent, threadlike, low blood pressure cramps appeared in lower extremities. Liver and spleen are not enlarged. Choose preparations for starting etiotropic therapy.
For a patient E., 37 years old, a disease began rapidly, 6 hours the frequent liquid emptying appeared onto the plain rise of normal temperature of body, vomit joined then. At an inspection: aphonia, eyes are hollow, pulse frequent, threadlike, low blood pressure cramps appeared in lower extremities. Liver and spleen are not enlarged. Choose preparations for starting etiotropic therapy.
For a patient E., 37 years, bodyweight of 70 kg, frequent liquid emptying appeared with rise of body temperature, frequent vomiting joined in later. At an inspection: aphonia, eyes are hollow, pulse with frequent threadlike, blood pressure is not determined, tachypnea, total cramps. Liver and spleen are not enlarged. What volume of salt solutions must be entered for primary rehydration?
For a patient E., 37 years, bodyweight of 70 kg, frequent liquid emptying appeared with rise of body temperature, frequent vomiting joined in later. At an inspection: aphonia, eyes are hollow, pulse with frequent threadlike, blood pressure is not determined, tachypnea, total cramps. Liver and spleen are not enlarged. What volume of salt solutions must be entered for primary rehydration?
For a patient in 35, the disease begun rapidly with a chill, increase of temperature to 39 ?C, vomitting, pain in epigastrium, diarrhea with the watery stinking emptying. 6 hours before the disease he ate a raw egg, potato with the braised meat and drink juice. What exciter did cause the similar state probably?
For a student from India, 22 years, through a month appeared liquid emptying appeared after return from home, weak stomach-aches. In times of illness, lost 6 kg of mass. On subsequent day diarrhoe is abundant 10 times on a day, the type of “raspberry jelly” excrements. Stomach-aches joined and increase during defecation. Most probable diagnosis is ?
How to increase frequency of findings of cyst of lamblias in fresh incandescence and vegetative forms in duodenal content?
In a hospital are admitted 5 patients in 15 hours. All of them have similar complains of mild diarrhea and vomiting, diplopia, midriasis, visual disturbance, difficulty in swallowing, dry mouth, difficulty in breathing. All patients together joined in a dinner party, used different dishes, including meat, salad, canned mushrooms. The most likely diagnosis.
In permanent establishment a patient admited with complaints of stomach-ache, fever and diarrhea. Stool is liquid, stinking, with the admixtures of pus and blood. About what disease it is necessary to think about?
Most probable diagnose will be:
Most probable diagnose will be:
Name the cause of giardiasis:
?Patient 25 years, complaints of double vision, a decreasing of vision, shortness of breath. Before the disease ate mushrooms of home preservation. Objective: pallor, wide pupils with a weak reaction on light, dry mouth, a violation of swallowing, flatulence, constipation. What is preliminary diagnosis.
Patient 28 years old, complaints about an increased appetite, weakness, decreased physical activity tolerance, pain in stomach. Objectively: colour of skin is pale, signs of meteorism,and glossitis. In blood thereis diminished amount of red cells, leucocytes, thrombocyte and hypochromic anaemia. It is known from epideminological anamnesis, that the patient had spent 4th months on Volga river and had eaten the salted fish and caviar. What is the most probable pathology which predetermines such picture?
Patient 28 years old, complaints about an increased appetite, weakness, decreased physical activity tolerance, pain in stomach. Objectively: colour of skin is pale, signs of meteorism,and glossitis. In blood thereis diminished amount of red cells, leucocytes, thrombocyte and hypochromic anaemia. It is known from epideminological anamnesis, that the patient had spent 4th months on Volga river and had eaten the salted fish and caviar. What is the most probable pathology which predetermines such picture?
Patient 30 years old, complains about weakness, increasing of temperature up to 39.2 °C, pain in muscles, fatigue, edema present. 2 weeks ago he was used pork with the flab of meat. Edema is present,an enlarged liver is palpable. The BP is 90/60 mm of Hg. In blood analysis: leucocytes – 12,4-109, eos – 19 %, young neutrophills – 2 %, neutrophills – 59 %, lymphocytes– 16 %, mon – 4 %. Specify the most probable diagnosis.
Patient 30 years old, complains about weakness, increasing of temperature up to 39.2 °C, pain in muscles, fatigue, edema present. 2 weeks ago he was used pork with the flab of meat. Edema is present,an enlarged liver is palpable. The BP is 90/60 mm of Hg. In blood analysis: leucocytes – 12,4-109, eos – 19 %, young neutrophills – 2 %, neutrophills – 59 %, lymphocytes– 16 %, mon – 4 %. Specify the most probable diagnosis. Yüklə 1,25 Mb. Dostları ilə paylaş:
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