30-40 - Vaziyatli masala

40
|
30-40
|
5-29
|
0-4
|
2
|
Oyoklar arteriya va venalari UZDG
|
20
|
10-20
|
5-9
|
0-4
|
3
|
1. Parks-Veber-Rubashova kasalligi
2. PTFS
3.Varikoz kasalligi
4. Yuzaki venalar o‘tkir tromboflebiti
|
30
|
20-30
|
5-19
|
0-4
|
4
|
Angioxirurg ko‘rigi, trombolitik, antiagregant va antikoagulyant terapiya.
|
10
|
7-10
|
4-6
|
0-3
|
Vaziyatli masala
56 yoshli bemor tizza va son soxasidagi og‘riq va shishga shikoyat qiladi. Teri osti venalarining varikozi, teri giperpigmentatsiyasi va teridagi tuklarning tukilishi, teri osti yog qavatining induratsiyasi, dermatit, ekzema, va terida yaralar paydo bo‘lishi kuzatiladi. Bemor ilgari ileofemoral tromboz o‘tkazgan.
-
Sizni to‘liq taxminiy tashxisingiz.
-
Asosiy tekshirish usullari.
-
Qaysi kasalliklar bilan qiyosiy tashxis o‘tkazish lozim.
-
UASh taktikasi va davolash
|
javoblar
|
maks. ball
|
Tulik javob
|
Notulik javob
|
Konikarsiz javob
|
1
|
Diagnoz: Tromboflebit orti
sindromi
|
40
|
30-40
|
5-29
|
0-4
|
2
|
Oyoklar arteriya va venalari UZDG
|
20
|
10-20
|
5-9
|
0-4
|
3
|
1. Parks-Veber-Rubashova kasalligi
2. Varikoz kasalligi
3. Yuzaki venalar o‘tkir tromboflebiti
|
30
|
20-30
|
5-19
|
0-4
|
4
|
Angioxirurg ko‘rigi, venotonik, antiagregant, antikoagulyant va kompression terapiya.
|
10
|
7-10
|
4-6
|
0-3
|
Vaziyatli masala
42 yoshli bemor 2 yil oldin o‘ng tomonlama ileofemoral tromboz o‘tkazgan. Xozirda o‘ng oyogida shish, og‘riqka va o‘ng boldir teri osti kletchatkasining induratsiyasiga shikoyat kiladi.
-
Sizni to‘liq taxminiy tashxisingiz.
-
Asosiy tekshirish usullari.
-
Qaysi kasalliklar bilan qiyosiy tashxis o‘tkazish lozim.
-
UASh taktikasi va davolash
|
javoblar
|
maks. ball
|
Tulik javob
|
Notulik javob
|
Konikarsiz javob
|
1
|
Diagnoz: Tromboflebit orti
sindromi
|
40
|
30-40
|
5-29
|
0-4
|
2
|
Oyoklar arteriya va venalari UZDG
|
20
|
10-20
|
5-9
|
0-4
|
3
|
1. Parks-Veber-Rubashova kasalligi
2. Varikoz kasalligi
3. Yuzaki venalar o‘tkir tromboflebiti
|
30
|
20-30
|
5-19
|
0-4
|
4
|
Angioxirurg ko‘rigi, venotonik, antiagregant, antikoagulyant va kompression terapiya.
|
10
|
7-10
|
4-6
|
0-3
|
Situatsionnыe zadachi
Bolnaya 60 let, jalobы na periodicheskie pristupы boley v pravom podrebere posle priema piщi v techenie 3x mesyasev. Pristupы soprovojdayutsya pojelteniem skler, potemneniem mochi. 10 let nazad perenesla xoletsistektomiyu po povodu xronicheskogo kalkuleznogo xoletsistita.
-
Vash predvaritelnыy diagnoz
-
Metodы issledovanie
-
Differensialnaya diagnostika
-
Taktika VOP i lechenie
|
Otvetы
|
maks. ball
|
Polnыy otvet
|
Nepolnыy otvet
|
Neudovlet.
otvet
|
1
|
Diagnoz: JKB. Xoledoxolitiaz. SPO xoletsistektomiya
|
40
|
30-40
|
5-29
|
0-4
|
2
|
OAK i OAM, bioximiya krovi, UZI, RPXG.
|
20
|
10-20
|
5-9
|
0-4
|
3
|
1.Virusnыy gepatit.
2.Xronicheskiy gepatitы.
3.Gemoliticheskaya jeltuxa.
4.Osloj. exinokokk pecheni.
-
Opuxol vorot pecheni.
|
30
|
20-30
|
5-19
|
0-4
|
4
|
Osmotr xirurga, ekstraksii kamni s pomoщyu RPXG ili ChChXS, pri nevozmojnosti xoledoxolitomiya.
|
10
|
7-10
|
4-6
|
0-3
|
Situatsionnыe zadachi
Bolnoy 65 let stradaet tranzitornыmi ishemicheskimi atakami (TIA), t.ye. ostro razvivayuщimisya rasstroystvami mozgovogo krovoobraщeniya s bыstro proxodyaщey (do 24 chasov) ochagovoy ili obщee mozgovoy simptomatikoy.
-
Vash predvaritelnыy diagnoz
-
Metodы issledovanie
-
Differensialnaya diagnostika
-
Taktika VOP i lechenie
|
Otvetы
|
maks. ball
|
Polnыy otvet
|
Nepolnыy otvet
|
Neudovlet.
otvet
|
1
|
Diagnoz: Ateroskleroz. Stenoz sonnыx arteriy. XSMN 2 st, TIA
|
40
|
30-40
|
5-29
|
0-4
|
2
|
Angiografiya vetvey dugi aortы, UZDG, KT- angigrafiya.
|
20
|
10-20
|
5-9
|
0-4
|
3
|
1.Ishemicheskiy insult
2. Gemorragicheskiy insult
3. Meningitы
4. Ensefalopatii.
|
30
|
20-30
|
5-19
|
0-4
|
4
|
Osmotr angioxirurga, stentirovanie sonnыx arteriy ili karotidnaya endarterektomiya .
|
10
|
7-10
|
4-6
|
0-3
|
Situatsionnыe zadachi
Bolnoy 23 let jaluetsya na golovnuyu bol, golovokrujenie, obmoroki, kratkovremennuyu poteryu soznaniya, sudorogi, zritelnыe rasstroystva, disfagiyu, vegetativnыe i psixicheskie rasstroystva.
-
Vash predvaritelnыy diagnoz
-
Metodы issledovanie
-
Differensialnaya diagnostika
-
Taktika VOP i lechenie
|
Otvetы
|
maks. ball
|
Polnыy otvet
|
Nepolnыy otvet
|
Neudovlet.
otvet
|
1
|
Diagnoz: NAA. Stenoz sonnыx arteriy. XSMN 2 st, TIA
|
40
|
30-40
|
5-29
|
0-4
|
2
|
Angiografiya vetvey dugi aortы, UZDG, KT- angigrafiya.
|
20
|
10-20
|
5-9
|
0-4
|
3
|
1.Ishemicheskiy insult
2. Gemorragicheskiy insult
3. Meningitы
4. Ensefalopatii.
|
30
|
20-30
|
5-19
|
0-4
|
4
|
Osmotr angioxirurga, stentirovanie sonnыx arteriy ili karotidnaya endarterektomiya.
|
10
|
7-10
|
4-6
|
0-3
|
Situatsionnыe zadachi
Bolnaya 64 let stradaet posttromboflebiticheskim sindromom. Vnezapno u bolnoy poyavilos chuvstvo silnogo udushya, boli za grudinoy, simuliruyuщie infarkt miokarda. V posleduyuщiy chas razvilsya tyajelыy kollaps s rezkoy odыshkoy i sianozom verxney polovinы. Brigadoy skoroy pomoщi na domu sdelana EKG: vыyavlenы priznaki peregruzki pravыx otdelov serdsa, a takje ostroy diffuznoy gipoksii miokarda.
-
Vash predvaritelnыy diagnoz
-
Metodы issledovanie
-
Differensialnaya diagnostika
-
Taktika VOP i lechenie
|
Otvetы
|
maks. ball
|
Polnыy otvet
|
Nepolnыy otvet
|
Neudovlet.
otvet
|
1
|
Diagnoz: TELA.
|
40
|
30-40
|
5-29
|
0-4
|
2
|
Radionuklidnoe issledovanie legkix, rentgenografiya, angiopulmonografiya.
|
20
|
10-20
|
5-9
|
0-4
|
3
|
1. OIM
2. Pristup BA
3. Otek legkix.
4. Cor pulmonale.
|
30
|
20-30
|
5-19
|
0-4
|
4
|
Osmotr angioxirurga, ekstrennaya trombolizisnaya, antiagregantnaya i antikoagulyantnaya terapii.
|
10
|
7-10
|
4-6
|
0-3
|
Situatsionnыe zadachi
U bolnoy 56 let vnezapno voznikla odыshka na fone otnositelnogo blagopoluchiya, odnovremenno poyavilis ostrыe boli zadne-nijnix otdelax legkix. Spustya 2 dnya prisoedinilas krovoxarkane. Pri auskultatsii v legkix vlajnыe xripы, shum treniya plevrы, vыpot v plevralnoy polosti.
-
Vash predvaritelnыy diagnoz
-
Metodы issledovanie
-
Differensialnaya diagnostika
-
Taktika VOP i lechenie
|
Otvetы
|
maks. ball
|
Polnыy otvet
|
Nepolnыy otvet
|
Neudovlet.
otvet
|
1
|
Diagnoz: TELA.
|
|
|