Situational task N 11

At the medical inspection of patient A. it is set: a patient is 18 years, student, feeds in a student dining-room and bye products in the market. Yesterday he felt dryness in to the mouth, difficulty of swallowing, sight became worse (sees as in fog). Dyarrea was not.

Objective information: temperature of body - 36,1 ⁰C. Pulse 70 in min. A stomach is painless, soft at pressing on. Pupils are extended and is irresponsive on light, small ptimalum, dryness mucous to the cavity of mouth. Voice is hoarse, small lowering of soft palate.

1. Put the diagnosis of disease.

2. How to confirm a diagnosis?

3. What documents for SES must write doctor in this case?

4. Name the medical and prophylactic measures in this case.

Situational task N 12

At the inspection of ill patient K. it is set: a patient is 30 years, workwoman of factory, breakfasts and has a supper at home, has dinner at eating-house of factory. On April, 7, in 12.00 she felt off, sight became worse sharply, dryness appeared in to the mouth, hoarse voice, difficulty of swallowing. Ration of feed: at breakfast - vegetable can foods (own making), expect, bread; dinner - borsch with meat, chops, coffee, bread; a supper - porridge millet, milk, bread.

Objective information: temperature of body 36,3⁰C, pulse 78 in min. Pupils are unevenly extended, is irresponsive on light. A voice is hoarse, swallowing is difficult. A stomach is soft, painless. Dyarrea is not. A patient is languid, consciousness is stored.

1. Put the diagnosis of disease.

2. How to confirm the diagnosis?

3. What documents is under an obligation a doctor to process in this case?

4. Appoint urgent medical measures. Name prophylactic measures in this case.

Situational task N 13

To the doctor of district policlinic a woman appealed with complaints about that after feeding of child 6 months by artificial suckling mixture at him is marked the excitation, cramps, vomiting and diarrhea. At the inspection at a child cyanosys of lips and fingers is exposed.

The increased indexes of met-haemoglobin are exposed in the blood test. It turned out at the question of mother, that for breeding of suckling mixture she used water from a well near home.

1. Diagnose disease. What could be reason of poisoning?

2. How to confirm a diagnosis?

3. What document is under an obligation to design doctor in this case?

4. What prophylactic measures are needed in this case?