Task 18

By the analysis of day's ration of feed|nourishment| of the patient Í. in age 55 years with surplus mass of body it is set: content of proteins - 100 g, fats - 50 g, carbohydrates – 300 g.

The indicated|specified| ration was distributed during a day as follows: breakfast 10%, dinner 30%, supper 60%. A patient suffers by atherosclerosis of vessels of cerebrum.

Give the estimation|appraisal| of feed|nourishment| of patient in accordance to|in accord with,according to| basic principles of rational feed|nourishment|. What are the reasons|causes| of over weight in this case? What group of alimentary diseases does this pathology behave to|by|? What recommendations on the correction of feed|nourishment| of antysclerotic | orientation are needed in this case?

Task 19

At questioning of patient A. 26 years, it is set that he has breakfast and supper at home, has dinner in the dining-room of the building combine. According to a patient is found out that in 2 hours after dinner he felt off, went home. At home pains|anguishs| appeared in area of stomach, vomiting, weakness. A patient paid attention to the off-flavour at kissel, which he took during dinner. Objective information|data|: temperature of body 36,7⁰C, pulse - 76 in min., breathing without features. It is small illness in area of stomach. Nausea. A patient marks|notes| astringent taste in to the mouth.

Put|stages||substantiates| the diagnosis of disease. How to confirm a diagnosis? What documents|papers| is under an obligation for a doctor|physician| to process in this case? Specify|indicates| hygienic measures|steps| for the prophylaxis of similar|like| diseases.

Task 20

At the inspection of patient I. it is set: a patient is 30 years, collective farmer, feeds at home. Food stuffs, including flour|torment|, gets|receives| in a collective farm. Yesterday he felt a somnolence, numbness of fingers of hands|arms|, sense|feeling,sentiment| of crawl of small ants, difficulty of unbending of hands|arms| and feet. There is twitch of muscles of person, difficulty of swallowing, appeared then.

Objective information|data|: temperature of body - 36,8 C, pulse and breathing without features. There is convulsive twitch of muscles of foots, small sickliness|painfulness| of stomach, nausea, dizziness. For|after| the last 2 months 3 cases|accidents| of similar|like| diseases appeared in this village.

Put|stages||substantiates| full diagnosis of disease. How to confirm the diagnosis? What documents|papers| is under an obligation for doctor|physician| to process in this case? Offer hygienic and prophylactic measures|steps| in this case.