Situational task N 14

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.

1. Put|stages||substantiates| the diagnosis of disease.

2. How to confirm a diagnosis?

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

4. Specify|indicates| hygienic measures|steps| for the prophylaxis of similar|like| diseases.

SITUATION TASK N 15

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.

1. Put|stages||substantiates| full diagnosis of disease.

2. How to confirm the diagnosis?

3. What documents|papers| is under an obligation for doctor|physician| to process in this case?

4. Offer hygienic and prophylactic measures|steps| in this case.

SITUATION TASK N 16

At the medical inspection|building| of patient A|but|. it is set: a patient is 48 years, techniques, feeds at home. On April, 23 at work he felt off. Stomach-aches appeared, frequent chair, nausea, vomiting was not. General|common| weakness. Day's ration of feed|nourishment| made: breakfast is sausage, expect, bread; dinner is soup with a vermicelli, fried meat|flesh|, milk, bread; a supper is milk, meats|fleshes| patties purchased in the morning at the market.

Objective information|data|: temperature of body - 38 C. Pallor of skin|skins| covers. A language|tongue| is assessed|taxed|. A stomach is tense. Sickliness|painfulness| on all stomach. A chair is frequent, liquid with mucus. Single vomiting by tailings|oddments| squeak.

Put|stages||substantiates| full diagnosis of disease. How to confirm a diagnosis? What documents|papers| is under an obligation a doctor|physician| to process in this case? Specify|indicates| prophylactic measures|steps| on warning of similar diseases.

SITUATION TASK N 17

At the medical inspection of child 5 years old, it is set: On June, 20 after dinner the group of nursery school went for a walk in the park, picked flowers. A walk proceeded 1,5 hour. On returning a nursery governess noticed at a child the sharp turning red of person, hoarseness of voice and extended pupils.

Objective information|data|: turning red of person. Temperature 38 C, pulse 140 in min. Breathing is frequent. The mucous cavities of mouth are dry. Hoarseness of voice. Pupils are strongly extended. A child is excited, restless, there are visual hallucinations.

1. Put|stages||substantiates| full diagnosis of disease.

2. How to confirm a diagnosis?

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

4. What prophylactic measures|steps| must be conducted in nursery school?

SITUATION TASK N 18

At the inspection of patient A. it is set in order of the first aid: a patient is 18 years, student, feeds in a student dining room. From conversation which it is found out by a patient, that yesterday he felt dryness in to the mouth, difficulty of swallowing, sight became worse (sees as in fog). Dyarrea was not.

Objective information|data|: temperature of body of 36,8 C. Pulse 70 in min. A stomach is painless, soft|mild| at pressing on. Pupils are extended, there is small ptosis on eyes. Voice is hoarse, small lowering of soft palate.

1.Put|stages||substantiates| the full diagnosis of disease.

2.How to confirm a diagnosis?

3.What documents|papers| are under an obligation a doctor|physician| to process in this case?

4.Name|calls| medical and prophylactic measures|steps| in this case.