The symptoms and syndromes in internal diseases

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List of practical skills to prepare for the final module control 2
«The symptoms and syndromes in internal diseases»
Propaedeutics of internal medicine.
1. Conduct physical examination of a patient with mitral heart defect. Identify the major
symptoms and syndromes.
2. Conduct physical examination of a patient with aortic heart defect. Identify the major
symptoms and syndromes.
3. Conduct physical examination of the patient with hypertension. Identify the major
symptoms and syndromes.
4. Conduct questioning of the patient with coronary heart disease (stable angina pectoris),
details the pain, to determine the functional class of the patient.
5. Perform a general inspection and physical examination of the patient with acute
myocardial infarction. Identify the major symptoms and syndromes.
6. Analyze the ECG of a patient with acute myocardial infarction, determine the localization
of the heart muscle damage.
7. Physical examination of the patient with heart failure. Identify the major symptoms and
syndromes, to establish functional class of the patient.
8. Hold questioning and examination of the patient with obstructive lung disease. Identify
the major symptoms and syndromes, by results of spirography set the stage of the disease.
9. Perform palpation, percussion and auscultation of the chest of the lungs in patients with
obstructive lung disease. Identify the major symptoms and syndromes.
10.Hold questioning and physical examination of the patient with pneumonia. Identify the
major symptoms and syndromes.
11.Hold questioning and physical examination of a patient with pleurisy. Identify the nature
of pleurisy, its main symptoms and syndromes.
12. Conduct questioning, inspection and palpation of stomach in a patient with chronic
gastritis. Identify the major syndromes.
13.Analyze the results of gastric contents in patients with chronic gastritis. Determine the
status of gastric secretion and evaluate its acid-forming function.
14.Hold questioning, , inspection and palpation of stomach in patients with peptic ulcer
disease. Identify the major syndromes, identify possible localization of ulcer.
15.Hold questioning, , inspection and palpation of stomach in a patient with chronic
cholecystitis. Check the main symptoms of damage of the gallbladder. Identify the major
syndromes.
16.Hold questioning, , inspection and palpation of stomach in a patient with chronic
cholangitis. Identify the major syndromes.
17.Evaluate the results of duodenal probing in patients with cholelithiasis. Identify the major
symptoms and localization of damage.
18.Hold questioning and examination of the patient with hepatitis (or liver cirrhosis).
Identify the major symptoms and syndromes.
19.Perform physical examination of a patient with hepatitis (or cirrhosis). Identify the major
syndromes based on the results of biochemical analysis of blood and urine.
20.Perform physical examination of the patient with renal disease (glomerulonephritis or
pyelonephritis). Identify the major syndromes.
21.Analyze common urine analysis (also urinalysis by Zimnitskiy and Nechyporenko) of
patients with kidney disease. Identify the major symptoms and syndromes. Make a
conclusion about the nature of kidney damage.
22.Physical examination of a patient with anemia. Identify the major symptoms and
syndromes, including complete blood count to determine the nature of anemia.
23. Analyze the CBC of patient with leukemia. Identify the main laboratory symptoms and
type of chronic leukemia.
24.Conduct questioning and overview of patients with diabetes, explore the pulse of the
blood vessels of upper and lower limbs and blood pressure. Identify the major symptoms
and syndromes.
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