Calendar-thematic plan of practical lessons for the students of VI course.
Syndrom
e
Theme
Precardia 1. Differential diagnostic of pain in
coronary artery disease at stable
l pain
angina different FC
tactics of DGP
Practice skils
Hours
Supervision of the
patient.
Total blood
Enzymes.
Tropanin.
2. Differential diagnostics of pain in
Ostrofaznye sample.
unstable angina, coronary heart
Cholesterol.
disease (first arose, progressive,
Sugar in the blood,
spontaneous, early post-infarction,
urine.
early post-operative). Acute
ECG.
coronary syndrome.
ECG-loaded samples.
Tactics of DGP
EhoKS with
dopplerography.
3. Differential diagnostics pain in
Chest X-ray.
angina pectoris and myocardial
infarction (clinical, laboratory, EKG) Differential diagnostics.
Rationale for the
Tactics of DGP
diagnosis.
4. Differential diagnostics of
Appointment of a
various clinical variants, stages,
treatment plan.
locations and depth of necrosis in
Recommendations
cardiac infarction.Tactics of DGP
6,2
5. Differential diagnostics of
myocarditis of different etiologies
and myocardiodystrophy
Tactics of DGP
6,2
6. Differential diagnostics of
pulmonary embolism, aortic
aneurysm, pericarditis Tactics of
DGP
6,2
6,2
6,2
6,2
Heart
sounds
and
cardiome
galy
7. Differential diagnostics of in
listening to noise at the apex of the
heart. Functional (myocardial,
anemic, when the blood, fever).
Organic (mitral insufficiency, mitral
stenosis holes, mitral valve
prolapse)
Tactics of DGP
8. Differential diagnostics of in
listening to the noise of the aorta
with defects (rheumatic, infective
endocarditis, atherosclerosis),
aorta.
Tactics of DGP
Supervision of the
6,2
patient.
Total blood.
Blood on the sterility.
Lipid
ECG
EhoKS with
dopplerography.
Chest X-ray.
Differential diagnostics.
Rationale for the
6,2
diagnosis.
Appointment of a
treatment plan.
Recommendations
9. Differential diagnostics of of
congenital heart defects.
Tactics of DGP
6,2
10. Differential diagnostics of in
different clinical forms of
cardiomyopathy (dilated,
restrictive, hypertrophic,
arrhythmogenic right ventricular
dysplasia)
The tactics of theDGP. Differential
diagnostics of between
cardiomyopathy, heart defects,
coronary artery disease,
hypertension.
Tactics of DGP.
6,2
11. Differential diagnostics
migration of the pacemaker, sick
Arrhythm
sinus syndrome, beats. Types of
ias
extrasystoles.
Supervision of the
patient.
ECG.
Holter monitoring.
6,2
Tactics of the DGP.
12. Differential diagnostics flicker
and flutter, paroxysmal
tachycardia, WPW syndrome
Tactics of theDGP.
EhoKS.
Differential diagnostics
rationale for the
diagnosis
Appointment of a
treatment plan.
Recommendations
13. Differential diagnostics in
blockades: intraatrial,
atrioventricular, intraventricular.
Tactics of the DGP
Arterial
hyperten
sion
14. Differential diagnostics
hypertension with renal
hypertension. Risk factors, stages
of HD ,types of renal hypertension
(renovascular and parenchymal).
Tactics of the DGP.
15. Differential diagnostics
hypertension in endocrine
hypertension. Types of endocrine
hypertension (feohromatsitoma
syndrome, Cohn's syndrome,
pituitary Kushenga,
hyperthyroidism)
Tactics of the DGP
16. Differential diagnostics
hypertension with cerebral AG
(traumatic brain injury, vertebralbasilar syndrome, arachnoiditis,
encephalitis, brain tumors).
6,2
6,2
Supervision of the
patient
Total blood
Urinalysis
Cholesterol
Sugar in the blood,
urine
ECG
EhoKS
Angiography
Consulting an
ophthalmologist
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
6,2
6,2
6,2
Tactics of the DGP
17. Differential diagnostics
rheumatism and rheumatoid
Articular
arthritis.
syndrome
Tactics of the DGP
18. Differential diagnostics
seronegative spondylarthritis
(reactive arthritis, ankylosing
spondylitis, psoriatic arthritis).
Tactics of the DGP.
19. Differential diagnostics of
systemic lupus erythematosus and
systemic scleroderma.
Tactics of theDGP.
20. Differential diagnostics of
dermatomyositis and hemorrhagic
vasculitis
The tactics of theDGP.
Differential diagnostics nonspecific
aorto-arteritis nodosa and
periarthritis.
Tactics of the DGP.
Cough
with
sputum
21. Differential diagnostics in
equity and segmental defeats the
lung. Lobar pneumonia, infiltrative
pulmonary tuberculosis,
pulmonary infarction. Communityacquired and nosocomial
pneumonia.
Tactics of the DGP.
22. Differential diagnostics in
round pulmonary lesions . Lobular
pneumonia, tuberculoma, lung
Supervision of the
patient
Total blood
Urinalysis
Ostrofaznye sample
uric acid
Blood test for LE-cell
factor revmotoidny,
HLA-B27 and others
ECG
echocardiography
X-ray of the joints
Arthrocentesis with
synovial fluid
examination
A skin biopsy, muscle
Differential diagnostics
rationale for the
diagnosis
Appointment of a
treatment plan
recommendations
6,2
Supervision of the
patient
Total blood
The general analysis of
sputum
Pikfluometriya
Spirography
Chest X-ray
CT and MRT
Consultation
phthisiatrician
6,2
6,2
6,2
6,2
6,2
abscess, lung tumors, lung
ehinokkok. Pneumonia of different
etiology (bacterial, viral,
mycoplasma)
The tactics of the DGP. Differential
diagnosis in diffuse dissemmnatsii.
Lobular pneumonia,
hematogenous disseminated form
of TAC-lung, pneumoconiosis,
metastases raka.Taktika of the
DGP.
Consulting oncologist
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
23. Differential diagnostics with
dry and exudative pleurisy. Types
of exudative pleurisy.
Tactics of the DGP.
Supervision of the
patient
Total blood
Pleural puncture with
the analysis of pleural
fluid
Chest X-ray
ECG
Consultation
phthisiatrician
Consulting oncologist
Differential diagnostics
rationale for the
diagnosis
Appointment of a
treatment plan
recommendation
6,2
Shortness 24. Differential diagnostics
of breath, diseases which are accompanied
choking. with bronchial obstruction
(asthma, COPD, lung cancer).
Tactics of the DGP.
Supervision of the
patient
Total blood
The general analysis of
sputum
Pikfluometriya
Spirography
6,2
Chest
pain
associate
d with
lung
disease
25. Differential diagnostics of
dyspnea in cardiac and pulmonary
6,2
Dysphagi
a
Abdomin
al pain
pathology. Circulatory failure and
pulmonary insufficiency.
Tactics of the DGP.
Chest X-ray
ECG
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
26. Differential diagnostics
esophagitis, reflux esophagitis,
dysphagia in scleroderma and
esophageal tumors.
Tactics of the DGP.
Supervision of the
patient
Total blood
EGDFS
Chest X-ray
biopsy
Consulting oncologist
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
6,2
27. Differential diagnostics gastritis Supervision of the
and peptic ulcer disease (gastric
patient
and 12 duodenal ulcer)
Total blood
Analysis of gastric juice
Tactics of the DGP
and duodenal juice
28. Differential diagnostics of
Diastase in the blood
chronic cholecystitis and chronic
and urine
pancreatitis.
EGDFS
Tactics of the DGP.
Ultrasound of the gall
bladder, pancreas
29. Differential diagnostics of
Rectoscopy,
ulcerative colitis and Crohn's
Kolonofibroskopiya,
disease.
irrigoskopiya
Tactics of the DGP.
X-ray of the
6,2
6,2
6,2
gastrointestinal tract
Consulting surgeon
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
Hepatom
egalia
30. Differential diagnostics of
active and inactive chronic
hepatitis B
Tactics of the DGP.
31. Differential diagnostics of
chronic hepatitis and cirrhosis.
Tactics of the DGP.
Jaundice
32. Differential diagnostics of
Supervision of the
patient
Total blood
Urinalysis
ALT, AST
Direct and indirect
bilirubin
Total protein, protein
fraction
Thymol test
Markers of hepatitis
Ultrasound of the liver,
spleen
CT and MRT
Biopsy
Infectious disease
consultation
Consulting a
hematologist
Consulting oncologist
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
6,2
Supervision of the
6,2
6,2
cholelithiasis with biliarypancreatic tumor area (tumor of
the liver, gallbladder, pancreas).
Tactics of the DGP.
Changes 33. Differential diagnostics of
in urinary pyelonephritis, glomerulonephritis
sediment and interstitial nephritis.Tactics of
the DGP
34. Differential diagnostics of
amyloidosis and nephropathy
(pregnant, diabetic, drug).
Tactics of the DGP. Differential
diagnostics stages of chronic renal
failure.
Tactics of the DGP.
patient
Total blood
Urinalysis
ALT, AST
Bilirubin direct, indirect
Total protein, protein
fraction
Thymol test
Markers of hepatitis
Ultrasound of the liver,
gallbladder, pancreas,
spleen
Infectious disease
consultation
Consulting a
hematologist
Consulting surgeon
Consulting oncologist
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
Supervision of the
patient
Total blood
Urinalysis
A urine test for
Nechiporenko
Total protein, protein
fraction in blood
Lipid
Urea
Creatinine
Sugar in the blood and
6,2
6,2
urine
Sample Rehberg
Ultrasound of the
kidneys
CT and MRT
Biopsy
Consulting urologist
Consulting oncologist
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
Edemato 35. Differential diagnostics of
us
edema of various etiologies. Local
syndrome (allergic, vascular, and
inflammatory). General (circulatory
failure, renal, endocrine, hungry)
Tactics of the DGP.
Supervision of the
patient
Total blood
Urinalysis
Total protein and
protein fractions
Lipid
T3, T4
ECG
Echocardiography with
dopplerography
Ultrasound of the
kidneys
Consultation
endocrinologist
Differential diagnostics
Rationale for the
diagnosis
Appointment of a
treatment plan
Recommendations
6,2
Geriatrics
1. The problem of "age norms". Functional and
organic changes during aging.
Regularities of the aging process. The
mechanism of age-related changes.
6,2
2. Physiology and hygiene of food
6,2
3. Motor mode and occupational health.
Features of diet and locomotor mode in the
elderly
6,2
4. Clinical manifestations of atherosclerosis and
follow-up.
Emphysema in the elderly.
Age-related changes that predisposes to
atherosclerosis and emphysema.
6,2
5. Clinical manifestations of osteoporosis and
fracture prevention
Age osteoporosis prevention and treatment
6,2
6. Problems of elderly with diseases of the
gastrointestinal tract.
Age-related changes that predisposes to
diseases of the gastrointestinal tract.
6,2
7. Problems of elderly with diseases of urinary
system
Age-related changes that predisposes to
diseases of urinary system.
6,2
Head of department
Professor
Rustamova M.T.