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2. Общеклиническое физическое обследование

общий осмотр

вес……………кг Индекс Кетле:………кг/м2

рост…………..см

Температура(c0)…………

Индекс Кетле:………..кг/м2

  • дефицит веса - 18

  • нормальный вес - 18-25

  • избыточная масса тела - 25-29

  • ожирение - 30-39

  • патологическое ожирение - более 40

тип телосложения:

  • нормостеник

  • астеник

  • гиперстеник

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Дыхательная система

Осмотр

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Пальпация

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Перкуссия

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Топографическая перкуссия

Верхушки лёгких

сторона

спереди

сзади

справа

слева

Дыхательная подвижность нижнего края лёгких

Топографические линии

Правое легкое

Левое лёгкое

Парастернальная

линия

Среднеключичная линия

Передняя подмышечная линия

Средняя

подмышечная

Задняя подмышечная линия

Лопаточная

линяя

Паравертебральная линия

Дыхательная подвижность нижнего края легких

правого

левого

Среднеключичная

Средняя подмышечная

Лопаточная линяя

Аускультация…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………......

Сердечно-сосудистая система

Осмотр и пальпация

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Перкуссия

Границы относительной сердечной тупости

правая

левая

верхняя

Границы абсолютной сердечной тупости

правая

левая

верхняя

Аускультация

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АД______/_____мм Hg

ЧСС_____/мин. Пульс______/мин.

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Пищеварительная система

осмотр

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Пальпация

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Границы абсолютной печеночной тупости по Курлову:

Правая среднеключичная линия……..см

Правая срединная линия……..см

Левая реберная дуга.........см

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Аускультация

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Мочевыделительная система

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Эндокринная система

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Нервная система

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Предварительный диагноз

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План обследования:

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Соседние файлы в предмете [НЕСОРТИРОВАННОЕ]