Данные физикального исследования (status presens communis)

1. Наружное исследование

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2. Система дыхания

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3. Сердечно-сосудистая система

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4. Система пищеварения

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5. Моче-половая система

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6. Кроветворная система

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7. Эндокринная система

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8. Нервная система (оценить походку по прямой, фланговую походку, устойчивость в позе Ромберга, черепно-мозговые нервы, спонтанный нистагм, диадохокинез, функции «пирамидной» и «экстрапирамидной» систем):

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9. Органы чувств

Вибрационная чувствительность (камертон С-128, норма > 30 сек)_________________________

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Болевая чувствительность: ____________________________________________________________________________________________________________________________________________

Температурная чувствительность: _____________________________________________________

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Тактильная чувствительность:________________________________________________________

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Глубокое мышечно-суставное чувство_________________________________________________

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Пороги восприятия звуковой чувствительности в среднеречевом диапазоне высоких частот:

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Шепотная речь:___________________________________________________________

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ВЕДУЩИЕ СИНДРОМЫ И ИХ ОБОСНОВАНИЕ: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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ПРЕДВАРИТЕЛЬНЫЙ ДИАГНОЗ И ЕГО ОБОСНОВАНИЕ

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