CASE 005- A patient with cor pulmonale

CASE 005- A patient with cor pulmonale was admitted to the department. When measuring venous pressure, it was 180 mm A. What does this indicator say? B. B. What complaints can the patient present? C. Q. What can be revealed when examining the region of the heart and vessels of the neck? D. D. What characterizes the auscultatory picture at the IV point of auscultation? E. D. What changes can be detected on the ECG? Case No. 29 Patient A., aged 60, went to the dentist about acute toothache, because of which he did not sleep all night. After the extraction of the tooth, the pain did not stop. On the way home from the clinic, he suddenly lost consciousness. He was taken to the emergency room by ambulance. The general condition is severe; Heart rate – 100 in 1 minute; BP = 100 and 60 mmHg D=S. 1 -Pathology of what system is most likely? 2 -What disease are you thinking about? 3 -Select the diagnostic criteria for the disease. 4 -Formulate a preliminary diagnosis. 5 -Make a survey plan. 6 -What research should be done first? 7 -Name the main mechanisms of the development of the disease. 8 -Principles of treatment of the disease. 9 -Name the main groups of drugs used for the treatment and prevention of the disease. 10-Name the most common complications of the disease. CASE No. 6 A 50-year-old patient was admitted with complaints of paroxysmal cough with a small amount of mucopurulent sputum, general malaise, sweating, shortness of breath with significant physical exertion. He considers himself ill for about 10 years, when for the first time after hypothermia he began to worry about coughing with the release of light sputum, sweating. Since then, repeatedly with a frequency of 2-3 times a year, mainly in spring and autumn, the above complaints began to disturb. Exacerbations of the disease last about 3-4 weeks. Accompanied by a cough, first dry paroxysmal, and then with the release of a small amount of mucopurulent sputum. Moreover, the cough is more intense in the morning, especially after waking up. He did not seek medical help. Independently took expectorant herbs, breast fees with a positive effect. Over time, during exacerbations of the disease, the general state of health began to suffer – general weakness, sweating appeared. Feeling worse for about 2 weeks. Due to the fact that shortness of breath during physical exertion joined the usual symptoms, he sought medical help. Objectively: the general condition is satisfactory. The thorax is of normosthenic type, evenly participates in the act of breathing with both halves, respiratory rate is 18 per minute, breathing is of medium depth, rhythmic. On palpation, the voice trembling was not changed, a clear pulmonary sound was determined percussion over the entire surface of the lungs, hard breathing was heard on auscultation, a lot of dry buzzing rales, bronchophony was not changed. 1-Select the leading syndromes. 2-Formulate a preliminary diagnosis. 3-List the main causes leading to this disease. 4-What complications of this disease do you know. 5-Assign an examination plan. Image transcription text An 80-year—old man being observed in the recovery room following a femoral—popliteal bypass operation was noted to have this abnormal ECG. What does it show and what would you do? Image transcription text This ECG was recorded from a «Hear—old man who was admitted to hospital as an emergency, with the sudden onset of the symptoms and signs of severe left ventricular failure. What does it show and what would you do? Image transcription text A 70-year-old woman. from whom this ECG was recorded, was admitted to hospital with increasing congestive cardiac failure. What does the ECG show and what would you do?

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