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A 23-year-old man consulted a doctor with complaints of swelling of the face, eyelids. extremities, a decrease in the amount of urine, severe weakness, fatigue, headache in the occipital and temporal regions and inspiratory dyspnea. He is known to suffer from chronic tonsillitis. His health deteriorated in the last two weeks after the worsening of tonsillitis, when the symptoms described above appeared. On examination: the patient's condition is moderate, the skin is pale, dry. Swelling of the face, arms, legs, and abdomen. NPV 24 / min, pulse 102/ min, BP 165/95 mm Hg, t- 37.1.C. On auscultation of the lungs: weakened vesicular breathing is heard in the lower left sections, below the angle of the scapula and in the axillary region, In the same parts of the lungs, dullness is determined percussion. Pasternatsky's symptom is weakly positive on both sides, 1. What syndromes can be diagnosed in this patient? 2. What laboratory and instrumental studies

A 23-year-old man consulted a doctor with complaints of swelling of the face, eyelids. extremities, a decrease in the amount of urine, severe weakness, fatigue, headache in the occipital and temporal regions and inspiratory dyspnea. He is known to suffer from chronic tonsillitis. His health deteriorated in the last two weeks after the worsening of tonsillitis, when the symptoms described above appeared. On examination: the patient's condition is moderate, the skin is pale, dry. Swelling of the face, arms, legs, and abdomen. NPV 24 / min, pulse 102/ min, BP 165/95 mm Hg, t- 37.1.C. On auscultation of the lungs: weakened vesicular breathing is heard in the lower left sections, below the angle of the scapula and in the axillary region, In the same parts of the lungs, dullness is determined percussion. Pasternatsky's symptom is weakly positive on both sides, 1. What syndromes can be diagnosed in this patient? 2. What laboratory and instrumental studies

Health Safety And Nutrition F/Young Child
Health Safety And Nutrition F/Young Child
9th Edition
ISBN:9781305144767
Author:MAROTZ
Publisher:MAROTZ
Chapter6: Childhood Illnesses
Section: Chapter Questions
Problem A2CR
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A 23-year-old man consulted a doctor with complaints of swelling of the face, eyelids. extremities, a decrease in the amount of urine, severe weakness, fatigue, headache in the occipital and temporal regions and inspiratory dyspnea. He is known to suffer from chronic tonsillitis. His health deteriorated in the last two weeks after the worsening of tonsillitis, when the symptoms described above appeared. On examination: the patient's condition is moderate, the skin is pale, dry. Swelling of the face, arms, legs, and abdomen. NPV 24 / min, pulse 102/ min, BP 165/95 mm Hg, t- 37.1. C. On auscultation of the lungs: weakened vesicular breathing is heard in the lower left sections, below the angle of the scapula and in the axillary region, In the same parts of the lungs, dullness is determined percussion. Pasternatsky's symptom is weakly positive on both sides, 1. What syndromes can be diagnosed in this patient? 2. What laboratory and instrumental studies should be assigned? 3. Explain the pathogenetic mechanisms of edema formation in this patient. 4. Formulate the diagnosis according to the classification.
Transcribed Image Text:A 23-year-old man consulted a doctor with complaints of swelling of the face, eyelids. extremities, a decrease in the amount of urine, severe weakness, fatigue, headache in the occipital and temporal regions and inspiratory dyspnea. He is known to suffer from chronic tonsillitis. His health deteriorated in the last two weeks after the worsening of tonsillitis, when the symptoms described above appeared. On examination: the patient's condition is moderate, the skin is pale, dry. Swelling of the face, arms, legs, and abdomen. NPV 24 / min, pulse 102/ min, BP 165/95 mm Hg, t- 37.1. C. On auscultation of the lungs: weakened vesicular breathing is heard in the lower left sections, below the angle of the scapula and in the axillary region, In the same parts of the lungs, dullness is determined percussion. Pasternatsky's symptom is weakly positive on both sides, 1. What syndromes can be diagnosed in this patient? 2. What laboratory and instrumental studies should be assigned? 3. Explain the pathogenetic mechanisms of edema formation in this patient. 4. Formulate the diagnosis according to the classification.
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