Vaziyatli masala

40	30-40	5-29
0-4
2	Oyoklar arteriya va venalari UZDG	20	10-20	5-9	0-4
3	1. Parks-Veber-Rubashova kasalligi 2. PTFS 3.Varikoz kasalligi 4. Yuzaki venalar o‘tkir tromboflebiti	30	20-30	5-19	0-4
4	Angioxirurg ko‘rigi, trombolitik, antiagregant va antikoagulyant terapiya.	10	7-10	4-6	0-3

Vaziyatli masala

56 yoshli bemor tizza va son soxasidagi og‘riq va shishga shikoyat qiladi. Teri osti venalarining varikozi, teri giperpigmentatsiyasi va teridagi tuklarning tukilishi, teri osti yog qavatining induratsiyasi, dermatit, ekzema, va terida yaralar paydo bo‘lishi kuzatiladi. Bemor ilgari ileofemoral tromboz o‘tkazgan.

• 
  Sizni to‘liq taxminiy tashxisingiz.
  
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  Asosiy tekshirish usullari.
  
• 
  Qaysi kasalliklar bilan qiyosiy tashxis o‘tkazish lozim.
  
• 
  UASh taktikasi va davolash
  

	javoblar	maks. ball	Tulik javob	Notulik javob	Konikarsiz javob
1	Diagnoz: Tromboflebit orti sindromi	40	30-40	5-29	0-4
2	Oyoklar arteriya va venalari UZDG	20	10-20	5-9	0-4
3	1. Parks-Veber-Rubashova kasalligi 2. Varikoz kasalligi 3. Yuzaki venalar o‘tkir tromboflebiti	30	20-30	5-19	0-4
4	Angioxirurg ko‘rigi, venotonik, antiagregant, antikoagulyant va kompression terapiya.	10	7-10	4-6	0-3

Vaziyatli masala

42 yoshli bemor 2 yil oldin o‘ng tomonlama ileofemoral tromboz o‘tkazgan. Xozirda o‘ng oyogida shish, og‘riqka va o‘ng boldir teri osti kletchatkasining induratsiyasiga shikoyat kiladi.

• 
  Sizni to‘liq taxminiy tashxisingiz.
  
• 
  Asosiy tekshirish usullari.
  
• 
  Qaysi kasalliklar bilan qiyosiy tashxis o‘tkazish lozim.
  
• 
  UASh taktikasi va davolash
  

	javoblar	maks. ball	Tulik javob	Notulik javob	Konikarsiz javob
1	Diagnoz: Tromboflebit orti sindromi	40	30-40	5-29	0-4
2	Oyoklar arteriya va venalari UZDG	20	10-20	5-9	0-4
3	1. Parks-Veber-Rubashova kasalligi 2. Varikoz kasalligi 3. Yuzaki venalar o‘tkir tromboflebiti	30	20-30	5-19	0-4
4	Angioxirurg ko‘rigi, venotonik, antiagregant, antikoagulyant va kompression terapiya.	10	7-10	4-6	0-3

Situatsionnыe zadachi

Bolnaya 60 let, jalobы na periodicheskie pristupы boley v pravom podrebere posle priema piщi v techenie 3x mesyasev. Pristupы soprovojdayutsya pojelteniem skler, potemneniem mochi. 10 let nazad perenesla xoletsistektomiyu po povodu xronicheskogo kalkuleznogo xoletsistita.

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  Vash predvaritelnыy diagnoz
  
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  Metodы issledovanie
  
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  Differensialnaya diagnostika
  
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  Taktika VOP i lechenie
  

	Otvetы	maks. ball	Polnыy otvet	Nepolnыy otvet	Neudovlet. otvet
1	Diagnoz: JKB. Xoledoxolitiaz. SPO xoletsistektomiya	40	30-40	5-29	0-4
2	OAK i OAM, bioximiya krovi, UZI, RPXG.	20	10-20	5-9	0-4
3	1.Virusnыy gepatit. 2.Xronicheskiy gepatitы. 3.Gemoliticheskaya jeltuxa. 4.Osloj. exinokokk pecheni. Opuxol vorot pecheni.	30	20-30	5-19	0-4
4	Osmotr xirurga, ekstraksii kamni s pomoщyu RPXG ili ChChXS, pri nevozmojnosti xoledoxolitomiya.	10	7-10	4-6	0-3

Situatsionnыe zadachi

Bolnoy 65 let stradaet tranzitornыmi ishemicheskimi atakami (TIA), t.ye. ostro razvivayuщimisya rasstroystvami mozgovogo krovoobraщeniya s bыstro proxodyaщey (do 24 chasov) ochagovoy ili obщee mozgovoy simptomatikoy.

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  Vash predvaritelnыy diagnoz
  
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  Metodы issledovanie
  
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  Differensialnaya diagnostika
  
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  Taktika VOP i lechenie
  

	Otvetы	maks. ball	Polnыy otvet	Nepolnыy otvet	Neudovlet. otvet
1	Diagnoz: Ateroskleroz. Stenoz sonnыx arteriy. XSMN 2 st, TIA	40	30-40	5-29	0-4
2	Angiografiya vetvey dugi aortы, UZDG, KT- angigrafiya.	20	10-20	5-9	0-4
3	1.Ishemicheskiy insult 2. Gemorragicheskiy insult 3. Meningitы 4. Ensefalopatii.	30	20-30	5-19	0-4
4	Osmotr angioxirurga, stentirovanie sonnыx arteriy ili karotidnaya endarterektomiya .	10	7-10	4-6	0-3

Situatsionnыe zadachi

Bolnoy 23 let jaluetsya na golovnuyu bol, golovokrujenie, obmoroki, kratkovremennuyu poteryu soznaniya, sudorogi, zritelnыe rasstroystva, disfagiyu, vegetativnыe i psixicheskie rasstroystva.

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  Vash predvaritelnыy diagnoz
  
• 
  Metodы issledovanie
  
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  Differensialnaya diagnostika
  
• 
  Taktika VOP i lechenie
  

	Otvetы	maks. ball	Polnыy otvet	Nepolnыy otvet	Neudovlet. otvet
1	Diagnoz: NAA. Stenoz sonnыx arteriy. XSMN 2 st, TIA	40	30-40	5-29	0-4
2	Angiografiya vetvey dugi aortы, UZDG, KT- angigrafiya.	20	10-20	5-9	0-4
3	1.Ishemicheskiy insult 2. Gemorragicheskiy insult 3. Meningitы 4. Ensefalopatii.	30	20-30	5-19	0-4
4	Osmotr angioxirurga, stentirovanie sonnыx arteriy ili karotidnaya endarterektomiya.	10	7-10	4-6	0-3

Situatsionnыe zadachi

Bolnaya 64 let stradaet posttromboflebiticheskim sindromom. Vnezapno u bolnoy poyavilos chuvstvo silnogo udushya, boli za grudinoy, simuliruyuщie infarkt miokarda. V posleduyuщiy chas razvilsya tyajelыy kollaps s rezkoy odыshkoy i sianozom verxney polovinы. Brigadoy skoroy pomoщi na domu sdelana EKG: vыyavlenы priznaki peregruzki pravыx otdelov serdsa, a takje ostroy diffuznoy gipoksii miokarda.

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  Vash predvaritelnыy diagnoz
  
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  Metodы issledovanie
  
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  Differensialnaya diagnostika
  
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  Taktika VOP i lechenie
  

	Otvetы	maks. ball	Polnыy otvet	Nepolnыy otvet	Neudovlet. otvet
1	Diagnoz: TELA.	40	30-40	5-29	0-4
2	Radionuklidnoe issledovanie legkix, rentgenografiya, angiopulmonografiya.	20	10-20	5-9	0-4
3	1. OIM 2. Pristup BA 3. Otek legkix. 4. Cor pulmonale.	30	20-30	5-19	0-4
4	Osmotr angioxirurga, ekstrennaya trombolizisnaya, antiagregantnaya i antikoagulyantnaya terapii.	10	7-10	4-6	0-3

Situatsionnыe zadachi

U bolnoy 56 let vnezapno voznikla odыshka na fone otnositelnogo blagopoluchiya, odnovremenno poyavilis ostrыe boli zadne-nijnix otdelax legkix. Spustya 2 dnya prisoedinilas krovoxarkane. Pri auskultatsii v legkix vlajnыe xripы, shum treniya plevrы, vыpot v plevralnoy polosti.

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  Vash predvaritelnыy diagnoz
  
• 
  Metodы issledovanie
  
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  Differensialnaya diagnostika
  
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  Taktika VOP i lechenie
  

	Otvetы	maks. ball	Polnыy otvet	Nepolnыy otvet	Neudovlet. otvet
1	Diagnoz: TELA.