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GENERAL PROPEDEUTICS OF INTERNAL DISEASES

LECTURE COURSE

VITEBSK 2016

VITEBSK STATE MEDICAL UNIVERSITY

DEPARTMENT OF PROPEDEUTICS OF INTERNAL DISEASES

GENERAL PROPEDEUTICS

OF INTERNAL DISEASES

LECTURE COURSE

Compiled by L.M. Nemtsov, MD

(2-е издание)

Vitebsk,

EI «VSMU» 2016

УДК 616.1/.4:616-07(07)

ББК 54.1 Г 34

Рецензенты:

профессор кафедры терапии Белорусской медицинской академии последипломного образования доктор медицинских наук И.И. Бураков; профессор кафедры госпитальной терапии Витебского государственного медицинского университета доктор медицинских наук М.Р. Конорев

Немцов Л.М.

N 50 General propedeutics of internal diseases : lecture course (Общая пропедевтика внутренних болезней : курс лекций (на английском языке) / Л.М. Немцов. – 2-е изд. – Витебск: ВГМУ, 2016. – 175 с.

ISBN 978-985-466-823-9

(2-е издание)

Курс лекций «Общая пропедевтика внутренних болезней» составлен в соответствии с типовой учебной программой по пропедевтике внутренних болезней, утвержденной Министерством Здравоохранения Республики Беларусь в 1997 г., регистрационный № 08-14/5906, и рабочей учебной программой по пропедевтике внутренних болезней для студентов лечебно-профилактического факультета, утвержденной ВГМУ 29.08.2003 г. по специальности «Лечебное дело».

УДК 616.1/.4:616-07=20(042.3/.4) ББК 54.1

Первый выпуск в 2006 г.

Немцов Л.М., 2016 УО «Витебский государственный медицинский университет», 2016

ISBN 978-985-466-823-9

CONTENT

 

pp

 

4

The subject and problems of propedeutics of internal diseases.

 

General plan of inspection of a patient

 

Subjective examination (inquiry) of the patient. Objective examination

 

of the patient. General inspection (survey)

5

Examination of patients with diseases of respiratory system:

 

Subjective examination of patients with diseases of respiratory system.

 

General survey. Static and dynamic survey of the chest. Palpation of the

 

chest, definition of vocal fremitus (voice tremor)

13

Percussion of lungs

24

Objective examination of respiratory organs:

 

Auscultation of lungs, its techniques and diagnostic value. Examination

 

of lung ventilation

34

Examination of patients with diseases of circulatory system:

 

Subjective examination. Objective examination of circulatory system:

 

survey and palpation of region of the heart and large vessels. Measuring

 

arterial (blood) pressure

49

Percussion of heart

64

Auscultation of heart: heart sounds

71

Auscultation of heart: cardiac murmurs

78

Electrocardiography examination:

 

Algorithm of interpreting ECG. ECG signs of hypertrophy of heart

 

chambers. ECG in IHD (ischemic heart disease)

86

ECG diagnosis of sinus node automatism disorders, disordered

 

myocardial conduction and excitability

94

Examination of patients with diseases of esophagus, stomach and

 

intestines: Subjective examination of patients. Objective examination

 

of patients: survey, percussion and auscultation of abdomen

107

Palpation of abdomen: Surface tentative palpation and deep sliding

 

palpation of abdomen (according to Obraztsov and Strazhesko)

123

Examination of patients with pathology of the liver and biliary

 

tracts: Subjective and physical examination

131

Percussion and palpation of liver and lien

140

Subjective and objective examination of patients with diseases of

 

kidneys and urinary tracts

150

Literature

161

Supplement. Electrocardiography examination

162

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The lecture course of general propedeutics of internal diseases is designed basically for students of the faculty for the training of foreign citizens through the mediation of the English language during the course of studies. The lectures can be useful to teachers of therapeutic departments of medical universities while preparing for their classes with foreign students, to senior students, post-graduates and clinical residents.

The lectures correspond to the basic educational thematic parts of general propedeutics of internal diseases, according to Standard Educational Program of internal diseases propedeutics approved by Ministry of Public Health of Republic of Belarus in 1997 (registration number 08-14/5906) and the syllabus of internal diseases propedeutics for students of medical faculty approved by Vitebsk state medical university in 2003.

The reference sources of the lectures are selected with regard for the modern level of internal medicine development. We ask to send all critical remarks and wishes to the department of propedeutics of internal diseases of Vitebsk state medical university.

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